Personal Information

Email Address Phone No Name of Applicant Date of Birth Social Security No. Drivers License No.
Present Address City State Zip Prior Address City State Zip


How long have you lived at present address?
How long have you lived at prior address?
Name of Landlord Telephone
Prior Landlord Telephone

How many will be living in this unit?

AdultsChildrenPetsWeight of Pets
EmployerOccupationCurrent Salary
How Long?Contact PersonTelephone

Spouse/Co-Applicant Information

Name of Spouse Date of Birth Telephone Social Security No. Drivers License No.
Present Address City State Zip
Name of Landlord Telephone
Employer Occupation Current Salary
How Long Contact Person Telephone

Personal/Credit References

Name Relationship Telephone Credit Grantor Address Telephone

Other Information

Number of vehicles (including company cars)
Make/ModelYearColor
Tag No.State

Make/ModelYearColor
Tag No.State

Make/ModelYearColor
Tag No.State

HAVE YOU EVER
Filed for BankruptcyYes No If yes, when?
Been served an eviction notice or been asked to vacate a property you were renting?Yes No
Willfully or intentionally refused to pay rent when due?Yes No
If yes, when?Been sued for unlawful detainer?Yes No
How were you referred to us?
Newspaper (name)Realtor (name)
OtherRental Unit Applied for

APPLICANT AUTHORIZATION AND CONSENT FOR RELEASE OF INFORMATION


This release and authorization acknowledges that Water Pointe Realty Inc may now, or any time while I am renting, conduct a verification of my current and previous tenant history, current and previous employment, credit history, contact personal references, and to receive any criminal history information pertaining to me which may be in the files of any Federal, State, or Local criminal justice agency, and to verify any other information deemed necessary to fulfill the Tenant requirements. The results of this verification process will be used to determine tenant eligibility under Water Pointe Realty Inc tenant policies.

I authorize Background Info USA and any of its agents, to disclose orally and in writing the results of this verification process to the designated authorized representative Water Pointe Realty Inc

I have read and understand this release and consent, and I authorize the background verification. I authorize persons, schools, current and former employers, current and former landlords and other organizations and Agencies to provide Background Info USA with all information that may be requested. I hereby release all of the persons and agencies providing such information from any and all claims and damages connected with their release of any requested information. I agree that any copy of this document is as valid as the original.