CONSENT TO PERFORM CREDIT, BACKGROUND & REFERENCE CHECKS

 

I hereby authorize Superior Housing LLC to submit the information I have given for verification and I specifically authorize Superior Housing LLC to contact the employers, landlords, banks, police for any police records and other credit references which I have listed above for the purpose of verifying the information furnished by me in this application.

RTO Application Required
Contact Information
First Name
Last Name
Street # 
Street Name 
Suite #
City 
Zip/Postal Code 
PO Box
State/Province 
Country 
Phone Number
Email Address
Social Security
Birth Date
Co- Applicants First Name
Co-Applicants Last Name
Phone
Social Security
Birth Date
Phone
Best time to contact you
Questions
Employer
Job Time
Co-Employer
Job Time
Number of Dependents
Drivers License #
Co-Drivers License #
Present Landlord
Landlord Phone
Maximum Mthly Payment
Down Payment Amount
Monthly Income
Other Mthly Income
Total Credit Card Balance
Total Auto Payments
Other Debt Payments
Bankruptcy Yes/No
Arrest Record Yes/No
Evictions Yes/No
Pets Yes/No
Do You Smoke Yes/No
Emergency Contact
Phone
Additional Comments?