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To Whom it May Concern:
We are in the process of verifying information provided by Name , who is applying for an apartment in our building. To complete the application process, we must verify the employment/income information that was provided by Tenant Name on his or her application. Information contained on this form will be used in accordance with the Fair Credit Reporting Act. Tenant Name has provided his or her consent for you to provide the requested information, as verified by his or her signature below.
APPLICANT INFORMATION
To be completed and signed by the applicant
| Last Name: | First Name: | Middle Name: | Social Security Number: |
| ___________________________ | ______________________ | _____________________ | ________ - _______ - __________ |
| Current Address: | City: | State: | ZIP Code: |
| ___________________________ | ______________________ | _____________________ | _____________________________ |
CONSENT
I hereby authorize my employer to provide employment and compensation information to the landlord or landlord's agent. I hold both the landlord and my employer harmless for any claims against them for filling out, commenting on, or discussing this form and its subject matter.
Tenant Signature: ________________________________ Date: ________________
PAGE BREAK HERE
EMPLOYMENT INFORMATION
To be completed and signed by the applicant's employer (supervisor or HR)
| Employer Name: | Telephone No.: | ||
_________________________________________ |
____________________________ |
||
| Employer Address: | City: | State: | ZIP Code: |
| ____________________________________ | ____________________________ | __________ | ________________________ |
Which of the following best describe the employment status of the applicant?
| [ ] Current employee [ ] Former employee [ ] Never an employee |
[ ] Full-time employee [ ] Part-time employee [ ] Temporary employee |
| Avg. Number of Weekly Hours Worked:_____________ | |
Date of Hire (mm/yyyy): |
Job Title: |
| ______________________________________ | ___________________________ |
Salary: $______________ |
[ ] Hourly [ ] Weekly [ ] Bi-weekly |
Bonus/Commission? [ ] Yes $______________ [ ] No |
| Your Name: | Your Title: | Your Telephone No.: |
____________________________________ |
_____________________________ |
_______________________________ |
Signature: ________________________________ Date: _________________
Thank you in advance for your assistance in this matter. Please email the completed document to me at Email .
| Sincerely, | |||||||||||||||||||||||||
_______________________________ |
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| Name |