Leasing To Buy::Credit Report

Credit Report Authorization and Release

Authorization is hereby granted to Leasing To Buy, LLC to obtain a standard factual data credit report from a reporting agency chosen by Leasing To Buy, LLC.

My signature below authorizes the release to the credit reporting agency, a copy of my credit application, and authorizes the credit reporting agency to obtain information regarding my employment, bank accounts, prior rental history, background check and any outstanding credit accounts (mortgages, auto loans, personal loans, charge cards, credit unions, etc.). Authorization is further granted to the reporting agency to use a photostatic reproduction of this authorization if necessary to obtain any information regarding the above mentioned information.

If applicants request a copy of the credit report obtained with any possible derogatory information be sent to the address of present residence, applicants will hold Leasing To Buy, LLC and any credit reporting organization harmless in so mailing the copy requested.

Any reproduction of this credit report authorization and release made by reliable means (for example, photocopy or facsimile) is considered original.

Upon completion of this form you will be redirected to PayPal.com
in order to make a secure payment of $25.00 per applicant.

What Property are you interested in?:

What leasingtobuy rep have you been working with?:

Applicant 1

First Name:

Last Name:

D.O.B.:

VA Eligible:

YesNo

SSN:

Driver's License Number:

Driver's License State:

Cell Phone 1::

Cell Phone 2:

Email Address:

Present Physical Address:

City:

State:

Zip Code:

How Long:

Own or Rent?:

OwnRent

Current monthly rent or house payment:

If Renting, Landlord's Name:

Landlord's Phone Number:

If less than two years, previous address:

If less than two years, previous city:

If less than two years, previous state:

If less than two years, previous zip code:

How long at previous address:

Own or Rent?:

OwnRent

If Rented, Landlord's Name:

Landlord's Phone Number:

Present Employer:

Employer's Address:

City:

State:

Zip Code:

Employer's Phone Number:

Employment Type:

W21099

Self Employed:

YesNo

Your Position:

Gross Monthly Income:

How Long?:

If less than two years, previous employer:

Do you have any pets?

YesNo

If Yes, what kind and how many?

Applicant 1 Debts:
Accounts	Monthly Payments

Applicant 2

(NOTE! If more than one person over the age of 18 will be living in
the property, please complete all applicant information. Otherwise, leave blank.)

First Name:

Last Name:

D.O.B.:

VA Eligible:

YesNo

SSN:

Driver's License Number:

Driver's License State:

Present Employer:

Employer's Address:

City:

State:

Zip Code:

Employer's Phone Number:

Your Position:

Gross Monthly Income:

How Long?:

If less than two years, previous employer:

Do you have any pets?

YesNo

If Yes, what kind and how many?

Applicant 2 Debts:
Accounts	Monthly Payments

I declare that all of the above information is accurate and correct. I authorize complete verification of this lease application and the obtaining of credit reports of all applicants. I agree to pay a nonrefundable application fee of $25 per person. I further agree that the landlord or his agent may terminate any agreement entered into based on any misinformation contained in this lease application.