Red Door Realty



MAINSTREET ORGANIZATION OF REALTORS ®
CREDIT/BACKGROUND CHECK AUTHORIZATION

(This Form is to be Used by Brokers Only and not Disseminated to Landlords or General Public)

One form per adult applicant, including married spouses with different last names.
One form for married spouses with same last name and address.

 

Applicant #1:

Phone:

Any Other Name(s) Used:

Social Security Number:

Drivers License Number:

Date of Birth:

Applicant #2:

Phone:

Any Other Name(s) Used:

Social Security Number:

Drivers License Number:

Date of Birth:

Present Address:

Previous Address:

How Long?

**************************************************************************************************************************************************************

Individual CredIt Check - $

*Individual Plus Spouse - $ **
(Both Signatures are Required)

*/** This fee is charged for performance of a service. It is not to be considered the cost of the credit report.
** Per credit reporting agency, spouses must have the same last name and same address. If spouses have different last names and/or addresses, two individual reports will be run. The individual rate of $ applies for each report.

$ has been paid for this credit check. THIS SUM IS NOT REFUNDABLE.

$ has been paid for this background check. THIS SUM IS NOT REFUNDABLE.

PLEASE NOTE: PROVIDING A COPY OF CREDIT/BACKGROUND REPORT TO APPLICANT(S) IS PROHIBITED.

I/We certify that I/we have read the above authorization that the information therein is true and correct. I/We understand that this authorization shall be incorporated in and become a part of the lease of the premises sought and if incorrect or untrue shall be grounds for cancellation of the lease. I/We authorize a background investigation and credit check to be made whereby information is obtained through interviews with my/our landlord(s) or other(s) with which I/we am/are acquainted. I/We understand I/we have the right to make a written request within a reasonable amount of time to receive additional detailed information about the nature and scope of this investigation. 

Signature:


Applicant #1

Date:

Signature:


Applicant #2

Date:

KEEP ALL ORIGINALS IN FILE

 

Rev. 5.2013 © MAINSTREET ORGANIZATION OF REALTORS ®

RED DOOR REALTY
Aja A. Jackson, MBA
Managing Broker & Property Manager
4749 Lincoln Mall Drive, Suite 202
Matteson, Illinois 60443
708-932-0676