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(Have your rental applicants sign this form to permit their banks to provide you with information needed to process their application.)

From: _____________________________________
_______________________________________
_______________________________________

To: Name of Bank _______________________________
Branch: _____________________________________
Address:_____________________________________
City: _____________________________________
State: _____________________________________
Zip: ______________________________________
Contact:_____________________________________

Re: Rental Applicant_____________________________
I authorize you to give the requested
information below to the following rental
owner/company:_______________________________
I also authorize for automatic bank drafts from
my bank account so that I do not have to worry
about mailing a rent check each month,
and the possibilitiy of mailing the rent late
and having to pay late charges.
Signature:___________________________________
Date: _____________________________________

Dear Sir or Madam,

Your immediate reply is requested. One of your bank customers,_________________________________, has made an application with us for a rental home and has given your bank as a reference.

To assist us in processing the person's rental application, can you please supply us with the information requested below. The applicant has given authorization so that this information may be released. I have enclosed a self-addressed stamped envelope for your convenience or you may fax it to the following number_____________________________.

Your reply is appreciated and will be held in strict confidence. If you need to contact me by phone, my number is _____________________.

Thank you for your cooperation.

Sincerely

Rental Owner/Manager

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Rental Applicant:_____________________________________
Social Security #_____________________________________

Checking Account #____________________________________
Date Opened:______________________________________
Average Balance:_____________________________________
Would a check in the amount of $________ clear at this time?
Yes___ No___ (This is the amount of monthly rent and/or deposit)
Savings Account # ____________________________________
Date Opened:______________________________________
Average Balance_____________________________________
Does the applicant currently have a loan through your bank? _____
If so, the loan # _____________________________________
Date Loan created?___________________________________
Monthly Payment Amount?______________________________
Current Loan Balance?_________________________________
Are payments current?_________________________________
If not, how late?______________________________________

This information provided by ___________________________
Bank title:___________________________________________
Date Completed _____________________________________

* Note to rental owner/manger: Click here to learn more about setting up automatic bank drafts for rent payments by your residents (which will help you get your rents on time).

* Click here to learn how you can get an inexpensive CREDIT REPORT on every applicant.