Tenant Background Check Form
Fee $
Received By
First Name
Last Name
Rent
Rental Term
Rent Amount
Telephone
Please enter a valid phone number.
Format: (000) 000-0000.
Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name
First Name
Middle Name
Last Name
Date of Birth
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have a vehicle
Yes
No
Driver's
License Number
State
Vehicle
Plate Number
State
1
Make
Model
Year
Color
Please list all the people who will be occupying the home
Present Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for leaving
Dates Occupied From
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Rent $
Security Deposit $
Landlord's Name
First Name
Last Name
Landlord's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Previous Address(es) (if applicable)
Employment Status
Employed
Self Employed
Unemployed
Other
Please Upload Related Documents
Browse Files
Drag and drop files here
Choose a file
Tax returns or pay stubs
Cancel
of
Company Name
Your Title
Monthly Salary $
Supervisor Name
First Name
Last Name
If you have other sources of income please list here
Total Monthly Income $
Reference(s)
I agree with the following statements (please select all of them)
I confirm that all the information provided in this form is true and complete.
I understand that consumer reports containing public record information may be requested to evaluate my rental application. These can include names and dates of previous employers, public records, credit data, bankruptcy proceedings, eviction and criminal records, etc., from federal, state and other agencies.
I hereby authorizeprocurement of consumer report(s).
Even after my approval as a tenant, this authorization shall remain on file and shall serve as ongoing authorization to procure consumer reports at any time during my contract period.
I understand that any false or omitted information provided here may result in termination of right of occupancy and/or forfeiture of feed, deposits and may constitute a criminal offense under the laws of the State.
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
2
Signature
Submit
Should be Empty: