Fillable Printable Connecticut Credit Check Authorization Form

Connecticut Credit Check Authorization Form

CREDIT CHECK AUTHORIZATION

I am interested in renting property represented by _______________. In order to approve

my credit for this rental, I hereby authorize a credit check, including salary verification,

court proceedings and the release of payment history from prior landlords. I understand I

am responsible for a payment of $____ for the credit check whether or not my credit is

approved. This credit check will be initiated when Anderson Associates receives your check.

Name___________________________________________________________

Social Security Number_____________________________________________

Address__________________________________________________________

Home Telephone Number____________________________________________

Years at present Address____________________________________________

Name of present Landlord____________________________________________

Landlord’s Address__________________________________________________

Landlord’s Telephone Number_________________________________________

Bank_____________________________________________________________

Bank Account Number_______________________________________________

Bank Contact______________________________________________________

Employer_________________________________________________________

Address__________________________________________________________

Business Telephone Number__________________________________________

Job Title_____________________________ Salary_______________________

Number of years with present Employer_________________________________

Personal References

Name_________________________ Telephone_________________________

Address_________________________________________________________

Name_________________________ Telephone________________________

Address__________________________________________________________

__________________________ _____________________

Signature Date

Each member of the group (over 18) intending to occupy the rental property must sign a

credit check authorization. The credit check cost for married couples is covered by the one

payment.