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Authorization for credit background check

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					                   VILLAGE GLEN ASSOCIATES
                                       P.O. BOX 391541
                                    SNELLVILLE, GA 30039
                                         (678)485-4243


AUTHORIZATION FOR MANAGEMENT TO VERIFY RENTAL
APPLICATION AND OBTAIN CREDIT REPORT


The information provided in my application is complete and correct. I understand that Village Glen
Associates will rely on the information provided in my application in making a decision to accept,
conditionally accept, or deny my rental application.

I authorize Village Glen Associates and its subcontractors to obtain my credit report and criminal
background report, verify my income and current and past employment, and contact my current and
past landlords to verify my rental history. I agree to indemnify and hold harmless Village Glen
Associates and any parties who provide information to verify my application from all liability claims
and lawsuits with regard to the information provided, regardless of the source and regardless of
whether the information provided is negative. I authorize Village Glen Associates and its contractors
to obtain a consumer credit report and to obtain information on my location and employment in
connection with collecting any damages or amounts claimed due under my lease.


_________________________________________
Address of Property Applied For

_________________________________________
Signature

_________________________________________
Name (Please print)


FAX completed form to (678) 325-1529 or email as an attachment to info@villageglenseniorliving.com




Village Glen Associates P.O. Box 391541 Snellville, GA 30039 Ph: (678)-485-4243 Fax: (678)325-1529

				
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posted:5/5/2012
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