Tenant Rental History Authorization Release

I hereby authorize the release of my rental history and any related information to the prospective landlord/property manager listed below. This authorization is made for the purpose of verifying my eligibility as a tenant.

Applicant Name: Current Address: City: State: Zip Code: Phone Number:

Landlord/Property Manager Name (to receive information): Landlord/Property Manager Phone: Landlord/Property Manager Email:

By signing below, I authorize my current and previous landlords to release rental history information to the above-named recipient for the purposes of evaluating my rental application.