Tenant Information Release Authorization

I hereby authorize the release of my tenancy information to the landlord/agent or third party as stated below for the purpose of rental application processing, reference check, or tenancy verification.

Tenant Details

Full Name Current Address Phone Number Email

Recipient Information

Landlord/Agent/Third Party Name Company/Organization (if any) Contact Information

Information to Release

Specify Information Authorized for Release

This consent is effective as of the date below and remains valid for the duration necessary to complete the stated purpose, unless otherwise revoked in writing.