Property Owners' Exchange


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CONSUMER REPORT AUTHORIZATION

I hereby affirm that my answers on this application to lease are true and correct and that I have not knowingly withheld any fact or circumstance which would, if disclosed, affect my application unfavorably. I authorize you to secure, from Property Owners' Exchange, Inc., a consumer reporting agency, an investigative consumer report. This report may contain, but may not be limited to, a consumer credit report, a criminal history records investigation, a rent court report and verification of my residences, employment and income.

I further authorize you to secure an investigative consumer report at any time, and any number of times, before, during, and after my lease, if in your discretion, you have a legally permissible and a legitimate business need for the information requested.

I authorize Property Owners' Exchange, Inc. to verify any and all information contained in this application and to inquire into my character, general reputation, personal characteristics and mode of living, and I release all concerned from any liability in connection with any information they give. I have also been advised that I have the right, under the federal Fair Credit Reporting Act (FCRA), Section 606 (B) to make a written request of you and Property Owners' Exchange, Inc., within a reasonable time, for a complete and accurate disclosure of the nature and scope of the investigation.

I acknowledge receipt of the summary of consumer rights required by Section 609 of the FCRA, entitled, A Summary of Your Rights Under the Fair Credit Reporting Act.

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Witness                                                          Prospective Resident                               Date

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Witness                                                          Prospective Resident                               Date