I (We) hereby give __________________________permission to run a credit report on us to verify our credit line for the purpose of Rental/Lease arrangements only.

Date: _______________

Name: _________________________________ SS # _____________________________

Spouse: ___________________________ SS # _____________________________

Address: _______________________________ City: __________________________

State; _________________________

Zip ; _________________________

Signature: ___________________________________________________

Spouse Signature:____________________________________________________