Tenant Information Release Form

I authorize the release of information concerning my stay at properties

managed by _____________________. This information can include but is

not limited to duration of stay, rent amounts, payment history, apartment

condition upon my departure, and issues concerning compliance with or

infringement on the policies and provisions in the Housing Agreement. This

information may be provided to landlords with whom I am seeking tenancy,

bank representatives evaluating my credit worthiness, or any agencies

conducting background checks.