Jackson Area Landlords Assoc. Property Management Support Services
Tenant Credit Request Worksheet
1. Full Name_________________________________________________________________________________________________
First Middle Last
2. SSN _____________________________________DOB_____________________________________________________________
3. Current Address__________________________________________________________________________________________
Street City, State Zip Code
4. Phone Number_______________________________E-Mail Address_____________________________________________
I, (Print Full Legal Name)___________________________________, the undersigned consumer, direct Jackson
Area Landlords Association, to obtain a copy of my credit report and background check. This consent
shall automatically expire sixty (60) days from the date of my signature below.
Signature____________________________________________________________________________Date______________________
***Please do not write beyond this point ***
___This request associated with another ___________________________________________________________________________________
___No known association
___Paid In-Person
___Paid Online
Rev.5 Aug 2022