CONSENT FORM

Rental Contact: John Sinclair

Phone: 770-235-6611

I hereby authorize John Sinclair, and/or its agents to make an independent investigation of my background,
references, past employers, education, criminal police report, credit reports and drivers license records,
including those maintained by both public and private organizations for the purpose of confirming the
information contained on my application and/or obtaining other information which may be material to my
qualifications for rental purposes.

I release John Sinclair , and/or its agents and any person or entity, which provides information pursuant to
this authorization, from any and all liabilities, claims or law suits in regards to the information obtained from
any and all of the above referenced sources used.
THE FOLLOWING IS MY TRUE AND COMPLETE NAME AND ALL THE INFORMATION PROVIDED IS TRUE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE

Social Security Number: __________-________-__________ Date of Birth * _____/_____/_____

(Month,/ Day, / Year)
Last Name: _____________________________
Sex * _________
First Name: _________________________
Race * _________
Middle Name: _______________________
* Note this information is REQUIRED
Other Names Used/Maiden: _______________________ to insure positive identification.

Drivers License #:
Present Address: ________________________ How Long ________ __________________________________
City, State, Zip: __________________________________________ State of Issue: ________

Previous Address: _______________________ How Long ________ ___________________________________

Your name as it appears exactly
City, State, Zip: ___________________________ on your license

Other states lived:_______________________________

Applicant Signature: _____________________ Date: __________

I UNDERSTAND this will show up on my credit report as a employment credit report inquiry __________
initial

Statewide Criminal & Social Security Trace

Credit Report

Other: ____________________

Fax this consent form to: 678-623-5707, 5806 or email

Office: 770-819-7735