PERSONAL INFORMATION

Please complete this section using your full legal name.

First Name*:

Middle Name*:
I do not have a middle name

Last Name*:

Suffix(Sr,Jr,III):

Current Mailing Address*:

Apt/Unit:

City*:

State*:

Zip Code*:

Email*:

To get you a copy of your tenant screening report as fast as possible, if you provided an email address RentGrow will email the tenant screening report to you whenever possible. By providing your email address you consent to receiving your tenant screening request and any required disclosures by email. If you prefer to receive your tenant screening report by regular mail, please email us at [email protected]

Phone Number*:

Ext.:

SSN (last 4 digits)*:
I do not have a SSN

Date of Birth*:

APPLICATION INFORMATION

Please enter the name of the property and the date you applied for an apartment.

Property applied to*:

Date applied*:

YOUR WRITTEN ACKNOWLEDGMENT (REQUIRED)

By submitting this form, I acknowledge and confirm that this is my written request for information, that I am submitting this request on my own behalf, and that the information I have provided is true and correct to the best of my knowledge.

Full Name*:

SSN (Last 4 digits)*:

Date*:

Please select the checkbox below*: