Application Form

Applicant Name

Automobile(s)

Current Address

Previous Address:

Source of Income

I/We authorize Multi-Housing Credit Control (MCC) to investigate my criminal history, residential history, employment and income history, bank and credit history for the purpose of housing and or employment. The source of the information may come from, but is not limited to: credit bureaus; banks and other depository institutions; current and former employer; federal or state records including State Employment Security Agency records; county or state criminal records as follows, or other sources required. It is understood that a photocopy or facsimile copy of this form will serve as authorization. This authorization is for this transaction only and continues for one (1) year unless limited by state law, in which case the authorization continues in effect for the maximum period, not to exceed one (1) year, allowed by law. If there are questions regarding information received from your credit report, please contact: MCC, 10125 Crosstown Circle, Suite 100, Eden Prairie, Minnesota 55344. Their telephone number is (800) 328-6205.

Applicant
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