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Tenant Release and Consent

FDIC AFFORDABLE HOUSING DISPOSITION PROGRAM Monitoring Agency: Phoenix Revitalization Corporation Tenant Release AND Consent FORM Form#140 Rev:080119 I/We, The undersigned hereby authorize_____(Employer/Source of Income), to Release without liability, information regarding my /our employment, income, and/or assets to_____ ( Property Owner/Management) for purposes of verifying information provided as part of my/our apartment rental application. INFORMATION COVERED I/We understand that previous or current information regarding me/us may be needed. Verifications and inquires that may be requested include, but are not limited to personal identity; employment, income, and assets; medical or childcare allowances.

Tenant Release and Consent . I/We _____, The undersigned hereby authorize _____, to release without liability, information regarding my /our

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