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RHOL Membership Application

and Agreement For Tenant Screening Service

SOLE OWNER/INDIVIDUAL

Owner or Contact Name____________________________________

Account Name (username) _________________________________________

Current Address _______________________________________________________________

City ________________________________________ State_______ Zip__________________

Phone (_____) ____________ Fax (_____) _______________ E-mail _____________________

Social Security number of Owner/Contact ________-_____-__________

Number of Years in Rental Business/Landlord_____________

 

GENERAL INFORMATION

Indicate the specific purpose for which credit information will be used (e.g., tenant screening): 

______________________________________________________________________________

Number of Rental Units________ Estimated Monthly Inquiries________

Please list all authorized users: _____________________________________________________

 

REFERENCE:

Name of Bank _____________________________Branch ______________________________

Account No._____________________________Phone ( _____ ) ____________________

Address _________________________City _________________State _____Zip____________

I certify that the above information is accurate and give Rental Housing On Line (RHOL) permission to verify all references:

Signature _____________________________________Date_____________

Type or Print Name and Title_________________________________________________

 

You must include a signed copy of a RHOL SERVICE AGREEMENT with this application.

 

Mail to: RHOL, 1726 Tenth Avenue, Port Huron, MI 48060