Employment and Salary Verification Form
To Whom it May Concern:
We are in the process of verifying information provided by
APPLICANT INFORMATION
To be completed and signed by the applicant
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Last Name: | First Name: | Middle Name: | Social Security Number: |
___________________________ | ______________________ | _____________________ | ________ - _______ - __________ |
Current Address: | City: | State: | ZIP Code: |
___________________________ | ______________________ | _____________________ | _____________________________ |
CONSENT
I hereby authorize my employer to provide employment and compensation information to the landlord or landlord's agent. I hold both the landlord and my employer harmless for any claims against them for filling out, commenting on, or discussing this form and its subject matter.
Tenant Signature: ________________________________ Date: ________________
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EMPLOYMENT INFORMATION
To be completed and signed by the applicant's employer (supervisor or HR)
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Employer Name: | Telephone No.: | ||
_________________________________________ |
____________________________ |
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Employer Address: | City: | State: | ZIP Code: |
____________________________________ | ____________________________ | __________ | ________________________ |
Which of the following best describe the employment status of the applicant?
[ ] Current employee [ ] Former employee [ ] Never an employee |
[ ] Full-time employee [ ] Part-time employee [ ] Temporary employee |
Avg. Number of Weekly Hours Worked:_____________ | |
Date of Hire (mm/yyyy): |
Job Title: |
______________________________________ | ___________________________ |
Salary: $______________ |
[ ] Hourly [ ] Weekly [ ] Bi-weekly |
Bonus/Commission? [ ] Yes $______________ [ ] No |
Your Name: | Your Title: | Your Telephone No.: |
____________________________________ |
_____________________________ |
_______________________________ |
Signature: ________________________________ Date: _________________
Sincerely, | |||||||||||||||||||||||||
_______________________________ |
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