Free adverse action notice 04Free adverse action notice 04
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ADVERSE ACTION NOTICE
Name

_____________________________

Address

_____________________________

City/State/Zip Code _____________________________
This notice is to inform you that your application has been:
____ Rejected
____ Approved with conditions:
____ Residency requires an increased deposit
____ Residency requires a qualified guarantor
____ Residency requires last month's rent
____ Residency requires an increased monthly rent of $_____________
____ Other: ________________________________________________
Adverse action on your application was based on the following:
____ Information contained in a consumer report (The prospective landlord must
include the name, address, and phone number of the consumer reporting
agency that furnished the consumer report that contributed to the adverse
action.) ____ The consumer credit report did not contain sufficient information
____ Information received from previous rental history or reference
____ Information received in a criminal record
__