Free adverse action notice 48Free adverse action notice 48Free adverse action notice 48
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Adverse Action Notice
Applicant 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 security deposit
__ Residency requires last month’s rent
__ Residency requires a qualified guarantor
__ Residency requires an increased monthly rent of $___________
__ Other _____________________________________________________________________________________________
Adverse action on your application was based on the following:
___ Information contained in a consumer credit report.
___ The consumer report did not contain sufficient information.
___ Information received in a criminal record.
___ Information received in a civ