Other Assets - Itemize
Total Assets*
Net Worth*
Other Debts - Itemize
Total Liabilities*
Other Income (Alimony, Child Support, ETC)
Total Other Income
THE INFORMATION HEREIN PROVIDED IS FOR THE PURPOSE OF PROCURING A LEASE WITH YOU ON BEHALF OF THE UNDERSIGNED, PERSON OR PERSONS IN WHOSE BEHALF THE UNDERSIGNED MAY EITHER SEVERALLY OR JOINTLY WITH OTHERS, EXECUTE A GUARANTEE IN YOUR FAVOR. EACH UNDERSIGNED UNDERSTANDS THAT YOU ARE RELYING ON THE INFORMATION PROVIDED HEREIN (INCLUDING THE DESIGNATION MADE AS TO OWNERSHIP OR PROPERTY) IN DECIDING TO EXECUTE A LEASE. EACH UNDERSIGNED REPRESENTS AND WARRANTS THAT THE INFORMATION PROVIDED IS TRUE AND COMPLETE AND THAT YOU MAY CONSIDER THIS INFORMATION TO BE TRUE AND CORRECT UNTIL WRITTEN NOTICE OF A CHANGE IS GIVEN TO YOU BY THE UNDERSIGNED. YOU ARE HEREBY AUTHORIZED TO MAKE ALL INQUIRIES YOU DEEM NECESSARY TO VERIFY THE ACCURACY OF THE STATEMENTS MADE HEREIN, AND TO BE DETERMINE MY/OUR CREDITWORTHINESS. YOU ARE AUTHORIZED TO ANSWER QUESTIONS ABOUT YOUR CREDIT EXPERIENCE WITH ME/US.
