Bank Authorization – Landlord Services, LLC

Authorization to Disclose Bank & Vendor Relationship

Primary Bank Reference (bank which maintains the account for your rental business)

Name of Bank*

Bank Address*

Street Address Address Line 2 City State ZIP Code

Bank Phone Number*

Bank Account Type*

How Long Has Bank Account Been Established*

Bank Information Verified By*

First Last

Vendor Reference

Please list a vendor with whom you maintain an account with for your business. Vendor must be listed in the yellow pages or a business directory (Example-Heating Contractor , Carpet Cleaner)

Name of Vendor

Vendor Address

Street Address Address Line 2 City State ZIP Code

Vendor Phone Number

How Long Has Vendor Account Been Established

Authorization

I hereby authorize the financial institution and vendor listed above to verify the existence and nature of any account held to Landlord Services, LLC. either verbally or in writing. The information furnished shall include but is not limited to the length of the relationship, the type of account and the name and address of the account holder. I understand that Landlord Services, LLC will preserve the confidentiality of this information except where disclosure of this information is required by law.

Landlord Name on Account Maintained by Bank or Vendor*

Address on Account*

Street Address Address Line 2 City State ZIP Code

Signature*

Hidden

Date

Name

This field is for validation purposes and should be left unchanged.