Free Real Estate Employment Income Verification Form

Income Verification Form
This form is required to verify employment and income as part of our application process. Please fill out the details accurately and obtain the necessary signatures.
Applicant Information
Name | |||
Phone | |||
Address | Position | ||
Employment Information
Employer’s Name | |||
Employer’s Address | |||
Supervisor’s Name | Phone | ||
Employment Start Date | Position/Title | ||
Type of Employment |
| Annual Salary/ Income | |
Reason for Verification
Loan Application
Rental Application
Other:
Consent and Authorization
I hereby authorize the disclosure of my employment and income information. I understand that this information is for the purpose of verifying my employment and/or income as part of the application process. I release and hold harmless my employer, its officers, employees, and agents from any liability resulting from the release of this information.

[Applicant's Name]
[Date]
Employer’s Verification
We hereby certify that the information provided above is true and accurate to the best of our knowledge and corresponds to our records for the aforementioned employee.

[Representative Name]
[Date]
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