WASHINGTON COUNTY HOUSING AUTHORITY

TENANT SCREENING VERIFICATION


DATE:

RE: Name

Current of Former Landlord:

Our tenant selection policy obliges us to verify certain information about all members of families applying for admission to our development. To comply with this requirement, we ask your cooperation in supplying information on the tenant history of the family listed above. This information will be used only in determining whether the family can be accepted for admission.

Your prompt return of this information will be appreciated. If you have any questions, please call me at 724-228-6060, ext. 105

Sincerely Yours,

Dottie Kesneck

Tenant Selection Supervisor


I hereby authorize the release of the requested information.

Date Signature

 

Please Print Page and Bring It To:     100 Crumrine Tower, Franklin Street,
                                                                 Washington, Pennsylvania. 15301-6995



Washington County Housing Authority
© Copyright 2002-2003, Melissa McClure

Last revised: May 17, 2003 .