Rental Reference Authorization

Authorization for Washington State University Housing

Housing and Dining Financial Services

Authorization to Release Rental Record

I give Anita Hornback of Anita's Rentals permission to access my WSU Housing record.

Name (please print): ____________________________________________

Student ID: _______________

Date: ___________________

Signature: ____________________________________________________

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Authorization for Release of Rental Record

Please release my rental history to Anita Hornback of Anita's Rentals,
405 NW North St. Pullman, WA 99163-3505. 509-332-8602 anita@anitasrentals.com

Name (please print): ____________________________________________________

Address of unit I occupied: _______________________________________________

Dates I occupied unit: ___________________________________________________

Today's Date: ________________________________

Signature: ________________________________________________________