Please Note: This version of the "Application Denial and Adverse Action Letter" is for use
with Rental Properties outside of the City of Portland, Oregon ONLY.
To switch to the City of Portland version of this form click the button below.
Required entries are indicated
by blue icons or *
Your Application to rent the property did not meet our screening guidelines for the following
reasons:
If Applicant submitted Supplemental Information to mitigate possibly negative screening
results, the following is an explanation of the reasons that Supplemental Information did not adequately
compensate for the factors that informed Owner/Agent's decision to reject the Application:
If you were not previously provided an opportunity to submit Supplemental Evidence, you may contact
Owner/Agent to request that opportunity.
While the consumer reporting agency listed above provided information about your credit or history, it took
no part in making the decision regarding your Application, nor can it explain why adverse action was
taken.
Under the Fair Credit Reporting Act (15 USC 1681j), you have the right to obtain a copy of your consumer
credit report. To obtain a free copy, you must request it within 60 days of the date you receive this letter
by writing or telephoning the consumer reporting agency checked above. You may also go to www.annualcreditreport.com to view all three of your credit
profiles free of charge.
If you believe any information in your report is incorrect, you have the right to dispute the accuracy or
completeness of the information and to put into your report a consumer statement of up to 100 words
explaining your position on the item under dispute. Trained personnel are available to help prepare consumer
statements.
You also have certain rights under credit reporting and consumer protection laws in Oregon. For further
information, you should contact a consumer protection agency or the Attorney General's office.
Please Note: Form must be
signed and dated after printing.
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| Owner/Agent Signature: |
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Date: |
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