I promise that the information I have provided on this rental order form is correct. I
authorize Mike's Rent-to-Own to completely verify all of the information that I have
provided. Mike's Rent-to-Own has my express authorization to contact by phone, text
message, or social media any person, landlord, or employer listed on the rental form to
discuss my account. This form is an application to rent and may be rejected if I fail to
qualify or if any information if found to be false.