I,Last, First Middle , Driver's License #, Please Select Male Female , Race, ,Currently residing at, Street Address City State Zip Do herby grant authority to, Nancy Strohbeck/VGM Management, to obtain My complete criminal history, including any and all police contacts, reports, records, Arrests, and/or convictions, Further, this release shall act as authorization for any Criminal justice agency or agency thereof to release my criminal history, including Contacts, reports, records, arrests, and/or convictions to the above named landlord and his/her agents.