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MY TENANCY TO THE INQUIRING LANDLORD. VERIFICATION OF

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VERIFICATION OF RENTAL HISTORY
TO: ____________________________________________________________________________
We are requesting verification of rental history for the individual named below, who states they are a
present or former tenant.
Please complete the information
and fax to ________________________.
Thank you for your cooperation.
Cordially,
Rental history of __________________________________________________________________
Date moved in _____________ Moved out ____________ Monthly rent $_____________
Was rent paid on time? _______ Number of times late? __________
What was included in rent? ________________________________________
Number of persons in family? ______ Did they follow the rules? ______
Complaints by others (explain)? _______________________________________________________
Care of rental unit: _________________________________________________________________
Any damage? __________________________________________ Any pets? _________________
Overall rating as a tenant (good, fair, poor, explain) ________________________________________
________________________________________________________________________________
Would you rent to them again? _______________________________________________________
Did they give notice to move? _______ If former tenant, did you return full security deposit? _______
If not, why? ______________________________________________________________________
Person providing information: ________________________________________________________
Title: ______________________________________ Phone: _______________________________
I HEREBY AUTHORIZE YOU TO RELEASE INFORMATION
REGARDING
MY TENANCY TO THE INQUIRING LANDLORD.
_________________________ ______________
TENANT SIGNATURE DATE
773-728-5478
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MY TENANCY TO THE INQUIRING LANDLORD. VERIFICATION OF

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Completed 22 June 2022

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