REQUEST FOR VERIFICATION OF RENT OR MORTGAGE
We have received an application for a loan from the applicant listed below, to whom we understand you rent or have extended a loan.
Please follow these instructions for completing this form:
LENDER – Complete items 1 thru 8. Have applicant(s) complete item 9. Forward directly to landlord/creditor named in item 1.
LANDLORD/CREDITOR – Please complete Part II as applicable. Sign and return directly to the lender named in item 2.
PART I - REQUEST
1. TO (Name and address of Landlord/Creditor)
2. FROM (Name and address of Lender)
Silver Hill Funding, LLC
4425 Ponce de Leon Blvd, Ste. 250
Coral Gables, FL 33146
7. INFORMATION TO BE VERIFIEID
8. NAME AND ADDRESS OF APPLICANT(S) 9. SIGNATURE OF APPLICANT(S)
PART II – TO BE COMPLETED BY LANDLORD/CREDITOR
RENTAL ACCOUNT MORTGAGE ACCOUNT LAND CONTRACT
Mortgage origination date
Mortgage origination amount
Tenant has rented since
Monthly Payment (P&I only)
Is rent in arrears? Yes No
Payment with taxes &
# of times 30 days past due*
*Number of times account has been 30 days overdue in the last 12 months.
ADDITIONAL INFORMATION WHICH MAY BE OF ASSISTANCE IN DETERMINING APPLICANT(S) CREDIT WORTHINESS
SIGNATURE OF LANDLORD/CREDITOR
The document is intended for the use of Silver Hill Funding, LLC. NMLS ID 1564077.
The form is to be transmitted directly to the lender and is not to be transmitted through the applicant or any other party.
SHF VOM/VOR 05162017
Amount of Rent per