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LANDLORD VERIFICATION FORM
Date _
To whom this may concern,
_, (the “Tenant”) has granted us, _ (the
“Requestor”), authorized consent to verify tenancy in regard to the rental unit located at
and have specified you and/or your company as a present or previous landlord. Once
completed please send to either:
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LANDLORD, PLEASE COMPLETE, DATE, AND SIGN THIS FORM
Is the applicant (s) currently renting from you? Yes No
If so, is the applicant current with all rental payments? Yes No
Was the applicant ever late within the last 12 months? Yes No. If so, how many times?
Has the applicant ever been more than thirty (30) days late with rent payments? Yes No
Did the applicant have any pets? Yes No
Have you had to give the applicant a notice at any time during the last twelve (12)
months? Yes No
If so, for what reason?
Was there ever any trouble or damages? Yes No
If so, what kind?
Have you ever received any complaints from neighbors of this applicant? Yes No
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If so, what kind? _
Was the matter resolved quickly?
Yes
No
Has the resident completed their lease terms? Yes No
If the Tenant is a current resident, has the applicant given notice to you that they will be
moving? Yes No
Was the applicant asked to vacate by you or one of your company representatives?
Yes
No
If so, why? _
Did you or will you have to withhold part or all of the deposit because of damages?
Yes
No
Is the applicant moving voluntarily or after judicial eviction?
Yes
No
Would you rent to this applicant again?
Yes
No
Rent amount during last month of tenancy?
Yes
No
Does the applicant owe you any money?
Yes
No. If so, how much?
Print
Landlord’s (or Representative’s) Signature
Please send this verification form back to us as soon as possible. Please fax, email, or call us
with your responses and/or comments. We will be happy to pick up the form if you are in the
area and do not have access to fax or email.
Thank for your assistance in this matter. Your help is greatly appreciated.
Sincerely,
Print
Requestor’s Signature
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