Landlord Verification
Name
*
First Name
Last Name
Email
*
example@example.com
Are you a relative or friend of the applicant? If so, describe relationship.
*
Please Choose One:
Current Landlord
Previous Landlord
Other
Dates of Applicant's Tenancy:
Does/Did the Applicant have a lease?
Yes
No
Rent Payment:
Amount of Monthly Rent:
Does/Did Applicant pay rent on time?
*
Yes
No
Has/had he/she ever paid late?
Yes
No
How late?
How often?
Have/had you ever begun/completed eviction?
Yes
No
Was a court judgement rendered in your favor?
Yes
No
Do you provide any of the utilities for the unit?
Yes
No
Have tenant-paid utilities ever been disconnected?
Yes
No
Caring For The Unit
Does/did the applicant keep the unit clean, safe, and sanitary?
Yes
No
Has/had the applicant damaged the unit?
Yes
No
If yes, please describe.
How much did it cost?
How often has this happened?
Has/had applicant paid for the damages?
Yes
No
Will/did you keep any security deposit?
Yes
No
Does/did the applicant have problems with insect/rodent infestation?
Yes
No
Does/did the applicant's housekeeping contribute to the infestation?
Yes
No
Did the applicant make any alterations to the unit without your permission?
Yes
No
General:
Is/was the applicant listed on the lease for the unit?
Yes
No
Does/did the applicant permit person other than those listed to live in the unit?
Yes
No
Has/had the applicant, family members, or guests damaged or vandalized the common areas?
Yes
No
Does/did the applicant, family members, or guests create any physical hazards to the project or to other residents?
Yes
No
Does/did the applicant, family member,s or guests interfere with the rights and quiet enjoyment of other residents?
Yes
No
Did the applicant, family members, or guests interfere with the rights and quiet enjoyment of other residents?
Yes
No
Has/Had the applicant, family members, or guests acted in physically violent and/or verbally abusive manner toward neighbors, landlord, or landlord's staff?
Yes
No
Would you rent to this applicant again?
Yes
No
If no, why not?
Signature of Landlord
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: