Landlord Verification
Landlord:
Re: Verification of landlord reference.
To Whom It May Concern: This person has applied for housing. We ask your cooperation in providing the following information and returning it to the property listed at the top of the page. Your prompt return of this information will help to assure timely processing of the application.
Applicants Name
Social Security No
Present Address
Do not sign this form if either the requesting organization or the organization supplying the information is left blank. RELEASE: I hereby authorize the release of the requested information. Information obtained under the consent is limited to information that is no older than 12 months.
Applicant's Signature:
Date:
-
Month
-
Day
Year
Date
Information Being Requested: Date of Tenancy:
From
-
Month
-
Day
Year
To
-
Month
-
Day
Year
Rent paid in timely manner?
Yes
No
Unit kept clean?
Yes
No
Resident's security deposit refund?
Yes
No
Would you re-rent to this resident?
Yes
No
Have any pets?
Yes
No
History of violence or harassment of neighbor or manager?
Yes
No
Did resident(s) give accommodations to roomers or lodgers?
Yes
No
Damage to unit or common area?
Yes
No
Problem with resident's children?
Yes
No
History of disturbing neighbors?
Yes
No
Problem with resident(s) guests?
Yes
No
Please rate the apartment condition upon move-out of the resident(s)
Excellent
Good
Fair
Poor
Remarks:
Signature
Date
-
Month
-
Day
Year
Continue
Continue
Should be Empty: