Rental Verification Request Form
HomeRiver Group
Section 1: Requester Information
Contact Person
*
Company
Contact Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Reason for Housing Verification Request
*
Tenant Screening / Prospective Tenant
Financial Verification
Housing Assistance Program
Other
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Section 2: Tenant Information
Tenant Name
*
First Name
Last Name
Any Previous Names?
*
Yes
No
Previous Names
*
HRG Rental Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start Date
*
-
Month
-
Day
Year
Move In Date / Start of Lease
Current HRG Resident
*
Yes
No
Have they provided HRG with Notice to Vacate?
*
Yes
No
End Date
*
-
Month
-
Day
Year
Move Out Date / End of Lease
Rent
Monthly Rent Amount
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Section 3: Tenant Authorization Upload
Upload a Signed Tenant Authorization Form (File upload required)
✅ Note: Requests will not be processed without tenant's signed authorization.
*
I understand
Upload Tenant Authorization (Signed by Tenant)
*
Browse Files
Drag and drop files here
Choose a file
Requests will not be processed without tenant's signed authorization.
Cancel
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Link to Online Rental Verification (if applicable)
https://propmgmt.com/vorform/ID=786553
Have a Form? Upload you you would like HRG to complete
Browse Files
Drag and drop files here
Choose a file
Optional
Cancel
of
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Section 4: Payment & Conditions
My Products
*
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( X )
Rental Verification
Signed Tenant Authorization Required.
$
35.00
Quantity
1
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
What rental history information should HomeRiver Group include in the verification? Please check all that apply:
Tenant Duration (including move-in and move-out dates)
Payment History (including any history of late rent payments)
Property Care (including damages, violations)
Submit
Should be Empty: