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.
Format: (000) 000-0000.
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
of
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
$
35.00
Quantity
1
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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: