LANDLORD VERIFICATION FORM

Date ___________________

Dear Residence Manager, Landlord, or Agent,

We have received a rental application from ____________________________________________, currently

residing at ______________________________________________________________________, and they

have specified you and/or your company as a present or previous landlord. We would appreciate your

response to the following questions below at your earliest convenience. If you do not know the answer or it

does not apply, please leave it blank. If you have additional information that may help in our decision, please

feel free to add your comments or give us a call at ______________________________________________.

☐ Yes ☐ No ..... 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?

If so, how many times? _____________________

☐ Yes ☐ No ..... Has the applicant ever been more than thirty (30) days late with rent payments?

☐ Yes ☐ No ..... Did the applicant have any pets?

If so, how many & what kind/size? ____________________________________________

☐ Yes ☐ No ..... Have you had to give the applicant a notice at any time during the last 12 months?

If so, for what reason? ______________________________________________________

☐ Yes ☐ No ..... Was there ever any trouble or damages?

If so, what kind? __________________________________________________________

Was the matter resolved quickly? _____________________________________________

☐ Yes ☐ No ..... Has the resident completed their lease terms?

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