Rental Verification

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VERIFICATION OF RENTAL HISTORY

TO: ____________________________________________________________________________
We are requesting verification of rental history for the individual named below, who states they are a
present or former tenant.
Please complete the information
and fax to ________________________.

I HEREBY AUTHORIZE YOU TO RELEASE INFORMATION


REGARDING MY TENANCY TO THE INQUIRING LANDLORD.

Thank you for your cooperation.


Cordially,

_________________________
TENANT SIGNATURE

______________
DATE

Rental history of __________________________________________________________________


Date moved in _____________ Moved out ____________

Monthly rent $_____________

Was rent paid on time? _______ Number of times late? __________


What was included in rent? ________________________________________
Number of persons in family? ______

Did they follow the rules? ______

Complaints by others (explain)? _______________________________________________________


Care of rental unit: _________________________________________________________________
Any damage? __________________________________________ Any pets? _________________
Overall rating as a tenant (good, fair, poor, explain) ________________________________________
________________________________________________________________________________
Would you rent to them again? _______________________________________________________
Did they give notice to move? _______ If former tenant, did you return full security deposit? _______
If not, why? ______________________________________________________________________
Person providing information: ________________________________________________________
Title: ______________________________________ Phone: _______________________________

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