Landlord Reference Please Complete the Form Below Landlord ReferenceThe following applicant has applied to rent a home through our company and has authorized us to obtain rental information from your company.Your Name:(Required)Your Phone Number:(Required)Your Company Name:Your Email address:Are you the Landlord Property Manager Other Name of Applicant:(Required)Rental Property Address:(Required)Information being requestedCan you confirm that the tenant has been a resident?(Required) Yes No If yes, provide the dates of occupancy: from ______(mo/y) to ______(mo/y)(Required)Rent Amount: ($ ______ per ______)(Required)Number of times rent was not paid on time?(Required)Were repairs reported appropriately?(Required) Yes No Did the tenant have a positive relationship with landlord(Required) Yes No Number of 3 day notices within the last 12 months?(Required)Number of NSF payments or checks?(Required)Amount of present arrears (if any):(Required)Did this person break the lease?(Required) Yes No Was the lease breakage approved?(Required) Yes No Other Reason for breaking the lease:(Required)Has this person been evicted?(Required) Yes No Reason for the eviction:(Required)If no, reason for leaving(Required)Would you re-rent to this person?(Required) Yes No Does this person maintain good housekeeping practices?(Required) Yes No Were there any lease violations?(Required) Yes No Were there damages to the property exceeding $500?(Required) Yes No Has this person complied with your notice to vacate policies?(Required) Yes No Signature of Person Supplying Information(Required)Date(Required) MM slash DD slash YYYY
