Rental Verification Form

Rental Verification Form
By providing this information and signing below, you are granting permission to our community to verify your residential history.  This information is to remain confidential between our company and the company from which we request the information.  
Previous Residence Information:
Community/Landlord Name: *
Community/Landlord Phone Number: *
Address (Street, City, State, ZIP): *
Unit Number:
Dates of Residency: *
Digital Signature
Type your name in the box below to indicate that you agree to the terms of this application. Typing your name in the box below will make this agreement legally binding.

Full Name ( For e.g. John Smith ): *
TO BE COMPLETED BY LANDLORD/COMMUNITY MANAGER
Name(s) of Resident(s) responsible for lease agreement:
Was the lease fulfilled?
YES
NO
If no, please explain why:
Was proper notice given?
YES
NO
Late Payments?
YES
NO
Would you lease again to this resident?
YES
NO
Was there any damage caused by the applicant?:
Additional Comments?:
Digital Signature
Type your name in the box below to indicate that you agree to the terms of this application. Typing your name in the box below will make this agreement legally binding.

Full Name ( For e.g. John Smith ):