Landlord Reference Request
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1LANDLORD REFERENCE REQUEST
I, _______________, authorize you to release the information requested below.
___________________________
_______________________
Signature
Date
TO BE COMPLETED BY CURRENT LANDLORD ONLY
Leaseholder’s name(s): ____________________________________________________________
Additional occupants: Yes [ ]
No [ ]
If yes, please list: _________________________________________________________________
Current Residential Address:
_______________________________________________________________________________
Unit #: _______
Length of residency: _______
Current rent amount: __________________
Includes parking?
Yes [ ] No [ ]
Are there any NSF rent cheques?
Yes [ ] No [ ]
If yes, how many? _________________
Did resident give sufficient Notice to Vacate? __________________________________________
Have rent payments been received on time?
Yes [ ]
No [ ]
Has management received any complaints regarding these tenants?
Yes [ ]
No [ ]
If yes, please explain: _____________________________________________________________
Name of Owner/Company: ________________________ Phone #: _________________________
Contact Person (name and position) __________________________________________________
SIGNATURE of the authorized company representative: _________________________________
Dated this_________day of _________, 20___
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Parent category: Legal