Rental Application Page 4
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5FAX – TENANT VERIFICATION FORM
TO:
FROM: Eden Regento LLC
750 E. Long Street, Suite 3000
Columbus, OH 43203
FAX:
FAX:
888-847-9266
PHONE:
PHONE: 614-902-3975
RE: Tenant Verification for :
DATE:
TENANT VERIFICATION FORM
ATTENTION APPLICANT – ONLY COMPLETE AREAS HIGHLIGHTED IN YELLOW AND RETURN THE UNCOMPLETED FORM
I give permission to Eden Regento LLC and their agents’ to gather information and verify the validity of all
statements included in the rental application, including the verification of my tenant/landlord history prior to,
during, and after my proposed tenancy. Unsatisfied delinquencies may be reported to credit reporting agencies.
Applicant Name (Printed)
Applicant Signature
Date
Co-Applicant Name (Printed)
Co-Applicant Signature
Date
BELOW TO BE COMPLETED BY LESSOR/PROPERTY MANAGEMENT COMPANY:
Length of tenancy?
Move-In Date
Move-Out Date
1) Amount of rent paid by tenant?
2) Is the rent current and does tenant pay on time?
Yes
No
If no, please provide details:
3) Have you ever begun an eviction action on this tenant?
Yes
No
If yes, please explain:
4) Has tenant, other residents, or visitors ever damaged the unit?
Yes
No
If yes, please explain:
5) If unit was damaged, did you need to use the security deposit to cover damage?
Yes
No
If yes, please explain:
6) Does tenant or other residents interfere with the rights/environments of neighbors?
Yes
No
If yes, please explain:
7) Does tenant keep the unit clean?
Yes
No
If no, please explain:
8) Does tenant keep a pet on the premises?
Yes
No
If yes, describe any issues:
9) Did tenant make any unreasonable demands or complaints?
Yes
No
If yes, please explain:
10) Would you rent to this tenant again?
Yes
No
If no, please explain:
11) Why did or is the tenant leaving?
12) Other comments:
Lessor/Agent Name (Printed)
Lessor/Agent Signature
Date
Page 4 of 5
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