Rental History Information Request

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RENTAL HISTORY INFORMATION REQUEST
By signing you grant your previous landlords permission to answer the questions listed
below.
Tenant Name:
_________________________________________________________
Signature:
_____________________________________ Date: ______________
What was the address of the property rented?
Was this person a responsible party on the rental agreement?
Were there other responsible parties on the agreement?
What were the move in/move out dates?
How much was the monthly rent?
Did the tenant make any late payments?
Were any payments returned for non-sufficient funds?
Does this tenant still have a balance owing?
Were there any notices served for non-compliance?
Are there any problems or complaints on file?
Were there any approved pets? What type?
Was there any property damage? If so, please explain.
Would tenant be eligible to re-rent?
Form completed by: ___________________________ Phone Number: __________________
Please return to us via one of the following methods:
Email:
Fax: 503-376-7234 (the recording recognizes fax machines)
503-376-7234 ⋅
⋅ PO Box 637, West Linn, OR 97068

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