Idaho Rental Application Form Page 3

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Rental Verification
( o not complete: sign authorization below only)
Applicants Name _______________________________________ Date ________________
Landlords NAME ___________________________ telephone # ______________________
Address rented _______________________________________________________
Move in Date: _____________________________________________
Move Out Date: ___________________________________________
Lease Fulfilled?
yes
no
30- day notice given
yes
no
Eviction started?
yes
no
unit left clean when vacated?
yes
no
Monthly Rent Payment ________________
Did they pay timely?
yes
no
Number of NSF checks: ________
Number of times Late ____________
Would you rent to them again?
yes
no
Did they have pets?
yes
no If yes, what type? ____________________
Would you give the pet a good reference?
yes
no
Damage by pet?
yes
no
If yes, please explain ____________________________________________________________
_____________________________________________________________________________
Comments:
Authorization:
I authorize
to verify the above information including, but not limited to, the obtaining of a credit report and agree to furnish
additional information upon request.
Signature of Applicant
Date

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