Rental History Verification Form For Potential Lease printable pdf download

RENTAL HISTORY VERIFICATION FORM FOR POTENTIAL LEASE

Instructions to the Applicant:



Use a separate form for all addresses for the last two years.



Fill in the date and ONLY the highlighted areas - please print.



Sign the consent below and return with your application.

Landlord’s Information:

Leased Property Address: ____________________________________________________________________________

Management Company or Landlord’s Name: _____________________________________________________________

Phone No: ___________________Fax No: _____________________Email: ____________________________________

The Applicant(s) ____________________________________________ has indicated, in an application for a lease, that

he/she is currently or has previously leased a property from you. Applicant has consented to your verification of the

requested information as evidenced by applicant's signature and authorization below. Thank you for your assistance

and prompt return of this verification form.

Sincerely,

Sherry Maggio

901-488-9115 (cell) 662-893-1504 (fax)

sherrymaggio@att.net (email)

For:

TENANT’S CONCENT

_______________________________________________________ hereby consent to the release

(Print Applicant's Name)

of my rental history by my landlord, as indicated above.

__________________________

_______________

___________________________

_______________

(Applicant's Signature)

(Date Signed)

(Applicant's Signature)

(Date Signed)

FOR LANDLORD ONLY:

Please provide the following rental history information in reference to his/her lease:

Applicant is currently under lease: Beginning Date ____________________ Termination Date ______________________

Applicant has a prior history with us: Beginning Date ___________________ Termination Date ____________________

Applicant normally pays/paid rent paid on time? ( ) YES ( ) NO

Has applicant ever been more than 5 days late?

( ) YES ( ) NO

Number of occurrences: ________

Was applicant evicted or currently being evicted? ( ) YES ( ) NO

Date: _______________________

If evicted or sued for non-payment of rent, has applicant paid all monies due? ( ) YES ( ) NO Balance Due? $________

Signature: __________________________________________Title: ______________________Date: _______________

Rental History Verification Form For Potential Lease

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