Landlord Statement Template

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Badhuisstraat 127
2584 HG Scheveningen
t.070-3586391
f.070-3586402
info@anvastgoed.nl
L A N D L O R D S T A T E M E N T
To be completed by the landlord or landlord’s agent to declare the following:
Name lessor:
Address:
Postcode , city:
Name tenant:
Tenancy start date:
Tenancy address:
Located in:
Full rent per month:
-
Is the rent paid up to date? Yes / No
-
Have there been complaints during stay of the tenant? Yes / No
-
Was the monthly rent paid on time? Yes / No
Did the tenant have rent subsidy? No / Yes ( €
-
per month)
Place:
Date:
Stamp:
The landlord / landlord’s agent,
Signature,

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