Rental History Verification Form printable pdf download

Rental History Verification

For Property Located at: _________________________________________________________________

To be completed by Applicant

Tenant Name: _______________________________________________________________________

I hereby authorize the release of information requested pertaining to my current or prior rental history.

Copies of this form may be provided for expediency.

___________________________________________

Tenant Signature

To be completed by current or prior Owner/Manager

Rental Address: ______________________________________________________________________

Dates of occupancy: From _________________ to _________________

Did you give the Applicant a notice to vacate? Yes ______ No ______

If yes, explain: _________________________________________________________

How many times during the past 12 months did the Applicant pay late? ____________

Does Applicant currently have any delinquent amounts owing? Yes ______ No ______

Have there been any neighbor complaints? Yes ______ No ______ If yes, how many? ______

If yes, explain: __________________________________________________________

Has there been any police activity? Yes ______ No ______

If yes, explain: __________________________________________________________

Did Applicant make any unauthorized repairs or alterations? Yes ______ No ______

Did Applicant move in any unauthorized adult occupants? Yes ______ No ______

Did Applicant damage any part of the property? Yes ______ No ______

If yes, explain: _________________________________________________________

Comments: _________________________________________________________________________

Information Provided by: _____________________________________ Title: ____________________

(print name)

____________________________________ Contact info: ___________________________

Signature:

(email or phone)

Please return form to requesting party:

__________________________________________

Rental Housing Network, Inc. 2015

Rental History Verification Form