Verification Of Occupied Rental Unit

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Verification of occupied rental unit.
Please be advised that __________________________________ has been a
tenant since _______________. The household consists of _____ adults and
___ children. The rent amount is $_______and is due on the_____ of each
month. Was a lease required? ______
Is the tenant behind in rent? ______. If so, what amount is currently owed?
_________. Last date payment was rendered? ___________
Has a security deposit been required? _______. Amount $________
Has this amount been paid in full? ______. Balance due? $_______
Did someone other than the tenant pay the security deposit? ____ If “yes”
Who? ____________________________________________
Landlords/Managers - Please complete the following in full.
Is the rental unit in an Apartment building ___ Single home _____
Duplex ___ Mobil home ____room____.
Please indicate what utilities, furniture, or appliances are included.
Heat {gas, oil, electric, wood} ____ Lights ____ Gas ____ Water ___
Hot water {gas, oil, electric}_____ Furniture____ Stove {gas/electric} ___
Refrigerator____ Other ______________
Total number of rooms_____ Number of bedrooms ____. Does the apartment
have its own kitchen and bathroom? _____ .
Is the tenant {or any children living in the unit} a relative, spouse, or
significant other to the landlord? _____ If yes, please state the relationship
_______________________.
Address of rental unit________________________________
________________________________

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