Landlord Verification Form (Page 2 of 2) in pdf

Landlord Verification Form Page 2

Describe:

C. Has (had) the applicant, family members or guests damaged or vandalized the common

areas?

❑ YES ❑ NO

If Yes, Describe:

D. Does (did) the applicant, family members or guests create any physical hazards to the project

or other residents?

❑ YES ❑ NO

If yes, Describe:

E. Does (did) the applicant, family members or guests interfere with the rights and quiet

enjoyment of other tenants?

❑ YES ❑ NO

If yes, Describe:

F. Have the applicant, family members or guests engaged in any criminal activity, including

drug-related criminal activity?

❑ YES ❑ NO

If yes, Describe:

G. Has (had) the applicant given you any false information?

❑ YES ❑ NO

If yes, Describe:

G. Has (had) the applicant, family members or guests acted in a physically violent and/or

verbally abusive manner toward neighbors, landlord, or landlord's staff? ❑ YES ❑ NO

If yes, Describe:

I. Would you rent to this applicant again?

❑ YES ❑ NO

If not, why?

__________________________________________________________________________ __

Signature of Landlord

Date

(Name of authorized project staff: telephone verification)

Date

___________________________________________________________________________ _

Applicant Release

hereby authorize the release of the requested information.

Signature

Date

___________________________________________________________________________ _

PHA Verification Information

Landlord Verification Form Page 2