Rental Verification Request
APPLICANT AUTHORIZATION TO RELEASE INFORMATION
I (PLEASE PRINT NAME)
hereby authorize all third parties indicated
on my application to furnish the information requested below to the management company. I release all third
parties, their officers, agents, and employees from any and all liability associated with such disclosure of the
requested information.
Applicant’s Signature:
Date:
OFFICE USE ONLY
The above-named has applied for an apartment with our company and has listed you as a reference. Please fill in
the information requested below that applies to you and return to the attention of Rental Office via fax at
781.933.8679. If you have any questions, please contact us at 781.933.1414. Thank you for your assistance!
Employment Verification:
Position:
Is the employee full/part time, temporary/permanent: (Please circle)
Length of employment:
Weekly Gross
Salary: $
Your name and title:
Student Verification:
Date of Graduation:
Graduate or undergraduate: (Please circle)
Program enrolled in:
Your name and position:
Present Landlord Reference:
Tenant’s address:
Dates of occupancy:
Amount of rent: ________________________ Was rent paid on time?
Would you re-rent to this tenant:
Any problems:
Your name and position:
Previous Landlord Reference:
Tenant’s address:
Dates of occupancy:
Amount of rent: ________________________ Was rent paid on time?
Would you re-rent to this tenant:
Any problems:
Your name and position: