LANDLORD REFERENCE FORM

LANDLORD INFORMATION	APPLICANT INFORMATION
COMPANY NAME	APPLICANT NAME
CONTACT NAME	DATE OF REQUEST
ADDRESS OF RENTAL PROPERTY	ADDRESS OF RENTAL PROPERTY
PHONE	PHONE
FAX	FAX
EMAIL	EMAIL

REQUESTED INFORMATION
MOVE IN DATE	MOVE OUT DATE
MONTHLY RENT AMOUNT	DID TENANT MAKE TIMELY PAYMENTS?
WERE THERE ANY NSF CHECKS?	WAS AN EVICTION FILED?
DID THE TENANT GIVE PROPER NOTICE?
DID THE TENANT TAKE PROPER CARE OF THE UNIT?
WOULD YOU RENT TO THIS PERSON AGAIN?
PLEASE LIST ANY PROBLEMS OR ISSUES
ADDITIONAL COMMENTS

REQUESTING PARTY INFORMATION
COMPANY NAME	COMPANY ADDRESS
CONTACT
PHONE
FAX	EMAIL

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