Rental History Verification
To be completed by the applicant's current or previous landlord
Part A. Applicant authorization
I authorize the landlord or property manager named in Part C to give the information requested below about my tenancy to the person named in Part B.
Applicant name
Signature
Date
Part B. Requested by
Name
Company
Phone
Email or return address
Part C. Tenancy details (landlord to complete)
Rental address and unit
Landlord or manager name
Tenancy start date
End date (or still renting)
Monthly rent
Number of people on the lease
Number of occupants
Was rent paid on time? ☐ Always☐ Usually☐ Often late
Late payments in the last 12 months
Returned (NSF) payments
Amount owed now, if any
Security deposit held
Any notice served for non-payment or a lease violation? ☐ No☐ Yes (explain below)
Did the tenant give proper notice to move out? ☐ Yes☐ No☐ Still renting
Damage beyond normal wear and tear? ☐ No☐ Yes (explain below)
Deposit returned in full? ☐ Yes☐ No (explain below)☐ Not yet
Would you rent to this tenant again? ☐ Yes☐ No
Explanations and comments (facts only)
Part D. Completed by
Name
Title or relationship to the property
Phone
Signature
Date
Free form from tenantfort.com. General information, not legal advice.