From

Phone

Address

Email

Dear________________________________________________________________________________________________________________________________________________________________________

We have received an application from a prospective tenant who listed you as a reference.

Tenant Name:

Address Listed:

To help us verify this tenant's application, would you please provide the following information/Blanks or no response will probably result in our declining this tenant's application on the basis of incompleteness.Any information provided will be held in the strictest confidence and subject to our written information security plan. The tenant has signed to authorize this disclosure.

Check here if you do not recognize this tenant; skip all further questions

What were the tenant' dates of residency at the above address?

From

to

Approximately what was the tenant's rent?

YesNo

Did the tenant ever give you or other tenants heartburn?

YesNo

if yes please Explain

Did you ever notify the tenant that they were late on rent?

YesNo

Did you ever give the tenant an aviction noice?

YesNo

Did you withhold from the tenant's security deposit (if any)?

YesNo

Did the tenant move out suddenly or without notice?

YesNo

Did the tenant leave owing any money?

YesNo

Would you rent to this tenant again?

YesNo

Your Full name

Your title

Please scan and return this from promptly to the email address listed above. Thank you!