Rent Verification Form

Prospective Tenant:  ______________________________________

Current Address:  ______________________________________

Signature for Release of Information ________________________

Date Tenancy Started: _______

Are they current?   Yes       No

Are they being evicted?  Yes       No

Number of Times Late:

(  ) Never

(  ) Once

(  ) A couple of times.

(  ) Always

Would you rent to them again?  Yes       No

Property Manager Name __________________

Property Manager Phone  __________________

Property Manager Signature  _____________________

Please fax this to:    ________________

Or Email: ________________

Agent Name: ________________

Public ID: ________________

Phone #:  ________________

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