Tenant Rental Verification

This form is for previous landlords to provide a factual reference for a prospective tenant. All responses are confidential and used solely for tenancy screening purposes.

Tenant Name *

Landlord / Leasing Company *

1. Can you confirm that they rented from you?

YesNo

2. What was their monthly rent?

3. Did they generally pay rent on time?

YesNo

4. How many times, if any, was rent paid late?

5. Did they ever have an unpaid balance?

YesNo

6. Did you ever have to serve them with a pay-or-vacate notice or begin an eviction process?

YesNo

7. Did they follow the terms of the lease?

YesNo

8. Did you receive noise or neighbor complaints about them?

YesNo

9. Were there any repeated complaints or disturbances?

YesNo

10. Were they generally cooperative when repairs or inspections needed to be scheduled?

YesNo

11. Did they give proper notice before moving out?

YesNo

12. Did they complete the full lease term?

YesNo

13. Do they currently owe you any money?

YesNo

14. Were there any significant lease violations?

YesNo

15. Would you rent to this tenant again?

YesNo

16. Is there anything factual about their tenancy that you think another landlord should know?

Certification of Accuracy

Person Completing This Form *

I certify that the above information is true and accurate to the best of my knowledge.

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3200 Lakeshore CT Moses Lake, Washington

(509) 765-9201 lakeshoreinn@icloud.com