Landlord Reference Form
Previous Tenant's Name
Rental Address
Who were the occupants listed on the lease?
Rental Dates
Monthly Rent
What was included in the rent amount?
Please check all that may apply.
Heat
Electricity
Trash / Recycling
Water / Sewer
Lawn Care / Snow Removal
Other
Did the tenant pay consistently and on time?
Select one...
Yes
No
Did you ever begin/complete eviction proceedings?
Select one...
Yes
No
Did the applicant keep the unit clean, safe and sanitary?
Select one...
Yes
No
Did the applicant give you a 30 or 60-day notice before vacating the unit?
Select one...
30 Day Notice
60 Day Notice
No Notice Given
Why did the tenant leave?
Has there been damage to the apartment/property caused by the applicant?
Select one...
Yes
No
Did the applicant permit persons other than those on the lease, to live in the unit on a regular basis?
Select one...
Yes
No
Did the applicant, family members or guests interfere with the rights and quiet enjoyment of their neighbors?
Select one...
Yes
No
Did the applicant, family members or guests engage in any criminal activity, in the unit or on the property?
Select one...
Yes
No
Did the applicant permit persons other than those on the lease, to live in the unit on a regular basis?
Select one...
Yes
No
Did the applicant receive their Security Deposit back in full, partial or nothing at all?
Select one...
Full
Partial
No Deposit Returned
How would you describe the applicant's ability to get along with other tenants?
Did the applicant own a dog, cat or any pets?
Select one...
Yes
No
Would you rent to this person/family again?
Select one...
Yes
No
Are you related to the applicant in any form?
Select one...
Yes
No
Do you have any additional comments about this applicant?
Reference's Name
Reference's Phone
Reference's Email
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
