Real Estate Rental Reference Request Form

Real Estate Rental Reference Request Form

Date: [Month, Day, Year]

To Whom It May Concern,

I, [Your Name], am currently in the process of renting a property and have listed [567 Property Address] as a previous residence. I hereby authorize the release of any information regarding my tenancy at the aforementioned property to [Your Company Name].

Please complete the following form and return it directly to [Your Company Email] or by mail to [Your Company Address].

Tenant Information:

Tenant Name:

[Your Name]

Previous Address:

City:

State:

Zip:

Phone Number:

Email Address:

Social Security Number (if applicable):

Rental Property Information:

Property Address:

Landlord/Property Manager Name:

Lease Start Date:

[Month, Day, Year]

Lease End Date:

[Month, Day, Year]

Monthly Rent Amount:

Rental Reference:

Please provide the following information regarding the tenant's rental history:

How long did the tenant reside at the property?

Did the tenant fulfill the terms of the lease agreement?

  • Yes

  • No

Was the tenant prompt in paying rent?

  • Yes

  • No

Did the tenant maintain the property well?

  • Yes

  • No

Did the tenant cause any disturbances or receive complaints from neighbors?

  • Yes

  • No

Would you rent to this tenant again in the future?

  • Yes

  • No

Additional Comments

Authorization:

I, [Your Name], hereby authorize the release of the above information to [Your Company Name] for the purpose of evaluating my rental application.

[Month, Day, Year]

Thank you for your prompt attention to this matter.

Sincerely,

[Month, Day, Year]

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