Rental History Form

Your Name

Your Title

Applicant Name

Applicant Address

Current or Previous Address? Current or Previous Address? Current Previous

Is applicant currently living in your community? Is applicant currently living in your community? Yes No

Did the applicant have a lease? Did the applicant have a lease? Yes No

Lease fulfilled? Lease fulfilled? Yes No

Monthly rent ($)

Move-in date

Moved out? Moved out? Yes No

Date of move-out

Was proper notice given before moving?

Did the applicant pay on time? Did the applicant pay on time? Yes No

If LATE, how often?

Any NSF checks?

Did you ever begin eviction proceedings? Did you ever begin eviction proceedings? Yes No

Comments

Does the applicant still owe you money?

How much?

Was there damage beyond ordinary wear and tear and was it paid for?

Did you keep any of the applicant's security deposit?

If so, how much?

Did the applicant create any noise disturbances or disruptions? Did the applicant create any noise disturbances or disruptions? Yes No

Did the applicant ever have any unauthorized residents living in the unit? Did the applicant ever have any unauthorized residents living in the unit? Yes No

Were there any pets in the unit? Were there any pets in the unit? Yes No

If so, were they authorized?

Would you rent to this applicant again? Would you rent to this applicant again? Yes No

Comments

Would you like information on our online credit and criminal services? Would you like information on our online credit and criminal services? Yes No

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Your email