Landlord Reference

Lease Holder's Name *
Lease Holder's Name
Residential Address *
Residential Address
Lease Start Date *
Lease Start Date
Lease End Date *
Lease End Date
Was the tenant ever late in paying rent? *
If yes, how often:
To your knowledge, did the tenant maintain desirable living conditions such as cleanliness? *
If no, please explain:
Was the unit left in acceptable condition when the tenant moved out? *
If the tenant is still occupying the unit, was it in acceptable condition when you last observed?
If no, please explain:
To your knowledge, has the tenant or guests of the tenant ever engaged in or been charged with criminal activity while in the property? *
If yes, please explain:
Were any complaints made on the tenant? *
If yes, please explain:
Was the tenant communicative with issues or needs? *
If no, please explain:
Would you rent to this tenant again? *
If no, please explain:
Electronic Signature
The following section is an Electronic Signature and must be completed only by the agent completing this form.
Landlord/Agent *
Contact Phone *
Contact Phone
By selecting "I Agree", you certify that the above information given is true and correct to the best of your knowledge. *
By selecting "I Accept", you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form. *