Name of Applicant: ______________________________________

Address of Proposed Rental Unit: __________________________________________

Previous Landlord

Contact (name, property owner or manager, address of rental unit): _____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Date: ____________________

Questions

When did tenant rent from you (move-in and move-out dates)? 

______________________________________________________

What was the monthly rent? ____________________

Did tenant pay rent on time? ____________________

Was tenant considerate of neighbors--that is, no loud parties and fair, careful use of common areas? 

Did tenant have any pets? ____________________

If so, were there any problems?

Did tenant make any unreasonable demands or complaints? 

Why did tenant leave? 

Did tenant give the proper amount of notice before leaving? _________

Did tenant leave the place in good condition? ____________________

Did you need to use the security deposit to cover damage? ___________

Any particular problems you'd like to mention? 

Would you rent to this person again? ____________________

Other Comments:

Employment Verification

Contact (name, company, position):____________________

	Date: ____________________

	Salary: ____________________

	Dates of Employment: ____________________

	Comments: 

Personal Reference

Contact (name and relationship to applicant):____________________

Date: ____________________

How long have you known the applicant? ____________________

Would you recommend this person as a prospective tenant?   _______

Comments:

Credit and Financial Information from __________ Credit Bureau