Download Landlord Reference Letter Request for Free

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Request for Landlord Reference

To: Re:

The above referenced individual has applied for an apartment here. You are listed as a

present or prior landlord. We ask your cooperation in providing the information below so

that we may properly evaluate this individual’s application. Any and all information

provided will be kept in strict confidence.

I authorize the release of the requested information below:

Applicant Signature: ______________________________________________________

Occupancy Date: _____________________ Termination Date: ____________________

Name of person(s) residing in household:

___________________________________ ______________________________

Did the resident or any household member have a record of any of the following while

residing at your property?

Disturbing neighbors

□ Yes □ No

Destroying property

□ Yes □ No

Poor housekeeping

□ Yes □ No

Lease/Rules violation

□ Yes □ No

Civil/Criminal violations

□ Yes □ No

Amount of monthly rent? _____________________________________

Was rent paid on a

regular/timely basis?

□ Yes □ No

Was legal action necessary at

termination?

□ Yes □ No

Were there any damages

charged?

□ Yes □ No

Would you rent to this individual

again?

□ Yes □ No

Landlord Reference Letter Request

source: mihcs.org

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