LANDLORD REFERENCE CHECK FORM


Leaser Agent

Agent #

Date:

Applicant/Tenant:

SSN:

Apt. #:


  TO:
Name:

Date:

Address:

Phone:

City:

State:
Zip:
Fax:


My signature authorizes verification of my Housing information:



  _____________________________________         ______________________________________

                                                                                                 Applicant/Tenant Signature                                                                  Date




The individual named directly above is an tenant applicant.  The information provided will be used to determine eligibility and remain confidential to the satisfaction of that stated purpose only.  Your prompt response is crucial and would be greatly appreciated.

                RETURN THIS FORM TO:

Avalon Apartment Leasing
1820 Holt Rd
Columbus, OH 43228-3639
fax: 614-453-5621
email:leasing@avonrentals.com

  Sincerely,             


   ___________________________________
           Project Owner/Management Agent  

To be completed by landlord

Dates of residency:  From ______________________ to _____________________. Total number of months
    1.     Did the resident pay their rent on time?   ? Yes    ? No
         If the resident was late on the rent, how late?  ________________________________________________________________
         How often?   Comments: _________________________________________________________________
2.     How much rent was paid each month by this resident?  $_______________
3.     Did you receive a security deposit?  ? Yes   ? No
         How much of it was returned to the resident?  $______________
4.     Did the resident, their guests, or their family damage the apartment or the property?  ? Yes   ? No
         Did they pay for the damages?  ? Yes  ? No     Amount of damages $____________________________________________
5.    Were the police ever called as a result of the disturbance?  ? Yes  ? No  Date(s): __________________________________
        Comments:
  1.            Were there problems with the neighbors?  ? Yes  ? No
7.    Does the resident have pets or other potential problems that may be important for a landlord to know?  ? Yes ? No
8.    Did the resident violate the lease agreement in any way?  ? Yes ? No
        Comments:____________________________________________________________________________________________
9.    Did the resident give you proper notice for vacating?  ? Yes  ? No
        Reason for leaving? _____________________________________________________________________________________
  1. Would you re-rent to this resident?  ? Yes  ? No
11.  What previous address do your records indicate? ______________________________________________________________
Comments:________________________________________________________________________________________________




Preparer’s Signature

Date



Print Name

Phone Number


                                                                                                                       Landlord Reference Check Form
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