Request for Landlord Verification

*****Request for Landlord Verification*****

Applicant’s Name:

Today’s Date:

Prior Address: ______

Landlord’s Name: ______

Landlord Phone Number: ______

Landlord Fax: ______

I, , authorize my present/previous landlord to release the following information to Eton Square Townhomes and Apartments.

The above named applicant has furnished your name as a landlord reference in connection with a credit application. Please, provide us with the information requested below. Your reply will be strictly confidential and will be used only for the purpose of serving the applicant.

Lease Start Date: ______Has the Proper Notice Been Given? Lease End Date: ______Any Noise Complaints? ______Monthly Rental Payments: ______Any Pets? ______# Of Late Payments: ______Was the Housekeeping Satisfactory? ______# Of NSF Checks: ______Excessive Damage? Have You Ever Filed In Court: ______Would You Renew the Lease? ______

Verified By: ______Date: ______