To Be Completed by Landlord:
Please verify dates of occupancy:*
Please verify monthly rent. $:*
Does tenant pay on time or do you have to chase rent?*
Is there a current balance due for this tenant?*
If Yes, what is the balance?
Have you ever started eviction proceedings on tenant?*
Does tenant get along with neighbors?*
Is tenant polite and understanding when dealing with you?*
Does tenant maintain a neat and tidy home?*
Does tenant have pet(s)?*
If tenant has pet(s), are they well-behaved and supervised?*
Would you re rent to this tenant?*
Tenant Name(s):*
Please verify the # of occupants for the premises:*
If you have any comments you would like to add, please feel free to list in the space provided.
Landlord Signature:*