Real Estate Rental History Verification Form

Please fill out the following form with accurate information regarding your previous rental history and authorize us, [Your Company Name], to contact your previous landlords or property managers for verification.

Applicant Information

Applicant Name:
Applicant Number:
Applicant Email:
Applicant Current Address:

Previous Rental History

[Previous Address]	[Duration of Tenancy]

Landlord/Property Manager Information

[Landlord/Property Manager Name]	[Phone Number]

Reason for Leaving

• [Reason for leaving]

Landlord/Property Manager Reference

I authorize [Your Company Name] to contact my previous landlords or property managers listed above for verification of my rental history.

Applicant Signature

[Applicant Name]

[Date]

Note: This form is for the sole purpose of verifying rental history and will be kept confidential.

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