Real Estate Resident Assistant Reference Form
Date: [Month, Day, Year]
Applicant Information
Full Name of Applicant: | [Your Client / Subscriber / User Name] |
Current Address: | |
Phone Number: | |
Email: | |
Name of Current Landlord/Property Manager: | |
Current Rent Amount: | |
To the Applicant:
Please fill out the following information and provide consent for your current landlord/property manager to release information to [Your Company Name] regarding your tenancy. This information will be used to assess your suitability as a resident at our property.
I, [Your Client / Subscriber / User Name], hereby authorize the release of information to [Your Company Name] regarding my tenancy at the property located at [1234 Address]. I understand that this information may include, but is not limited to, rental payment history, lease violations, damages, and any other relevant information pertaining to my tenancy.

[Month, Day, Year]
To the Current Landlord/Property Manager:
We appreciate your cooperation in providing information regarding the above-named applicant. Please complete the following sections truthfully and to the best of your knowledge.
How long has the applicant resided at the property?
Has the applicant ever been late on rental payments?
If yes, please provide details:
Has the applicant ever violated the terms of the lease agreement?
If yes, please provide details:
Has the applicant caused any damages to the property beyond normal wear and tear?
If yes, please provide details: ___________________________
Would you rent to this applicant again in the future?

[Month, Day, Year]
Please return this form to [Your Real Estate Company] via email at [Your Company Email] or fax to [Your Company Fax Number]. If you have any questions, please do not hesitate to contact us at [Your Company Number].
Thank you for your assistance.

[Real Estate Agent]
[Your Company Name]
[Your Company Email]
[Your Company Number]
Note: The information provided in this form will be kept confidential and used solely for the purpose of evaluating the applicant's suitability as a resident at our property.
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