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.

1. How long has the applicant resided at the property?

• Less than 6 months

• 6 months to 1 year

• 1 year to 2 years

• More than 2 years

2. Has the applicant ever been late on rental payments?

• Yes

• No

If yes, please provide details:                                                                                         

3. Has the applicant ever violated the terms of the lease agreement?

• Yes

• No

If yes, please provide details:                                                                                         

4. Has the applicant caused any damages to the property beyond normal wear and tear?

• Yes

• No

If yes, please provide details: ___________________________

5. Would you rent to this applicant again in the future?

• Yes

• No

• Unsure

[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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