Real Estate Rental Reference Request Form
Date: [Month, Day, Year]
To Whom It May Concern,
I, [Your Name], am currently in the process of renting a property and have listed [567 Property Address] as a previous residence. I hereby authorize the release of any information regarding my tenancy at the aforementioned property to [Your Company Name].
Please complete the following form and return it directly to [Your Company Email] or by mail to [Your Company Address].
Tenant Information:
Tenant Name: | [Your Name] |
Previous Address: | |
City: | |
State: | |
Zip: | |
Phone Number: | |
Email Address: | |
Social Security Number (if applicable): | |
Rental Property Information:
Property Address: | |
Landlord/Property Manager Name: | |
Lease Start Date: | [Month, Day, Year] |
Lease End Date: | [Month, Day, Year] |
Monthly Rent Amount: | |
Rental Reference:
Please provide the following information regarding the tenant's rental history:
How long did the tenant reside at the property? | |
Did the tenant fulfill the terms of the lease agreement? | |
Was the tenant prompt in paying rent? | |
Did the tenant maintain the property well? | |
Did the tenant cause any disturbances or receive complaints from neighbors? | |
Would you rent to this tenant again in the future? | |
Authorization:
I, [Your Name], hereby authorize the release of the above information to [Your Company Name] for the purpose of evaluating my rental application.

[Month, Day, Year]
Thank you for your prompt attention to this matter.
Sincerely,

[Month, Day, Year]
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