Real Estate Shared Housing Verification Form

This form is designed to ensure accurate documentation of tenants residing in shared housing arrangements managed by our company. Please carefully fill out the following sections with accurate details about the tenant(s), property information, and verification statements. Ensure that all provided information is current and correct to the best of your knowledge.

Personal Information
Tenant Information
Full Name:	[Full Name]
Date of Birth:
Phone Number:
Email Address:
Current Address:
City:
State:
Zip Code:
Emergency Contact Name:
Emergency Contact Phone Number:
Additional Tenants (if applicable)
Full Name:	[Full Name]
Date of Birth:
Phone Number:
Email Address:
Current Address:
City:
State:
Zip Code:

Property Information
Shared Housing Details
Address of Shared Housing:	[Address of Shared Housing]
Rental Agreement Start Date:
Rental Agreement End Date:
Number of Bedrooms:
Number of Bathrooms:
Monthly Rent Amount:
Utility Split (if applicable):
Landlord/Property Manager Name:
Landlord/Property Manager Contact:

Shared Housing Rules and Regulations

Are there any specific rules or regulations for shared living in this property? If yes, please specify:

                                                                                                                                                                                                                                                                                                                                                                                                                           

Verification Information

Confirmation of Shared Housing

• I confirm that I am residing in the shared housing mentioned above.

• I confirm that all additional tenants listed above are residing in the shared housing mentioned above.

Landlord/Property Manager Verification

I, [Landlord/Property Manager Name], confirm that the tenant(s) listed above are residing in the shared housing at the address provided.

Signature:

Date:                               

Agreement

By signing this form, I acknowledge that the information provided is accurate to the best of my knowledge. I understand that any false information provided may result in termination of the rental agreement.

Signature:

Date:                               

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