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Rental Verification Form

Sent by a prospective landlord to a current landlord to confirm rental history, with the tenant's signed permission.

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RENTAL VERIFICATION REQUEST

Applicant: [applicant name] Address rented: [address rented]

I authorize release of my rental history. Applicant signature: ____________ Date: [date]

To be completed by current/former landlord [landlord name]:

Dates of tenancy: [dates of tenancy] Monthly rent: $[monthly rent]

Rent paid on time? [yes/no/details] Notice given? [yes/no] Balance owed: $[balance owed]

Completed by: [name], [phone], [date]

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General legal information, not legal advice. Laws change and local rules can differ; check the linked official source or talk to a lawyer about your situation.