Landlord Reference Letter Request - Free Download
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Request for Landlord Reference
To: Re:
The above referenced individual has applied for an apartment here. You are listed as a
present or prior landlord. We ask your cooperation in providing the information below so
that we may properly evaluate this individual’s application. Any and all information
provided will be kept in strict confidence.
I authorize the release of the requested information below:
Applicant Signature: ______________________________________________________
Occupancy Date: _____________________ Termination Date: ____________________
Name of person(s) residing in household:
___________________________________ ______________________________
Did the resident or any household member have a record of any of the following while
residing at your property
Disturbing neighbors
□ Yes □ No
Destroying property
□ Yes □ No
Poor housekeeping
□ Yes □ No
Lease/Rules violation
□ Yes □ No
Civil/Criminal violations
□ Yes □ No
Amount of monthly rent _____________________________________
Was rent paid on a
regular/timely basis
□ Yes □ No
Was legal action necessary at
termination
□ Yes □ No
Were there any damages
charged
□ Yes □ No
Would you rent to this individual
again
□ Yes □ No
source: mihcs.org
