rentalverification

Name:_____________________________________________________________________

Address and unit#___________________________________________________________

When did the original lease begin?_____________________________________________

When did or will the lease expire?______________________________________________

Has proper notice been given?________________________________________________

Amount of rent:_____________________________________________________________

Number of late payment(s):______________ Number of NSF________________________

Would you rent to resident again?________________If no, why?____________________

Is rent in arrears?___________________________If yes, for how much?______________

Any lease violations? ____________If yes, for what?______________________________

__________________________________________________________________________

Any pets?_____________________________Any noise complaints?_________________

Your signature and title_______________________________________________________

I hereby authorize the release of information requested above to

Renting Arizona Real Estate Services.

Applicant Name(s)___________________________________________________

Applicant Signature(s)________________________________________________

To Whom it may concern:

The applicant(s) named below has applied for one of our listings. If you could please

answer the following questions and fax this form back to us. The applicant as well as our staff at Renting Arizona would appreciate it. Thank you for your time.