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S6 : APPLICATION VERIFICATION
Required entries
are indicated
by blue icons or *
Applicant Name* (required)
Date
Credit report obtained, reviewed and attached?
Yes
No
Picture Identification?
Yes
No
Type of identification
Background report obtained, reviewed and attached?
Yes
No
Notes
CURRENT EMPLOYMENT REFERENCE
Company Name
Telephone
Address
Person spoken to
Date
Time
a.m.
p.m.
Currently Employed?
Yes
No
Permanent/Full-Time?
Yes
No
Applicant Salary
OTHER INCOME VERIFICATION
Source of Other Income
Telephone
Notes
Person spoken to
Date
Time
a.m.
p.m.
Will Other Income Continue?
Yes
No
If so, how long?
Duration
Other Income Amount
LANDLORD REFERENCE
Current Address
Person spoken to
Date
Time
a.m.
p.m.
Date of Last Inspection?
Date
Rent paid on time?
Yes
No
Tenant being evicted?
Yes
No
Does this Tenant have any pets?
Yes
No
Did this Tenant Smoke?
Yes
No
Other
Other Description
Notices/Complaints?
Yes
No
Problems/Damages
Would you rent to this Tenant again?
Yes
No
If No, why?
Previous Address
Person spoken to
Date
Time
a.m.
p.m.
Rent paid on time?
Yes
No
Was this Tenant evicted?
Yes
No
Did this Tenant give notice?
Yes
No
Notices/Complaints?
Yes
No
Problems/Damages
Would you rent to this Tenant again?
Yes
No
If No, why?
Previous Address
Person spoken to
Date
Time
a.m.
p.m.
Rent paid on time?
Yes
No
Was this Tenant evicted?
Yes
No
Did this Tenant give notice?
Yes
No
Notices/Complaints?
Yes
No
Problems/Damages
Would you rent to this Tenant again?
Yes
No
If No, why?
PERSONAL REFERENCES
Name
Telephone
Relationship
Date
Time
a.m.
p.m.
Notes
Name
Telephone
Relationship
Date
Time
a.m.
p.m.
Notes
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