Landlord Referral
Please fill out the form completely to the best of your knowledge. Thank you in advance for your time and candor regarding this form.  Answers to this form will not be visible to anyone not granted permission by the applicant.
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Tenant Name (s) *
Rental Property Address *
Length of time in the unit  (Start Date  - End date)
Current Rent Amount (Total rent / Tenant rent)

Was Tenant ever late with rent? If so how late? How many times? Are they current/balance owed?  
Did the tenant damage the property? Is the unit kept clean? Did you/will you keep any of their deposit?  If yes, please explain.
Would you rent to this tenant again? If not, explain. 
Depends if they pass the screening process?
Any additional comments:
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