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Residential Verification ‘The applicant listed below has applied for an apartment in our community, Please complete the information requested to assist us in making a determination with their application. Thank you for your help and prompt attention in this matter. Applicant Name: Address: 1) What was the move-in date? ‘What is the lease-end date? Did applicant give prior noice to vacate? Yes_No__ 2) Did the applicant havea good payment history? Yex__ No. ‘Was ent ever pid late? Yes__No___ yes, howmany times?_ Does the applicant havea balance due? Yex__No__ 3) Did the applicant ever damage the apartment or rounds? Yes__No__ Did you withhold auy portion of the security deposit? Yen__No__ 4) Did the applicant ever volte the lease or community rules? Yee___No__ Did you ever try to evict the applicant? Yes__ No 5) Would yourent to this applicant again? Yes_No__ “Why or why not? Overall a good tenant, Date:__ Reference Name: ‘give my full consent for the release of any and all information pertaining to my rental history as requested.

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