Landlord Reference

Please complete all fields below and supply as much information as possible.
Please use the comments box located at the bottom of this form to supply any additional information that you believe may be relevant or helpful towards the application.

* Indicates required field

Landlord Name / Company Name *

Your Name *

Your Position *

Your Phone Number *

Your Email Address *

Tenant Name *

Address of Reference *

When did the tenant move into the property? *

When did the tenant leave the property? *

Monthly Rental amount *

Did the rent include any bills? *

Has the rent always been paid on, or prior to the due date? *

Yes No

If not, please provide details of how often and how late rent has been paid and any reasons why *

How much overdue rent, if any currently outstanding? *

Did the tenant damage the property above wear and tear? *

Please provide details of any damage *

Did the tenant breach any other conditions of the tenancy? *

Please provide details of any breaches *

Was the full amount of the deposit returned to the applicant? *

Please provide details of any deductions or disputes *

Would you rent to this tenant again? *

On a scale of 1 to 10, 10 being the best, how would you rate the tenant overall? *

I hereby confirm that the information I have supplied within this employer reference is true to the best of my knowledge.

Print Name - Digital Signature *

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LANDLORD reference