Landlord Verification Form

Name of Applicant*
First Last
Email*
Phone*
Current Resident
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Landlord Name
First Last
Landlord Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Fax
Dates of Residency From
Dates of Residency To
Amount of Monthly Rent
# of Occupants
# of Late Payments
# of Returned Checks
# of Disturbance Complaints
# of Times Police Called
1. Did the resident or his/her family/guest damage the apartment property?
- Yes
- No
2. Did the resident pay for the damages?
- Yes
- No
3. Did the resident violate the lease agreement in anyway?
- Yes
- No
If Yes checked above, please put your explanation here
4. Did the resident violate any of your house/apartment rules in any way?
- Yes
- No
If Yes checked above, please put your explanation here
5. Did the resident give proper notice for vacating the unit?
- Yes
- No
If Yes checked above, please put your explanation here
6. Would you rent to this individual again?
- Yes
- No
7. Did the resident have any pets?
- Yes
- No
If Yes checked above, what kind?
Additional Comments

dba Avant Properties
2001 S. McCall Rd Unit D
Englewood, Fl 34223

Phone: (941) 637-4900

Alt. Phone: (941) 460-6796