Request For Rental Verification & History of Payments TO: ______________________________________ From: Penny Cornett of Remax Allegiance Mobile # 202-277-2775 Fax 1-866-338-8095 E-mail - WritePenny@aol.com RE: Rental verification for tenant _____________________________________________________ Address of Property _______________________________________________________________ Has tenant paid on time each month? ________________________________________________ If late payments were made, how many? ______________________________________________ Where there any late fees charged? __________________________________________________ Were there any returned checks during their tenancy? ___________________________________ Did tenant give property notice according to the lease terms? _____________________________ Were there any complaint notices? __________________________________________________ If applicable, has there been any damage/complaints caused from current pets residing in the home? _________________________________________________________________________________ Was the security deposit returned? ____________________________________ Would you rent to them again? _______________________________________ If not, why? _______________________________________________________ Name and title of person filling out this form ____________________________ Date ___________ I authorize my current landlord to release all information requested on this form ____________________________________ Date ________________ Signature of tenant