Crenshaw one APARTMENTS

5919 & 5925 crenshaw blvd.

los angeles, ca90043

RENTAL HISTORY VERIFICATION

  • This form is used to obtain information regarding the rental history of Applicant for rental housing. The information provided by the current or former Owner/Agent may be used solely for the purpose of evaluating the application for rental housing.
  • TheOwner/Agent requesting this information must receive authorization from the Applicant before obtaining the information. Such authorization is granted if Applicant’s signature is proved in Section 2. Copies of this form and of the applicant’s signature are acceptable.
  • The Applicant may be contacted to verify the authenticity of this request.
  • Please fax this completed form to the person listed in Section 2 (Resident Manager) as soon as possible.

1.AUTHORIZATION BY RENTAL APPLICANT FOR THE RELEASE OF INFORMATION

I hereby authorize the release of the information requested on the RentalHistoryVerification form to the Owner/Agent listed below. I hereby acknowledge that the Owner/Agent can make copies of this executed page in order to obtain the information requested.

Name ______Phone Number ______

Signature ______Date ______

2. PERSON REQUESTING THE RENTAL REFERENCE

Name: Lorin KingWork Number: 213.342.1934Fax Number: 323.295.1087

3.APPLICANT’S RENTAL INFORMATION

Address of rental unit ______Unit # ______

City______State______Zip ______

Name of Owner/Agent ______Phone ______

Move-in date ______Move-out date______

4.RENTAL REFERENCE INFORMATION PROVIDED BY ______Phone ______

  • What were the dates of occupancy: From ______To ______
  • What is the current rent paid by Applicant? ______Are utilities included? ______
  • How many times during the last 24 months did Applicant pay the rent late? ______
  • Was any check from Applicant returned due to non-sufficient funds (NSF)? ______
  • Was an unlawful detainer ever filed against Applicant for unpaid rent? ______

Explain ______

  • Was a Three Day Notice ever served upon Applicant? ______

Explain ______

  • Was Applicant ever given a warning notice? ______
  • Does Applicant owe any amount for delinquent rent, utilities or damage to the unit? ______
  • Did Applicant provide notice for ending tenancy according to the terms of the rental Agreement? ______
  • Does Applicant interact well with other tenants and the Owner/Agent? ______
  • Does Applicant keep the unit clean? ______
  • Why is Applicant leaving this residence? ______
  • Is Applicant eligible to rent again at this location? ______
  • Is there anything the Owner/Agent would care to add? ______

______

Information provided by Phone Number

7-22-14 Background Checking-Rental History Verification.doc