Fellow Landlord:

_____________________________ has applied to rent from us and has identified you as a
current or former landlord or rental property manager having first-hand experience with
him/her as a tenant.

We are trying to determine what this person was like when living at
____________________________________ as your tenant and would appreciate your answering
the following questions about him/her:

How long was this person your tenant?
Less than six months ( ) Six months to a year ( )
One to two years ( ) More than two years ( )

When did this tenant move out? ______________________

How much was the rent when he/she moved out? $_____________

How many other people were living with this tenant?
None ( ) One ( ) Two ( ) Three ( ) Four ( ) Five ( ) Six ( )

Did the tenant have any pets?
Yes ( ) No ( ) If so, what kind? _________________________________

How many times did the tenant fail to pay the rent on time?
Once ( ) Twice ( ) Three times ( ) More than three times ( )

Did you ever have to serve the tenant with a notice to pay rent or quit?
Yes ( ) No ( ) Comments _________________________________

Did you ever have to serve the tenant with any other notice?
Yes ( ) No ( ) If so, what kind? _________________________________

Was this tenant reasonably quiet? Yes ( ) No ( ) Comments _____________________________

Was this tenant reasonably clean? Yes ( ) No ( ) Comments _____________________________

Did the tenant give enough notice that he/she was moving?
Yes ( ) No ( ) Comments _________________________________

Did the tenant leave the premises clean and undamaged?
Yes ( ) No ( ) Comments _________________________________

If you withheld any of the tenant's cleaning/security deposit, why did you withhold it? _____________________________________________

Did the tenant leave owing you any money?
Yes ( ) No ( ) If so, how much? $_____________

On a scale of one to ten, with ten being the most cooperative and zero being the least
cooperative, how would you rate this tenant in terms of his/her cooperating with you?
10 9 8 7 6 5 4 3 2 1 [Circle only one number]

If you had the opportunity, would you rent to this tenant again?
Yes ( ) No ( ) Comments _________________________________

Thank you very much for answering these questions.

Sincerely,
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