Verification of Rental History

PLEASE FAX THIS TO YOUR LANDLORD OR APARTMENT COMPLEX

To:
RE:
ENTER YOUR NAME & SS #: ----------------------------------------------------------

Please answer the following questions regarding the tenant's rental history: The above
identified person has applied for residency with a property managed by America’s
Network Realty Group, Inc., and has indicated to us that you now have (or recently
had) this family as a tenant in your property located at:
__________________________________________________________________
As indicated by this person’s signatures noticed below or attached, the tenant consents
to the release of information pertaining to their rental history. We would greatly
appreciate your cooperation in completing the applicable areas below.

THANK YOU!

________________________________ ______________________________
Tenant's Signature Date Tenant's Signature Date

Move in date: ---------------------------------------------- Move out Date: -----------------------------

Monthly Rental Amount --------------------------------

Lease Completed: --------------------------------------
Was proper notice given? ------------------------------
Deposit Returned? ---------------------------------------
Is any money currently owed? ------------------------
Was eviction filing required? --------------------------
Condition of unit upon move-out: -------------------- Lease Expires On: -------------------------
Other lease violations: ---------------------------------- Any NSF Checks? -------------------------
Additional Comments: ---------------------------------- # of late payments: ------------------------
Your Name/Title: ----------------------------------------- If so how much? ----------------------------
Signature: -------------------------------------------------- Date: -------------------------------------------
Phone Number:--------------------------------------------
Date:---------------------------------------------------------

PLEASE FAX THE COMPLETED FORM TO (770) 551-5866 – NO FAX COVER NEEDED
1532 Dunwoody Village Pkwy
suite 210 Atlanta, GA 30338
To: __________________________________
APPLICANT, PLEASE COMPLETE
Phone: _______________________________ THIS SECTION WITH YOUR
EMPLOYER'S CONTACT
INFORMATION AND FAX TO
THEM TO COMPLETE,
Email: _______________________________

___________________________ has submitted an application with our company for a

rental house and listed employment with your company. To ensure that we can give all
possible consideration to this application, I am requesting the information below. Any
information that you provide will be kept confidential. If you have any questions, please
contact me at (770)551-5850. Thank you for your time in considering our request. Thanks.
AMERICA’S NETWORK REALTY GROUP, INC..

Tenant’s Authorization Signature: ____________________________________________

Applicant’s Position with your company: ____________________________________

Employed from ________________________ to _____________________________
Starting salary: $ _______________________
Ending salary: $ ________________________
Reason for leaving: _____________________
Yes No

Would you rehire? If no, explain:___________________________________________

Your Position:_________________________________________________________

Your Name: __________________________________________________________

Contact Number: _______________________________________________________

Your Signature: ________________________________________________________

PLEASE FAX THE COMPLETED FORM TO (770) 551-5866 – NO FAX COVER NEEDED