Forms - Landlord Verification - Bullock Russell Dashboard

LANDLORD VERIFICATION

Name of Realtor Requesting this Form(Required)

First Last

The person who sent you the form link to fill out.

Email Address of the Realtor Requesting this Form:(Required)

Use the email address from the person who sent you the form link to fill out. If still unknown, then please use tc@bullockrussell.com.

Full Name(s) of Tenant(s):(Required)

Address of Rental Property:(Required)

Where the tenant(s) rented from you.

Approximate Move-In Date(Required)

Approximate Move-Out Date(Required)

Rental Payment History

Monthly Rent Amount(Required)

Did the tenant(s) make ALL rent payments due under the lease (or if currently leasing, as of today)?(Required)

Yes

No

Decline to answer

What amount of rent is the tenant in default for?

During the term of the lease, did the tenant(s) ever pay rent late?(Required)

Yes

No

Decline to answer

For purposes of this question, a rent payment is deemed late if it was received more than 5 days after the due date.

How many times would you estimate that the tenant(s) paid rent late?(Required)

Of those late rent payments, how many would you estimate were late over 30 days?(Required)

Have you ever had to serve the tenant(s) with a notice to pay rent of quit?(Required)

Yes

No

Decline to answer

Approximately how many pay or quit notices have you served on the tenant(s)?(Required)

Property Care & Condition

In your opinion, did the tenant(s) keep (or is keeping) the property in good condition?(Required)

Yes

No

I don't know, I have not been in the property during (or after) the term of the lease.

Decline to answer

Please provide a brief description of why you answered "no":(Required)

In your opinion, did the tenant(s) damage any aspect of the property beyond normal wear and tear?(Required)

Yes

No

I don't know, I have not been in the property during (or after) the term of the lease.

Decline to answer

Please provide a brief description of what damage occurred that was beyond normal wear and tear:(Required)

Did you deduct the cost of the damage from the tenant's security deposit?(Required)

Yes

No

Decline to answer

Lease Violations

Were there any documented lease violations?(Required)

Yes

No

Decline to answer

E.g., noise, unauthorized occupants, unauthorized pets, smoking violation, illegal activity, etc.

Please provide a brief description of what lease violations occurred:(Required)

Did you receive any complaints about the tenant(s) from neighbors, the HOA, or third parties about the tenant(s)?(Required)

Yes

No

Decline to answer

Please provide a brief description of the complaints received:(Required)

Cooperation and Communication

How would you rate the tenant's overall communication, courtesy, and cooperation?(Required)

Would you rent to this/these tenant(s) again?(Required)

Yes

No

Decline to answer

Please provide a brief description of why you said "no":(Required)

Additional Comments (Optional):

Please share any other relevant information about the tenant’s residency.

Name of Person Submitting this Form(Required)

First Last