
Instructions: Please type your name on the top part of this form and press the print button.
After printing, please sign applicantʼs signature area and fax to (805) 484-5497 or email 
Landlord Reference Letter
Landlord Reference for                                                            (Applicant)
I authorize my current/prior landlord to release the information requested about me below:
                                                                
Applicantʼs signature
Dear Landlord,
Your name has been given to us as a reference for the above named individual. As a present/past 
Landlord of this person, would you please be so kind as to complete the information below and fax to 
(805) 484-5497.
Address of prior premises rented:                                                                                                        
Length of residence:     From                                    To                                   
Rent payment history:         was always on time with the rent         was always late with the rent
                                            was sometimes late with rent      If yes, how many times?        
Was proper notice given upon vacating?             Yes         No
Were there problems with housekeeping or complaints from neighbors?             Yes         No
If yes, please explain
                                                                                                                                                                     
Was there any damage done to the apartment?           Yes           No
If yes, please explain
                                                                                                                                                                     
Would you recommend this person as a tenant?           Yes           No
If yes, please explain
                                                                                                                                                                     
Any additional information about this tenant would be appreciated:
                                                                                                                                                                     
                                                                                                                                                                     
                                                                                                                                                                     
Signature of person releasing information
Please print name:                                                                     Title:                                    
Phone number:                                                                          Date:                                    
Signature:                                                                                   
Thank you for your attention to this matter and for your cooperation.
484 Mobil Ave, Suite 20 • Camarillo, California 93010 • (805) 482-3209 •"Fax (805) 484-5497