EmailMe Form - Landlord/Tenant Questionnaire

TENANT's Name

First Middle Last

Date

MM / DD / YYYY

TENANT's Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Does TENANT have written lease?

YES

NO

Was a copy provided?

YES

NO

Does TENANT have an oral lease?

YES

NO

For how long?

YES

NO

LANDLORD's Name

First Middle Last

LANDLORD's Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Date TENANT moved in to property:

MM / DD / YYYY

Monthly rent:

$ Dollars . Cents

Date rent was last paid:

MM / DD / YYYY

For what months?

Amount of rent paid?

$ Dollars . Cents

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