EmailMe Form - Landlord Questionnaire

Landlord Questionnaire
Current and former Landlords/Managers

Civil Code Section 47(b)(3) confers absolute privilege on the persons who are contacted or who come forward on legally mandated backgrounds (i.e., peace officers and public safety personnel in the P.O.S.T. program).

Landlord/Manager's Name *

First

Last

Today's Date *

YYYY

Background applicant's name *

Please confirm dates of occupancy.

Exp.: 5/1/2004 to 7/31/2010

Address in question *

Your Phone Number *

###

####

Your Email address

For us to send a copy of your responses. Your personal and contact information will not be shared.

1) Please describe the applicant as a tenant? *

2) Do you know who lives or lived with the applicant? *

3) Do you socialize with the applicant or know them personally? *

4) How would you describe the applicant as a tenant? *

5) Was rent paid on time?

Always

Sometimes late

Always late

6) Have you received any checks from the applicant that were returned for none sufficent funds (NSF)? *

Never

1 to 3 times

More then 5 times

7) Have you received any complaints from the neighbors regarding the applicant? If so, please explain. *

8) Have you ever observed the applicant behave in a violent, destructive or abusive manner, including domestic violence? *

9) Have you ever observed or suspected the applicant was involved in any illegal or criminal activities? *

10) Have the police ever been called to the applicant's residence for any reason? If yes, please state agency name and approximate date. *

11) Would you rent to the applicant again? *

Yes

Not sure

12) Do you have any concerns or reservations about the applicant applying for this position? *

13) Do you know any neighbors that we could contact that may have information regarding the applicant? *

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