RESIDENT VERIFICATION FORM (MANAGEMENT CROSS-CHECK)
1. During 20 , I occupied my residence from to
2. My original deposit was in the amount $ .
3. Has any amount been deducted from your deposit? yes
no. If so, how much? $ Why? .
4. My application fee was $ refundable
5. Were there any other move in fees? If so, what? .
6. Did you receive a move-in special? yes no.
7. Describe the move-in special, bonus, discount, or gift you
8. My normal monthly rent is $ .
9. I pay late fees when applicable in the amount of $ .
10. If so, how often? How much? .
11. Have you paid any late charges or additional rent this year?
January February March April
May June July August
September October November December.
12. I pay my rent with Cash Checks.
13. My Payments are mailed dropped off or picked up by .
14. Do you have receipts? yes no.
15. Do you pay for any utilities? yes no.
16. If so, which ones .
17. Have you been requested to pay any extra charges this year for bounced check additional/special service.
18. Have you received a referral fee or extra tenant bonus of any kind this year? yes no
19. If so, how much $ and for what .
20. Have you received satisfactory service this year? yes no.
21. If not, what is one thing we have neglected to do?