I (we), hereby give permission to release any and all information regarding my (our) rental history.
Signature: 
Signature: 

To Whom It May Concern: The person named above has applied to rent an apartment at Erie Station Village, and has provided your name as a current or previous Landlord. We are asking for your assistance in our approval process. Please fill out the information below at your earliest convenience, and fax or mail the form back to our leasing office. We will keep this information in confidence.

Dates of residency: 
Amount of monthly rent: $  Amount of security deposit: $ 
Number of late payments:   How late?    Late fees paid? 
Were there any lease violations? 
If so, what was the nature of the violation? 
Did you ever begin eviction proceedings for any reason? 
Did resident take good care of the residence? 
Was proper notice given to vacate the residence? 
Will you (did you) keep any of the security deposit? 
Would you rent to this applicant in the future? 
Additional comments:

Name and title of person supplying the above information:
Signature: 
Date: