LAS VEGAS APARTMENTS CORPORATION

Verification of Rental History

Any questions? Call us at 310-243-6978 or email verification@LV.apartments

To (Previous Landlord) *

Re (Tenant Full Name) *

Social Security Identifier # (Tenant SSN) *

Dear Landlord:

Please answer the following questions regarding the tenant's rental history. The above-identified person has applied for residency with a property managed by Dominion Properties Virginia LLC and has indicated to us that you now have (or recently had) this person as a tenant in your property located at:

Current/Previous Property Address *

As indicated by the signature shown below or attached, the tenant consents to the release of any/all information pertaining to their rental history. We would greatly appreciate your cooperation in completing the applicable areas below. Thank you.

Tenant's Authorization

Tenant's Signature to Authorize Release of Information *

Date *

I confirm the tenant has authorized the release of this information.

Rental History Information

Condition of Unit at Move-Out? *
ExcellentGoodFairPoor

Other Lease Violations?
NoneYes (please explain below)

Additional Comments

Person Reporting

Name and Title of Person Reporting *

Signature *

Telephone # *

Date *