Landlord Verification
Tenant or Applicant: ____________________________________________________________
Address: ______________________________________________________________________
City: __________________________________________State: SC Zip: ____________________
Amount of Rent: ______________________If in arrears, how much? _____________________
Total Amount of Rental Arrears (include late fees): ___________________________________
_________________________________ _________________________________
Signature of Landlord/Property Manager Federal Tax ID or Social Security Number
For quest ons or ass stance, p ease contact Jim Robinson at 1-312-956-9551.
Amount of Security Deposit: ______________________
Mailing Address:______________________________________________________________
Please provide mailing address for payment remittances: