Gall & Gall Company, Inc. - Background Checks

(800) 759-4255

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References

If you were contacted as a reference, please choose an option below.

Education Reference
Employment Reference
Personal Reference
Professional Reference
Rental Reference

Rental Reference Form

This form is for people that need to give a rental reference for someone. Please answer all the questions below to complete your reference for the applicant.

Residence Information

Your Name (required)	Your Phone		Your Email (required)
Resident Address	City		State	Zip
Applicant's Name (required)	Move-In Date	Move-Out Date	Lease Expiration Date

Payment History

Residency Questions

Any legal notices served for NON-Compliance? Yes No (If yes, please explain.)

Is the above person(s) a responsible party on the lease? Yes No

Are there additional, authorized occupants on the lease? Yes No

Are there any problems or complaints on file? Yes No (If yes, please explain.)

Are there any pets? Yes No (If yes, what type?)

Is there any property damage? Yes No (If yes, please explain.)

Would resident be eligible to re-rent? Yes No (If no, please give reason.)

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Services

Information

Contact

8555 North Dixie Drive
Dayton, OH 45414
(800) 759-4255

Monthly Amount	Pays as Agreed? Yes No	Late Payments? Yes No
NSF Checks? Yes No	Owes Balance? Yes No	Proper Notice? Yes No