Date: [Date]
To (Requesting Party): [New Landlord/Lender/Agency Name]
Attn: [Contact Name/Department]
[Address/Email (if known)]
From (Landlord/Property Manager): [Full Name]
Role: ☐ Landlord ☐ Property Manager ☐ Leasing Office
Company (If Any): [Company Name]
Address: [Address]
Phone/Email: [Contact]
1.1 Tenant Name: [Tenant Full Name]
1.2 Rental Property Address: [Street Address, City, State, ZIP]
1.3 Unit/Apt (If Applicable): [Unit/Apt #]
1.4 Lease Start Date: [Date]
1.5 Lease End Date (If Applicable): ☐ Ongoing ☐ [Date]
1.6 Tenancy Type (Optional): ☐ Fixed-term lease ☐ Month-to-month ☐ Other: [__]
2. Rent and Deposit Details
2.1 Monthly Rent Amount: $[Amount]
2.2 Rent Due Date: [Day of month]
2.3 Security Deposit (Optional): $[Amount] (held on file: ☐ Yes ☐ No)
2.4 Other Fees (Optional): [Parking/pet/utility fee amounts, if relevant].
3. Payment History (Customize to What’s Requested)
3.1 Payment Status (Select One):
☐ Paid on time (generally)
☐ Occasional late payments (details below)
☐ Payment issues exist (details below)
3.2 Late/returned payments (if any):
[Month/Date] — [Late/returned] — notes: [__]
3.3 Current Balance Due (If Any): $[Amount] as of [Date].
3.4 Notices (If Any) (Optional): ☐ None ☐ Late notices ☐ Notice to pay/vacate ☐ Other: [__].
4. Good Standing (Optional)
4.1 To the best of my knowledge, the tenant is: ☐ in good standing ☐ not in good standing (explain briefly): [__].
5.1 If you have questions, you may contact me at [Phone/Email].
5.2 Best time to reach me (optional): [Hours].
6. Truthful Statement
6.1 I declare that the statements in this letter are true and correct to the best of my knowledge.
Signatures
Landlord/Property Manager Name: [Full Name]
Date: [Date]
Signature: ___________________________
Notary / Notarization (Optional)
State of [State]
County of [County]
On [Date], before me, [Notary Name], personally appeared [Landlord/Property Manager Full Name], known to me (or satisfactorily proven) to be the person whose name is subscribed to this letter, and acknowledged that they executed it for the purposes stated.
Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________