Tenant Name

Property Rented

Period of time rented

Rent per week

Was the tenant listed as a lessee?
 Yes No

Did your agency terminate the tenancy?
 Yes No

Was the tenant ever in arrears?
 Yes No

Did the tenant receive any breaches?
 Yes No

If yes, what for?

Were periodic inspections conducted during the tenancy?
 Yes No

Was there any damage noted during the periodic inspections?
 Yes No

If yes, please provide more details

Were pets kept at the property without permission?
 Yes No

If yes, please provide more details

Did the tenant leave the property clean and tidy?
 Yes No

Was the bond refunded in full?
 Yes No

If no, please provide more details

Would your agency rent to this person again?
 Yes No

Copy of tenant rent ledger:

Your details:

Name of Referee/Staffmember:

Agency

Email

I confirm that all of the information in this rental reference is accurate
 Yes