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Rent and Lease Template
Rental Application Template
Verification of rent sample
Verification of rent sample
1
WIA.39
Page 1 of 1
10/02/06
VERIFICATION OF RENT (SAMPLE)
Service Provider:
This will serve as verification of rent for:
In the amount of:
For the period of:
to
(Month/Day/Year)
(Month/Day/Year)
The address of the rental unit is:
MT
(Street Address)
(City)
Zip
Landlord’s Federal ID# or Social Security #
Landlord’s Signature
Landlord’s Address
Landlord’s Printed Name
City, State & Zip
Landlord’s Phone Number
Date
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Verification of rent sample
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