Landlord Tenant Questionnaire for Landlord
Name of landlord Home Address City/Zip Code
Telephone/Day Telephone/Evening Cell Phone/Pager
Primary Language
Management Company Address: Management Company Phone Number:
Rental property address: Number of tenants: Style of Building:
Bathrooms: Bath: Kitchen: Fireplace: Storage:
Heating: Heat: Hot Water: Electric: Pets:
Laundry: Rooms: Flooring: Parking: Lease Type:
De-leaded? Yes No
Whose name(s) is on the title to the property?
Does anyone have an option to purchase the property? Yes No If yes, name
Are there any loans/mortgages on the property? Yes No If yes:
Lender Address Phone
Number Loan
Amount Outstanding
Balance Monthly
Payment Past
Due
Amount, If Any
Are all taxes current? Yes No If no, delinquent amount
Are there any claims/liens on the property? Yes No If yes, describe
Is the property insured? Yes No If yes, name of insurer and policy number
Do you run classified ads? Yes No If yes, describe
What are the restrictions on prospective tenants?
What are the restrictions on rentals?
Do you receive any government funds? Yes No If yes, describe
How much do you spend a month on maintenance?
What improvements have been undertaken to your properties in the last 3 years?
List all employees/contractors who provide services at the property:
Name Service
Provided Address Phone Number Employment
Status
Employee
Independent
Contractor
Employee
Independent
Contractor
Employee
Independent
Contractor
Employee
Independent
Contractor
Employee
Independent
Contractor
Employee
Independent
Contractor
Employee
Independent
Contractor
Employee
Independent
Contractor
Employee
Independent
Contractor
Employee
Independent
Contractor
SAFETY
Has there ever been a break-in the past? Yes
No If yes, describe
Is the street/parking area well lit at night? Yes No
Does the property have secure locks on all the doors and windows? Yes No
Have the police been called to the property in the past? Yes No If yes, describe
CONDITION OF PROPERTY:
Have you ever been cited for a building code/housing violation? Yes No If yes,
describe, including status
What utilities are included in the rent?
What appliances does the landlord supply?
Is the rental furnished? Yes No What is the condition of the furniture available?
What type of insulation and weatherproofing does the unit have?
TENANT
Tenant’s name:
Tenant’s current address: Tenant’s home phone: Tenant’s work phone: Tenant’s cell phone:
Address of tenant’s unit and unit number involved in dispute:
Did you perform a background check on the tenant? Yes No
WRITTEN LEASES
What is the term of the lease?
Is the tenant’s name on the lease? Yes No If no, whose name is on the lease?
Is the tenant subletting the apartment? Yes No If yes, was it approved? Yes
No
Does the tenant pay the rent? Yes No If no, who pays the rent?
When is the rent paid?
Did the tenant pay a security deposit when you moved in? Yes No
Have you tried to remove the tenant or the tenant’s belongings? Yes No
Have you or the sheriff given you any notices? Yes No
When did you give the notice? How was the notice delivered?
What type of a notice was it?
Why was there no cure?
Why was the notice given?
Is this your first notice? Yes No If no, explain other notices
Have you had a hearing over this notice? Yes No If yes, what was the result?
Have you been to court over this issue/notice? Yes No If yes, what was the result?
Have you been in court before with this tenant? Yes No If yes, when were in
court before?
Do you have a court date for this action? Yes No If yes, in which court is the
proceeding?
ORAL LEASES
Is the term of the lease longer than one year? Yes No If yes, when did the tenant
sign the lease?
Does the tenant the rent? Yes No If no, who pays the rent?
When is the rent paid?
Did the tenant pay a security deposit when you moved in? Yes No
Has the landlord tried to remove you or your belongings? Yes No
Have you or the sheriff given you any notices? Yes No
When did you give the notice?
How was the notice delivered?
What type of a notice was it?
Why was there no cure?
Why was the notice given?
Is this your first notice? Yes No If no, explain other notices
Have you contacted anyone about the notice? Yes No If yes, who?
Have you had a hearing over this notice? Yes No If yes, what was the result?
Have you been to court over this issue/notice? Yes No If yes, what was the result?
Have you been in court before with this tenant? Yes No If yes, when were in
court before?
Do you have a court date for this action? Yes No If yes, in which court is the
proceeding?
NO LEASE
Did you ever have a lease for this apartment? Yes No
If no, did you have an oral agreement? Yes No
If no, do you receive rent each month? Yes No
Did the tenant move in with someone who was already living there? Yes No If
yes, who?
When was the unit last vacant?
Was it vacant when the tenant moved in? Yes No
Did the current tenant take over the unit from another tenant, rather than having the you
rent the unit out? Yes No If yes, who?
Do any of the original people still live there? Yes No If yes, who?
Do you negotiate with the tenant regarding issues at the building? Yes No
Did the tenant who had a direct contractual relationship with the you ever tell the you in
writing that the current tenant was there? Yes No
Was the current tenant’s name ever mentioned in writing? Yes No
Did the you accept rent after that? Yes No From you? Yes No
Did the lease for this apartment expire? Yes No If no, why isn’t there a lease?
Is the tenant still living in the apartment? Yes No
Is the tenant’s property still in the apartment? Yes No If yes, how long has it
been there?
Have you tried to remove the tenant or their property? Yes No
Have you or the sheriff given the tenant any notices? Yes No
When did you give the notice? How was the notice delivered?
What type of a notice was it?
Why was there no cure?
Why was the notice given?
Is this the first notice?
Yes No If no, explain other notices
Have you contacted anyone about the notice? Yes No If yes, who?
Have you had a hearing over this notice? Yes No If yes, what was the result?
Have you been to court over this issue/notice? Yes No If yes, what was the result?
Have you been in court before with this tenant? Yes No
If yes, when were in court before?
Do you have a court date for this action? Yes No
If yes, in which court is the proceeding?
EVICTION
What is your reason for eviction?
Have the police been called to the unit? Yes No If yes, why?
Do you suspect illegal activity at the tenant’s unit? Yes No If yes, why?
Have you or the sheriff delivered any documents to the tenant? Yes No
If yes, what type of document was it?
Before you sent the summons, did you send any notice(s)?: Yes No
How many notices did you send? When did you send it/them?
How did you send the notice(s)? Posted/taped to door In mail Handed to Other
What type(s) of notice(s) did you get? (if defendant(s) didn’t get notice, what type was
attached to complaint?): 3-day 10-day 14-day 30-day 60-day 90-
day
What reason was given in the notice(s)? If nonpayment, how much rent
demanded?
What is the tenant’s response? Are any of the allegations true?
Have you filed any documents with the court? Yes No
Why do you believe the tenant should be evicted?
Have you filed a complaint for small claims court? Yes No If yes, what is the date
of the hearing?
Have you already attended a hearing regarding the eviction? Yes No If yes, what
was the result?
Have you been to court? Yes No If yes, what was the result?
If no do you have a court date? Yes No
Have you been in court with this tenant before? Yes No If yes, when were you in
court?
Did the tenant call inspectors or go to Rent Board?
How would you like to resolve this problem?
SECURITY DEPOSITS
Did you receive a security deposit when the tenant moved in? Yes No If no, who
paid the security deposit?
How much did you receive for a security deposit?
Did you give a receipt for the security deposit? Yes No
Have you paid interest on the deposit each year?: Yes No D/K Some
years When last paid?
Is the tenant going to move out of the apartment? Yes No
Has the tenant already moved out of the apartment? Yes No
If yes, did you receive notice in writing of the tenant’s new address? Yes No
Have you returned the security deposit? Yes No
If no, how long has it been since the tenant moved out?
If no, did the you give the tenant a letter indicating why you kept the security deposit?
Yes No
If no, did you give the tenant a detailed list of all the damages with the apartment when
the tenant moved out? Yes No If no, why did you keep the security deposit?
Did the tenant ever complain to the you about the condition of the apartment? Yes
No If yes, when did the tenant complain? If yes, how did the tenant complain?
Did you respond to the complaints? Yes No
Were there problems you didn’t repair? Yes No
How would you like to resolve this problem?
RENT PAYMENTS
How much was the rent when the tenant first moved in?: $ per due on .
How much is the tenant’s current rent?: $ per due on .
When does the tenant pay rent?
How does the tenant pay rent? Check Cash Money Order/Cashier’s check
Other
Do give receipts?: Yes No Sometimes
Did you save them?: Yes No Sometimes
Rent History:
Date Increase $
Date Increase $
Date Increase $
Date Increase $
If not sure of rent history, can you bring in notices of rent increase or other documents
(such as receipts) to show date and amount of each rent increase?: Yes No
Did you serve a written 30-day notice of each rent increase(s)?: Yes No
(Regardless of grounds for notice) How much rent is owed now? owed through
If any rent unpaid, why wasn’t rent paid on time?
BREACH OF THE WARRANTY OF HABITABILITY
Have any complaints been made about the following?:
infestation of rodents/cockroaches/insects defective plumbing roof leaks
damp walls falling plaster/sheet rock peeling paint cracks
missing or defective smoke detectors unsafe stairways/railings
defective electrical system inadequate heat inadequate security
holes in walls floors in disrepair windows leak air/don’t seal/don’t open
properly
gaps around doors inadequate trash receptacles/collection
common areas unclean defective appliances no secure mail receptacle
inadequate hot water Other
Were you asked to make repairs (actual notice)? Yes No
Have you entered the unit when the tenant wasn’t present? Yes No If yes,
describe
Did you or your agent know about the problems (constructive notice)? Yes No
Were repairs made? Yes No:
REPAIR AND DEDUCT
Did the tenant make or pay for repairs?: Yes No If yes, did you know?: Yes
No D/K
Did you give credit? Yes No
Did the tenant ask for credit? Yes No If yes, when?
How much money? $
TENDER OF RENT
Did the tenant offer to pay any rent before expiration of notice which you wouldn’t
accept or returned to the tenant? Yes No
If yes, when? Amount offered: Form and manner of tender
WAIVER
Did you do anything to cancel or contradict the notice upon which this action is based,
such as:
Say the tenant could ignore it? Yes No
Tell the tenant payment could be made after its expiration? Yes No
Tell the tenant you would accept payment plan for amount demanded? Yes No
Give the tenant another notice after it? Yes No
Say the tenant could have more time? Yes No
Other
Have you accepted rent from the tenant after the notice(s) to quit expired?: Yes
No If yes, amount $
Rent for what period? Form, date, and manner of payment
Have you ever:
Allowed the tenant to pay rent late? Yes No
Let the tenant get behind in payments and get caught up? Yes No
Let the tenant breach the covenant (if applicable)? Yes No If yes, explain
Other:
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