Fillable Printable Residential Lease Application - Oklahoma

Residential Lease Application - Oklahoma

This form was created by the Oklahoma Real Estate Contract Form Committee and approved by the Oklahoma Real Estate Commission

OREC RESIDENTIAL LEASE APPLICATION (11-2012) Page 1 of 4

OKLAHOMA REAL ESTATE COMMISSION

RESIDENTIAL

LEASE APPLICATION

Section 1. Rental Property/Lease Information

Section 2. Applicant Information (A copy of photo identification for all applicants must be submitted with this application)

Applicant

Name: ___________________________________________________________________________________________________________________________

(First, Middle, Last)

Soc. Sec. #: _______________ - ________________ - ________________ Date of Birth: _____________________________________________________

Best Phone #: _________________________________________________ Work#: ________________________ Cell #: __________________________

Email: _______________________________________________________ Drivers Lic. #: __________________ Photo ID: _______ Yes _________ No

In Case of Emergency or Death (pursuant to Title 41 O.S. §130.1A) notification is to be made to:

Name: _____________________________________________________ Phone: _____________________ Alt. Phone: ____________________________

Must not be a co-applicant or someone who will be residing in the residence with you.

Address: ___________________________________________________ Relationship: _______________________________________________________

Present Address Information Previous Address Information

Is present Landlord related to you? _________________________________ Was Landlord related to you? ________________________________________

Address: _____________________________________________________ Address: ________________________________________________________

City: _______________________________ State: ____ Zip: ____________ City: ____________________________ State: ____ Zip: __________________

How long? Years ____ Months _______ Rent/Mortgage Pmt. ___________ How long? Years ____ Months ________ Rent/Mortgage Pmt. ______________

Present Landlord/Mortgage Co: ___________________________________ Present Landlord/Mortgage Co: ______________________________________

Phone: _______________________________________________________ Phone: __________________________________________________________

Reason for Leaving: ____________________________________________ Reason for Leaving: _______________________________________________

OFFICE USE ONLY

____________________________________

Applicant Name (Last, First)

________________________________________________

Best phone number

________________________________________________

Best email

Property Address: _________________________________________________________________________________________________________________

Lease Start Date: _______________________________________________ Lease End Date: ____________________________________________

Rent Amount $ ______________________ payable in certified funds before or at time of possession.

Security Deposit $ ____________________ payable in certified funds upon approval of application or to be prepaid in advance by certified funds, shall not

be refunded if application is approved and applicant fails to execute a lease and take possession of the subject property. Prepaid security deposit shall be

refunded if application is not approved.

____________________ Deposit $ _______________ payable in certified funds upon approval of application.

Processing Fee. The Application and Credit Check Processing Fee is $ _________________________ for each credit report, payable in cash, certified funds at

time of application. Employment, personal references, credit records, public records, current and previous property landlords’ references and criminal records

may be checked as part of the processing of the application. This Processing Fee is NOT REFUNDABLE.

Upon approval of application, applicant has the right to receive a copy of the lease for review for ______ days (3 days if left blank) before they are

required to sign.

NOTICE: The above Property is offered for lease without regard to sex, race, religion, color, handicap, familial status, age or national origin.

RESIDENTIAL LEASE APPLICATION (continued)

This form was created by the Oklahoma Real Estate Contract Form Committee and approved by the Oklahoma Real Estate Commission

OREC RESIDENTIAL LEASE APPLICATION (11-2012) Page 2 of 4

Section 3. Co-Applicant Information (A copy of photo identification for all applicants must be submitted with this application)

Employment History

Current Employer: ______________________________________________________ Previous Employer: _______________________________________________________

Position: _____________________________________________________________ Position: ________________________________________________________________

Address: _____________________________________________________________ Address: ________________________________________________________________

City: ___________________________________ State: ______ Zip: ______________ City: _______________________________ State: ______ Zip: ____________________

How Long: __________________ Gross Monthly Income: ______________ How Long: ________________ Gross Monthly Income: ___________________

Supervisor: ___________________________________ Phone #: ________ Supervisor: _____________________________ Phone #: _______________

Other Income: ___________________ Source: ___________________

Do you have a checking/savings account? ___No ___Yes, if yes what bank? __________________________________________________________________

Have you ever:

Filed for bankruptcy? ___No ___Yes, if yes date of discharge? ___________________________________________________________________________

Been evicted? ___No ___Yes, please explain _________________________________________________________________________________________

Broken a lease? ___No ___Yes, please explain _______________________________________________________________________________________

Been convicted of a felony/misdemeanor? ___No ___Yes, for ____________________________________________________________________________

Been sued for nonpayment of rent? ___No ___Yes, please explain ________________________________________________________________________

Been sued for damage to rental property? ___No ___Yes, please explain ___________________________________________________________________

Applicant

Name: ___________________________________________________________________________________________________________________________

(First, Middle, Last)

Soc. Sec. #: _______________ - ________________ - _________________ Date of Birth: _____________________________________________________

Best Phone #: __________________________________________________ Work#: ________________________ Cell #: __________________________

Email: ________________________________________________________ Drivers Lic. #: ___________________ Photo ID: _______ Yes __________ No

In Case of Emergency or Death (pursuant to Title 41 O.S. §130.1A) notification is to be made to:

Name: ______________________________________________________ Phone: _____________________ Alt. Phone: ____________________________

Must not be a co-applicant or someone who will be residing in the residence with you.

Address: ____________________________________________________ Relationship: _______________________________________________________

Present Address Information Previous Address Information

Is present Landlord related to you? _________________________________ Was Landlord related to you?________________________________________

Address: ______________________________________________________ Address: ________________________________________________________

City: _______________________________ State: ____ Zip: _____________ City: ____________________________ State: ____ Zip: __________________

How long? Years _______ Months _______ Rent/Mortgage Pmt. _________ How long? Years ________ Months ______ Rent/Mortgage Pmt. ____________

Present Landlord/Mortgage Co: ____________________________________ Present Landlord/Mortgage Co: ______________________________________

Phone: _______________________________________________________ Phone: _________________________________________________________

Reason for Leaving: _____________________________________________ Reason for Leaving: _______________________________________________

RESIDENTIAL LEASE APPLICATION (continued)

This form was created by the Oklahoma Real Estate Contract Form Committee and approved by the Oklahoma Real Estate Commission

OREC RESIDENTIAL LEASE APPLICATION (11-2012) Page 3 of 4

Section 4. Other Information

Occupant Information

List name, ages, and relationship of occupants other than Applicant(s):

Name Age Relationship

________________________________________________________ ______________________ __________________________________________

No other individuals shall occupy the premises other than those named above.

Pet information:

List name, ages, breed, and other requested information for pet(s):

Name Breed Sex Weight Age Neutered/Spayed Indoor Outdoor

__________________________________ ______________________ __________ _______ ______ ____ No ____ Yes ____ ____

No other pets shall occupy the premises other than those named above.

General Information:

Will any smokers occupy the property? _____ No _____Yes

Do you have Tenant’s Homeowners Insurance Coverage? ______ No ______ Yes, Insurance Company: __________________________________________

Vehicle Information: List automobiles trailers, boats, motorcycles, motor homes, or commercial vehicles be stored at the Property?

Make and Model: _________________________________________________________________________ License Plate #: ________________________

Employment History

Current Employer: _____________________________________________________ Previous Employer: ______________________________________________________

Position: _____________________________________________________________ Position: _______________________________________________________________

Address: _____________________________________________________________ Address: _______________________________________________________________

City: ___________________________________ State: _______ Zip: _____________ City: _______________________________ State: _______ Zip: ___________________

How Long: __________________ Gross Monthly Income: ______________ How Long: _______________ Gross Monthly Income: ___________________

Supervisor: ___________________________________ Phone #: ________ Supervisor: ______________________________ Phone #: _______________

Other Income: ____________________ Source: ___________________

Do you have a checking/savings account? ___No ___Yes, if yes what bank? __________________________________________________________________

Have you ever:

Filed for bankruptcy? ___No ___Yes, if yes date of discharge? ___________________________________________________________________________

Been evicted? ___No ___Yes, please explain _________________________________________________________________________________________

Broken a lease? ___No ___Yes, please explain ________________________________________________________________________________________

Been convicted of a felony/misdemeanor? ___No ___Yes, for ____________________________________________________________________________

Been sued for nonpayment of rent? ___No ___Yes, please explain ________________________________________________________________________

Been sued for damage to rental property? ___No ___Yes, please explain ___________________________________________________________________

RESIDENTIAL LEASE APPLICATION (continued)

This form was created by the Oklahoma Real Estate Contract Form Committee and approved by the Oklahoma Real Estate Commission

OREC RESIDENTIAL LEASE APPLICATION (11-2012) Page 4 of 4

Section 5. Acknowledgement, Agreement and Authorization

Applicant(s) represents that all of the above statements are true and complete and authorizes verification of all of the above information by all means

available, including employment, personal references, credit records, public records, current and previous property owners and criminal records by

the Owner and/or Property Manager. Applicant(s) acknowledges that false information may constitute a breach of the lease entitling the Property

Owner, at the Property Owner’s option, to repossess the Property. Further, Applicant(s) expressly authorizes Owner and/or Property Manager

(including a collection agency) to obtain Applicant(s) consumer credit report, which Owner and/or Property Manager may use if attempting to collect

past due rent payments, late fees, or other charges from Applicant(s) both during the term of the lease and thereafter.

Applicant(s) also understands and agrees that this application will be retained by the Owner and/or the Owner’s Property Manager whether or not

approved. Applicant(s) understands and agrees that, in the future upon request, the Owner and/or the Owner’s Property Manager will release

information concerning the Owner’s experience with Applicant(s) as an Applicant/Tenant(s). Applicant(s) understand and agrees that this application

will not be processed without the “Processing Fee” set out in Section 1. Applicant further agrees and understands that this Processing Fee will NOT

BE REFUNDED regardless of whether or not the Owner accepts this application for residency and the Pre-paid Security Deposit shall NOT BE

REFUNDED if application is approved and applicant fails to execute a lease and take possession of the subject Property.

_______________________________________________________ ________________________________________________________

Applicant’s Signature Applicant’s Signature

____________________________________________________________________ ______________________________________________________________________

Date Date

The undersigned Broker acknowledges receipt of the non-refundable processing fee.

____________________________________________________________________________________ ____________________________

Broker’s Signature Date

Office Use Only:

Property Address being applied for: __________________________________________________________________________________________________________________

Security Deposit received on _________ by _______________________ ____________________ Deposit received on __________ by _____________________

Processing Fee received on _________ by _______________________ ___________________________ received on __________ by _____________________