Oklahoma Real Estate Commission - Residential Lease Application Form

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OKLAHOMA REAL ESTATE COMMISSION
OFFICE USE ONLY
____________________________________
Applicant Name (Last, First)
________________________________________________
Best phone number
RESIDENTIAL
LEASE APPLICATION
________________________________________________
Best email
Section 1. Rental Property/Lease Information
Property Address: _________________________________________________________________________________________________________________
1023 Rutter Road
Lease Start Date: _______________________________________________
Lease End Date: ____________________________________________
Rent Amount $ ______________________ payable in certified funds before or at time of possession.
1000.00
Security Deposit $ ____________________
payable in certified funds upon approval of application or
to be prepaid in advance by certified funds, shall not
750.00
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.
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: _______________________________________________
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)
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