Fillable Residential Lease Application Form (Page 4 of 4) in pdf

RESIDENTIAL LEASE APPLICATION (continued)

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

____________________________________________________________________

______________________________________________________________________

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 _____________________

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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