Oklahoma Residential Lease Application Form

The Oklahoma Residential Lease Application is a form that allows an owner or manager of a property in the State of Oklahoma to conduct a thorough credit check. This form is authorized by the Oklahoma Real Estate Commission.

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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/Mort gage 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 le ft 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 -A pplicant 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:  ___________________   
D o 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?  ___N o ___ 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 L eaving: ________________________________ _____________  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   ____ Yes  ____   ____ 
  ________________________________ __   ______________________    __________     _______    ______   ____ 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 #:  ________________________   
Make and Model:  ________________________________ _________________________________________  License Plate #:  ________________________   
Make and Model:  ________________________________ _________________________________________  License Pla te #: ________________________   
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:  ___________________   
D o 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 abov e information by all means 
available, including employment, personal references, credit records, public records, current and previo us 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 ent itling the Property 
Owner, at the Property Owner’s option, to repossess the Property.  F urther, 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, o r 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 Mana ger whether or not 
approved.  Applicant(s) und erstands 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 agree s 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 ack nowledges 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  _____________________