Residential Lease Application

Property Address

Applicant Information

(A copy of photo identification for all applicants must be submitted with this application)

Name (First, Middle, Last)

Social Security #

Birthday

Month

Day

Year

Best Phone #

Work #

Cell Phone #

Drivers Lc. #

Photo ID Upload

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

Name (must not be co-applicant or someone who will be residing in the residence with you)

Phone

Alt. Phone #

Is present Landlord related to you?

Address

How long? Years___, Months___, Rent/Mortage Pmt._____

Present Landlord/Mortgage Co:

Phone

Reason For Leaving:

Is previous Landlord related to you?

Address

How long? Years___, Months___, Rent/Mortage Pmt._____

Previous Landlord/Mortgage Co:

Phone

Reason For Leaving: