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
Section 1. Rental Property/Lease Information
Section 2. Applicant Information (A copy of photo identification for all applicants must be submitted with this application)
(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: _______________________________________________
Applicant Name (Last, First)
Best phone number
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.