Application for lease and credit check StartMain Applicant DetailsCo-applicant DetailsOther InformationTerms & ConditionsPaymentOKLAHOMA REAL ESTATE COMMISSIONThis is a legally binding Contract; if not understood, seek advice from an attorney.AddressRentRental property address: 8743 St George Way, Midwest City, Oklahoma, 73110Requested Lease Start Date *MonthSelect month1234567891011124DaySelect day123456789101112131415161718192021222324252627282930316YearSelect Year2100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232025Processing Fee The Lease Application and Processing Fee is $50 for each applicant, payable on the completion of this application form. This Processing Fee is NOT REFUNDABLE.The documentation and paperwork fee is $100, payable to the agent at the time of signing the lease agreement. Security Deposit Security Deposit $1350/ payable in certified funds upon approval of the Lease Application. Rent Amount $1350/Month payable in certified funds before or at time of possession. NOTICE: The Property is offered for lease without regard to sex, race, religion, color, age, handicap, familial status or national origin. MAIN APPLICANT INFORMATIONThis page asks for the detailed information on the main applicantEnter Full Name *Social Security # *Please enter your Social Security Number (SSN)Driver's License # *Please enter your Driver's License numberDate of Birth *Mobile number *Email Address *Upload Photo ID *Drag and Drop (or) Choose FilesPlease upload photo ID of the Applicant.Present address detailsEnter address *Please enter your current address with ZIP codeRent/Mortgage Pmt. *How long? *Enter number of years and months you have been the resident in this addressPresent Landlord/Mortgage Co.PhoneReason for Leaving *0 / 100Employment HistoryPlease enter your employment details in this sectionCurrent employer detailsEmployer *Phone *Position *How long have you been employed *Gross Monthly Income *Address *Enter full addressOther IncomeProof of other income also can be uploaded along with the proof of main income.Upload Income Proof *Drag and Drop (or) Choose FilesPlease upload all your income proofs.Do you have a checking/savings account? *YesNoName of bank *Have you ever?Filed for bankruptcy? *YesNoDate of Discharge? *Been evicted? *YesNoBroken a lease? *YesNoBeen convicted of a felony? *YesNoBeen sued for non-payment of rent? *YesNoBeen sued for damage to rental property? *YesNoExplain any Yes listed above:Personal Referencespeople or friends who have visited you in your current residence. NO RELATIVESReference 1:NameRelationshipCan be reached via PhoneReference 2:NameRelationshipCan be reached via PhoneCO-APPLICANT INFORMATIONDo you have a co-applicant? *YesNoCo-Applicant Full Name *Social Security # *Please enter your Social Security Number (SSN)Driver’s License # *Please enter your Driver’s License numberDate of birth *Mobile numberEmail AddressUpload Photo ID *Drag and Drop (or) Choose FilesPlease upload photo ID of Co-Applicant.Present address detailsEnter AddressPlease enter your present address details with ZIP codeRent/Mortgage Pmt.How long?Enter number of years and months you have been the resident in this addressPresent Landlord/Mortgage Co.PhoneReason for LeavingCo-Applicant Employment HistoryCurrent employer detailsCo-Applicant’s EmployerPhoneHow long?Employer AddressPositionGross Monthly IncomeUpload Income Proof *Drag and Drop (or) Choose FilesPlease upload all your income proofs.Do you have a checking/savings account? *YesNoName of bankHave you ever:Filed for bankruptcy? *YesNoDate of Discharge? *Been evicted? *YesNoBroken a lease? *YesNoBeen convicted of a felony? *YesNoBeen sued for non-payment of rent? *YesNoBeen sued for damage to rental property? *YesNoExplain any yes listed above:OTHER INFORMATIONDo you have occupants other than Applicant and Co-Applicant ? *YesNoIf yes, please list the name and age of other occupantsName *Age *If 18 or above, an ID proof is required.Upload Photo ID *Choose FileNo file chosenDelete uploaded filePlease upload photo ID.NameAgeIf 18 or above, an ID proof is required.Upload Photo ID *Choose FileNo file chosenDelete uploaded filePlease upload photo ID.NameAgeIf 18 or above, an ID proof is required.Upload Photo ID *Choose FileNo file chosenDelete uploaded filePlease upload photo ID.NameAgeIf 18 or above, an ID proof is required.Upload Photo ID *Choose FileNo file chosenDelete uploaded filePlease upload photo ID.NameAgeIf 18 or above, an ID proof is required.Upload Photo ID *Choose FileNo file chosenDelete uploaded filePlease upload photo ID.No other individuals shall occupy the Property other than those named above.Pet InformationPets:YesNoHow many ? *What kind ? *Please mention the breed, age and weight of pets.Neutered:YesNoService/Assistance Animal:YesNoHow many ? *What kind ? *Please mention the kind, breed and size of pets.Neutered:YesNoNOTICE: Unless the Applicant, Co-Applicant or other occupant(s) has a disability or disability-related need for an assistance animal that is readily apparent, you may be requested to provide reliable supporting documentation that (1) is necessary to verify that the person meets the definition of disability pursuant to the Fair Housing Act, (2) describes the needed accommodation, and (3) shows the relationship between the person’s disability and the need for the requested accommodation. Notwithstanding the absence of an additional deposit for a service/assistance animal, a tenant shall be responsible for any damages caused by the animal. Will any person that smoke or vape occupy the property ?YesNoNOTICE: Smoking, including tobacco and marijuana, and vaping or the any use of e-cigarettes on the interior or exterior of the Property is not permitted, and should such occur by Tenant or Tenant’s guests, Tenant shall be responsible for the cost of having Property painted, walls washed, interior deodorized, air ducts and filters cleaned, and carpets and draperies professionally cleaned, and any other cost to repair any other damage. If smoking or vaping occurs it could be cause for the issuance of an eviction notice. Tenant shall not grow or cultivate marijuana on the interior or exterior of the Property. Tenant shall not sell or distribute marijuana, or products containing marijuana, at the Property. If Tenant or Tenant’s guests engage in such activities, Tenant will be subject to eviction and liable for any damages.More InformationMake and Year and License Tag Number of AutomobilesDescribe water-filled furniture you want to have in the PropertyTERMS & CONDITIONSBroker RelationshipsBroker shall have the following duties to all parties in a transaction, which are mandatory and may not be abrogated or waived by Broker: 1. Treat all parties with honesty and exercise reasonable skill and care; 2. Unless specifically waived in writing by a party to the transaction: a) receive all written offers and counteroffers, b) reduce offers or counteroffers to a written form upon request of any party to a transaction, and c) c)present timely such written offers and counteroffers; 3. Timely account for all money and property received by Broker; 4. Keep confidential information received from a party or prospective party confidential. The confidential information shall not be disclosed by a firm without the consent of the party disclosing the information unless consent to the disclosure is granted in writing by the party or prospective party disclosing the information, the disclosure is required by law, or the information is made public or becomes public as the result of actions from a source other than the firm. The following information shall be considered confidential and shall be the only information considered confidential in a transaction: a) that a party or prospective party is willing to pay more or accept less than what is being offered; b) that a party or prospective party is willing to agree to financing terms that are different from those offered; c) the motivating factors of the party or prospective party purchasing, selling, leasing, optioning, or exchanging the property; and d) information specifically designated as confidential by a party unless such information is public. 5. Disclose information pertaining to the property as required by the Residential Property Condition Disclosure Act; and 6. Comply with all requirements of The Oklahoma Real Estate License Code and all applicable statutes and rules. B. B. Broker shall have the following duties and responsibilities only to a party for whom the broker is providing brokerage services in a transaction which are mandatory and may not be abrogated or waived by Broker: 1. Inform the party in writing when an offer is made that the party will be expected to pay certain costs, brokerage service costs and approximate amount of costs; and 2. Keep the party informed regarding the transaction. C. When working with both parties to a transaction, the duties and responsibilities set forth in this section shall remain in place for both parties. Specific Directions: Owner and Broker agree that the specific directions provided for in the Broker Relationship Act shall be inwriting, and Owner shall pay any costs Broker incurs in complying with such instructions.Applicant(s) acknowledgement/agreement & AuthorizationApplicant(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 ’Owner’s Broker. Applicant(s) authorizes all parties from whom such information is requested to release the information without giving me prior notice of such. I hereby release and agree to hold harmless the Owner, Owner’s Broker and all parties requesting or releasing such information from any and all claims, demands or liabilities arising out of or related to the investigation and release of such information. Applicant(s) acknowledges that false information may constitute a breach of the lease entitling the Owner, at the Owner’s option, to terminate the Lease and demand you vacant the Property. Further, Applicant(s) expressly authorizes Owner and/or Owner’s Broker (including a collection agency) to obtain Applicant(s) consumer credit report, which Owner and/or Owner’s Broker 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 Owner and/or Owner’s Broker whether or not approved. Applicant(s) understands and agrees that, in the future upon request, the Owner and/or Owner’s Broker will release information concerning the Owner’s experience with Applicant(s) as an Applicant/Tenant(s). Applicant(s) understands and agrees that this Lease Application will not be processed without the “Processing Fee” set out in Section 1. Applicant(s) further agrees and understands that this Processing Fee will NOT BE REFUNDED regardless of whether Owner accepts this Lease Application for lease of the Property and the Reserve Property Fee shall NOT BE REFUNDED if the Lease Application is approved and Applicant(s) fails to sign a Lease and take possession of the Property.I have read and understood the Section 5 Broker RelationshipApplicant’s Signature *By entering your name above you agree to the terms and conditions of this applicationDate *Co-Applicant’s Signature *By entering your name above you agree to the terms and conditions of this applicationDate *MAKE PAYMENTPlease make the payment towards Lease Application and Processing Fee here to submit your application.Credit / Debit Card *Submit Information & PaymentPlease do not fill in this field.
