RENTAL APPLICATION

Property Address: 6200 NW 54th
City/State/Zip: Warr Acres, OK 73122
Unit Details: 2 Bed / 1 Bath – 900 sq. ft.
Monthly Rent: $925 (includes sewage service)
Security Deposit: $800
Application Fee: $50 (non-refundable; background check)
Pet Deposit: $200 per pet (non-refundable unless otherwise stated by landlord)

---

Applicant Information

Full Name: ____________________________________________
Date of Birth: ___________________
Phone Number: ____________________________________________
Email Address: ____________________________________________
Driver’s License / State ID #: ______________________________
State Issued: ____________________
Social Security Number: __________________________________

List all other occupants (names and ages):

---

---

---

Residence History

Current Residence

Address: _________________________________________________
City/State/Zip: ___________________________________________
Landlord/Complex Name: ___________________________________
Landlord Phone: __________________________________________
Monthly Rent: $_________
Dates of Residency: From ____________ To ____________
Reason for Leaving: ________________________________________

Previous Residence

Address: _________________________________________________
City/State/Zip: ___________________________________________
Landlord/Complex Name: ___________________________________
Landlord Phone: __________________________________________
Monthly Rent: $_________
Dates of Residency: From ____________ To ____________
Reason for Leaving: ________________________________________

---

Employment & Income

Current Employer

Employer: ________________________________________________
Position: _________________________________________________
Employer Address: _________________________________________
Supervisor Name: __________________________________________
Supervisor Phone: _________________________________________
Monthly Gross Income: $_________________
Start Date: ______________________

Previous Employer (if current job < 2 years)

Employer: ________________________________________________
Position: _________________________________________________
Employer Address: _________________________________________
Supervisor Name: __________________________________________
Supervisor Phone: _________________________________________
Monthly Gross Income: $_________________
Dates of Employment: From ____________ To ____________

Other Income (source & amount):

---

---

Financial & Legal Information

Have you ever been evicted?   ☐ Yes   ☐ No
If yes, explain: ___________________________________________________

Have you ever broken a lease?   ☐ Yes   ☐ No
If yes, explain: ___________________________________________________

Have you ever been convicted of a felony?   ☐ Yes   ☐ No
If yes, explain: ___________________________________________________

Do you owe money to any previous landlord?   ☐ Yes   ☐ No
If yes, explain: ___________________________________________________

Do you have any pending criminal charges?   ☐ Yes   ☐ No
If yes, explain: ___________________________________________________

---

Pets

Do you have pets?   ☐ Yes   ☐ No
If yes, list type, breed, weight, and age:

---

---

Pet Deposit: $200 per pet required prior to move-in.
Additional pet rent (if applicable): ___________________________

---

Emergency Contact

Name: ____________________________________________
Relationship: ______________________________________
Phone: _____________________________________________
Address: ___________________________________________

---

Vehicles

Make/Model: _______________________ Year: ______ Plate #: ________
Make/Model: _______________________ Year: ______ Plate #: ________

---

Authorization & Agreement

I certify that all information provided is true and complete. I authorize the landlord/management to verify all information, including:

Credit check

Background check

Employment verification

Rental history verification

I understand that:

The $50 application fee is non-refundable

Submission does not guarantee approval or create a lease

If approved, the $800 security deposit must be paid to hold the property

Monthly rent will be $925, including sewage service

Pet deposit is $200 per pet, due before move-in

Applicant Signature: ___________________________________
Date: _______________

Co-Applicant Signature (if applicable): ________________________
Date: _______________