
 
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) 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 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.