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Rental Application and History Date: ___________________
724 South 2nd Street
Stilwell, OK 74960
Name of Tenant #1 __________________________________ Drivers License No: _____________________ State: ______
SS# ____________________________ DOB: ________________________ Phone #: ______________________________
How many bedrooms do you need? ___________ Desired Rental Payment: _______________ Marital Status: __________
Are You Section 8 Approved? ____Yes _____No If Yes how many bedrooms approved for: ______________________
Place of employment: ___________________________________________ Phone # ______________________________
Address: _________________________________ Years worked: ________________ Supervisor _____________________
Your job Title _________________________ Work Hours: _______________________ Monthly Pay: _________________
Other Income: _________________ Spouse Name: _______________________ Children name: _____________________
Name of Tenant #2 __________________________________ Drivers License No: _____________________ State: ______
SS# ____________________________ DOB: ________________________ Phone #: ______________________________
Place of employment: ___________________________________________ Phone # ______________________________
Address: _________________________________ Years worked: ________________ Supervisor _____________________
Your job Title _________________________ Work Hours: _______________________ Monthly Pay: _________________
Do you intend to reside indefinitely? ____ Yes ____ No If no, how long will are you needing to reside ____________
Have you ever filed Bankruptcy? ____Yes ____ No Are you a party to any lawsuit? ____ Yes ____ No
If yes, please describe _________________________________________________________________________________
Are there any judgments against you? ____ Yes ____ No By whom: ________________________________________
If yes, please describe _________________________________________________________________________________
Bank Name: _________________________ Address: _________________________ Phone: _________________________
Do you have any pets? ____ Yes ____ No How many? _______ If yes, what kind(s) ________________________________
Have you ever been evicted from a rental unit? _____ Yes _____ No If yes, why? ________________________________
Credit References: Personal References:
Name: ______________________ Phone: _______________ Name: ______________________ Phone: _______________
Name: ______________________ Phone: _______________ Name: ______________________ Phone: _______________
Name: ______________________ Phone: _______________ Name: ______________________ Phone: _______________
Present Address: ____________________________ How Long? _______ Name of Owner: ___________________________
Owner Phone: _______________________ Reason for leaving? ________________________________________________
Present Address: ____________________________ How Long? _______ Name of Owner: ___________________________
Owner Phone: _______________________ Reason for leaving? ________________________________________________
By your signature hereon, you agree that the information disclosed by you herein is true, complete and accurate to the best of my knowledge, and you agree that the information disclosed by you herein is material to the potential Lessor’s decision with respect to granting or denying your application to enter a Month-to-Month Lease.
CONSENT TO CREDIT CHECK
I / We, ____________________________________________, the undesigned applicant(s) authorize landlord, or his / her / their agent to order and review my / our credit and criminal history and investigate the accuracy of the information contained in the application. I / We further authorize all backs, employers, creditors, references, and any and all other persons to provide to Landlord any and all information concerning my / our credit.
Signed: ________________________________ Date: _____________ Signed: _________________________ Date: _______________
Tenant #1 Tenant #2