Rental Application

Please type "N/A" for the fields that do not apply to you.

Address of property you are applying for

Address 1

Address 2

Applicant

WE WILL MAKE A COPY OF PHOTO IDENTIFICATION FOR ALL APPLICANTS AT THE LEASE SIGNING

Full Name

First Name

Last Name

Middle Initial

Social Security Number

Driver's License Number

State of Driver License

Date of Birth

YYYY

Photo ID

Yes

Phone Number

(###)

###

####

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Dates Lived at this Address

From-To

Reason for Leaving

Are you currently in a lease?

Yes

Have you given a notice?

Yes

Landlord/Manager's Name

Landlord/Manager's Phone Number

(###)

###

####

Landlord/Manager's Fax

(###)

###

####

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Dates Lived at This Address

From-To

Reason for Leaving

Landlord/Manager's Name

Landlord/Manager's Phone

(###)

###

####

Additional Occupants

List every person, including children, who will live with you:

Additional Occupant Name

First Name

Last Name

Relation to Applicant

Additional Occupant Name

First Name

Last Name

Relation to Applicant

Additional Occupant Name

First Name

Last Name

Relation to Applicant

Additional Occupant Name

First Name

Last Name

Relation to Applicant

Additional Occupant Name

First Name

Last Name

Relation to Applicant

Applicant's Employment History

List past 2 employers

Current Employer

Employer's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Employer's Phone Number

(###)

###

####

Name of Supervisor

First Name

Last Name

Dates Employed

From-To

Applicant's Position or TItle

Previous Employer

Previous Employer's Address

Address 1

Address 2

City

State/Province

Previous Employer's Phone

(###)

###

####

Name of Previous Supervisor

First Name

Last Name

Dates Employed

From-To

Applicant's Position or Title

Applicant's Credit and Financial Information

Checking Account Bank/Institution

Account Number

Approximate Gross Monthly Income

Applicant's Miscellaneous Information

Do you have any pets?

Yes

Do you smoke, or use tobacco in any form?

Yes

Would you place a waterbed on the property?

Yes

Have you ever been a part of any bankruptcy proceeding?

Yes

Have you ever been named party to any lawsuit?

Yes

Have you ever been evicted, or asked to leave any property?

Yes

Have you ever broken a lease?

Yes

Have you ever been convicted of, or plead guilty to, any crime?

Yes

Have you ever been arrested?

Yes

Have you ever been sued for damage to rental property?

Yes

Explain if 'Yes' to any of the above

How many vehicles will be on the property?

Make/Model/Color of Vehicles

In Case of Emergency or Death (pursuant to Title 41 O.S. 130.1A) notification is to be made to:

(Must not be co-applicant or another occupant)

Emergency Contact Name

Must not be a tenant.

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Relationship

Will any person that smokes or vapes occupy the property?

NOTICE: Smoking, including tobacco and marijuana, and vaping or use of any 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 sell or distribute marijuana, or products containing marijuana, at the Property. If Tenant or Tenant’s guests engage I such activities, Tenant will be subject to eviction and liable for any damages.

Applicant(s) Acknowledgement/Agreement and Authorization

Applicant(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, 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 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’s Broker will release information concerning the Owner’s experience with Applicant(s) as an Applicant/Tenant(s).

Applicant's Signature:

First Name

Last Name

Date

YYYY

Release of Information

I certify that all the information given above is true and correct and understand that my lease agreement may be terminated immediately if I have made any false, misleading, or incomplete statement in this application. I hereby authorize verification of the information provided in this application from my credit sources, current and previous landlords and employers, and personal references, and I indemnify them and the Rieger Realty, L.L.C. from any claims brought forth as a result of providing information in relation to this application.

Applicant's Signature

First Name

Last Name

Date

YYYY

Online Application

Please complete the form below

Rieger Realty, LLC

Residential Listings

RIEGER REALTY, LLC.
405.310.2796

Rental Application

Online Application

Please complete the form below

Rieger Realty, LLC

Residential Listings

RIEGER REALTY, LLC.405.310.2796

RIEGER REALTY, LLC.
405.310.2796