Application for Housing

Property

Which property are you applying for? Available Properties Property not listed below 120 NW 17th, Oklahoma City, OK 73103

Property Address

General Information

Full Name

Email

Date of Birth

Phone Number

Social Security Number

Driver's License Number

Do you have any pets?

None

Dog (under 40lbs)

Dog (over 40lbs)

Cat

Residential History

Address

Address 2

City

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming District of Columbia Puerto Rico Guam American Samoa U.S. Virgin Islands Northern Mariana Islands

Zip Code

Reason for Leaving

How long have you lived there? Less than 6 months 6 months 1 year Over 2 years

Property Manager Contact

Credit History

Declared bankruptcy in the past several years?

Yes

No

Have you ever been evicted?

Yes

No

How many late payments have you had in the past year? 0 1 2 3 More than 3

Employment Information

Employment Status Full Time Part Time Student Unemployed

Employer

Employer Phone Number

Job Title

Monthly Income

How long have you worked there? Less than 6 months 6 months to a year 1 year 1-2 years Over 2 years

Are you currently an active member of the military?

Yes

No

Reference

Full Name

Phone Number

Address

Address 2

City

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming District of Columbia Puerto Rico Guam American Samoa U.S. Virgin Islands Northern Mariana Islands

Zip Code

Relationship

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