Rental Application EACH ADULT OVER 18 YRS IS REQUIRED TO SUBMIT AN APPLICATION ****ALL FIELDS WITH A RED * MUST BE FILLED IN. IF IT DOES NOT APPLY, TYPE N/A.**** Step 1 of 5 20% Please Select A City*SelectTahlequahMuskogeeWhen Are You Looking to Move?* MM slash DD slash YYYY HiddenAddress of the House You Are Applying for* First Name* First Middle Name* Middle Last Name* Last Full Legal Names of All Other Adult Applicants With Middle Initial* Names of Children Living With You Ages of Children Living With You* Phone Number*Drivers Licence Number* Email* Date of Birth* MM slash DD slash YYYY EmploymentPlease Give Us Your Employment Information* Employed Full Time Employed Part Time Self Employed Student Retired Unemployed Where Are You Employed or What Is Your Source of Income?* No Current Employer/Income Name of Employer Dates Employed From* MM slash DD slash YYYY Dates Employed To MM slash DD slash YYYY Position* Supervisor PhoneMonthly Income*Previous Employer or Income Source (if Within 3 Years) Former Employer PhoneDates Employed From MM slash DD slash YYYY Dates Employed To MM slash DD slash YYYY Position Monthly Income ADDITIONAL INCOME<!--In The Income Box Above--> If there are additional sources of income you would like us to consider for this application, please give a brief description of where the income comes from as well as the total amount. Additional income sources might include but not limited to: **Social Security, Disability, Food Stamps, Section 8 assistance, Child Support, Retirement, or a second job. You do NOT have to reveal alimony, child support or spouse’s annual income unless you want us to consider it in this application.Description of Income Amount of Income Total Household IncomeEmployment income plus all other income for all household members.Total Household Income If you have been pre-approved for rental assistance, list the organization(s) assisting you Rental History I have no rent history Please Give Your Residence History for the Past 3 Years. (Beginning With the Most Current)* Address City SelectAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Month / Year Moved In* MM slash DD slash YYYY Month / Year Moved Out* MM slash DD slash YYYY Reason for Leaving* Landlord's Name* First Last Landlord's Phone Number*Monthly Payment*Please Provide the Second Previous Address. Address City SelectAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Month / Year Moved In MM slash DD slash YYYY Month / Year Moved Out MM slash DD slash YYYY Reason for Leaving Landlord's Name First Last Previous Landlord's Phone NumberMonthly Payment Please Provide the Third Previous Address. Address City SelectAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Month / Year Moved In MM slash DD slash YYYY Month / Year Moved Out MM slash DD slash YYYY Reason for Leaving Previous Landlord's Name First Last Previous Landlord's Phone NumberMonthly Payment PetsDo You Have Pets?* Yes No Number of PetsSelect0123+Breed(s) Age(s) Weight Indoor/Outdoor Crate Trained Yes No If I Have Pets, I Understand and Have Read the Pet Policy and That There Is a $350 Non-refundable Pet Fee Per Pet at the Time of Lease.* Yes, I understand and have read the Pet Policy Service or Emotional Support Animal If you have a Service or Emotional Support Animal, review the housing law regulations Here. Additional informationVehicle 1 - Make/Model/Color* Vehicle 1 - Tag No/State* Vehicle 2 - Make/model/color (if You Only Have 1 Vehicle Type N/a for Not Applicable) Vehicle 2 - Tag No/State Have You Ever Been Sued for Non-payment of Rent?* Yes No Have You Ever Been Evicted or Asked to Move Out?* Yes No Have You Ever Broken a Rental or Lease Agreement?* Yes No Have You Ever Been Sued for Damage to a Rental Property?* Yes No Have You Ever Declared Bankruptcy?* Yes No Do You Have Bank Account?* Yes No I understand All Rent Payments Are Made Through Apartments.com And Are Free When Using A bank Account* I Agree Please Give Any Additional Information That Might Help Management Evaluate Your Application:Additional Information - How Did You Hear About Us? Facebook Craigs List Web Site Zillow Family/Friend Referral Other If Management Has Any Additional Questions About Your Application, Please Provide Phone Numbers Where You Can Be Contacted.*In Case of Personal Emergency, Notify* Name Relation Someone not living with youEmergency Contact Phone*Emergency Contact Address* Address City State / Province / Region ZIP / Postal Code I Authorize You to Contact Previous Landlord(S), Credit and Personal References That I Have Given in This Application. I Also Authorize Management to Obtain My Consumer Credit Report, Criminal Report, and Any Other Reports Deemed Necessary by Management. The Information Provided in This Application, to the Best of My Knowledge Is True and Correct.* Signature of Applicant Date of Signature* MM slash DD slash YYYY HiddenSection BreakHiddenSection BreakNameThis field is for validation purposes and should be left unchanged.