Rental Address:________________________________ Lease term desired: 12 months Date ____________________20_____

Applicant__________________________________________ Direct telephone #____________________(Cell) (Pager) (Work) (Home)

S.S.#__________________________________________ DL#________________________________________ State_______

Present Address_________________________________ Landlord/Tel# _________________________________ How long?_________

Previous if less than 2 yrs____________________________Landlord/Tel#________________________________ How long?_________

Occupation _____________________________Address_________________________ How long?________ Wk #___________________

Previous Occupation (if less than 2yrs)________________________________________________________ Wk #___________________

Bank____________________________________ Tel#_________________ Checking Acct # ____________________________________

Co-applicant____________________________________________S.S.#_________________________DL#_________________________

Present Address_________________________________ Landlord/Tel# _________________________________ How long?_________

Co-applicant’s Occupation________________________________________Address_________________________ Tel#______________

How long?____________Previous if less than 2 yrs_______________________________________________________________________

Applicant’s Monthly Income $________________ Co-applicant’s Monthly Income $______________

Liabilities per month_______________________________________________________________________________________________

Number of Pets______ Type__________________________________________________ Indoor___________ Outdoor___________

List all occupants that will live at this address: (only the ages of children are needed)

Name________________________________________Age_______ Name_____________________________________Age________

Name________________________________________Age_______ Name_____________________________________Age________

2 Unrelated Personal References (Name, Address, Occupation, Tel.#)______________________________________________________

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

I represent that the information provided in this application is true to the best of my knowledge, and hereby authorize Marc Cassens to verify my credit, rental history, employment, and conduct a background investigation with the processing of this application.

Applicant Signature ___________________________________________________________ DATE_______________________ 20_____

Co-applicant Signature_________________________________________________________ DATE_______________________ 20_____

Fax, e-mail, or mail signed & completed application to:    marc@soonerhomesales.com