Lancaster & Company

602 N. Cherokee

Claremore, OK 74017

Ph: 918-342-5456  Fax: 342-4942

Mailing Address: P.O. Box 2933, Claremore, OK 74018

LEASE APPLICATION
 
Processing Fee: The Application and Credit Check Fee is $25.00 payable in cash, money order or
certified funds ( No personal checks ) at the time of application.

This processing Fee is NOT REFUNDABLE.
 
Property Address: _____________________________________________________________
Requested Move-In Date: ______________________________________________________
Rent Amount: ________________________________________________________________
Security Deposit: ______________________________________________________________
 

INSTRUCTIONS

ALL Applicants 18 and over must:
1. Fill out the General Information Section
2. Provide a copy of photo identification
3. Sign the application
4. Submit a non-refundable $25.00 application fee in the form of cash, money order, or certified funds.
 

NOTICE

The above property is offered for lease without regard to sex, race, religion, color,

handicap, familial status or national origin.
 
 

General Information Section

Applicant One
Home #___________________ Cell#____________________ Work#_____________________
First Name:_____________________________ Middle Name: ___________________________
Last Name:_____________________________ DOB: Month ______ Date _______Year_______
Social Sec. #____________________________ Drivers License #_________________________
 
Current Address:_______________________________________________________________
City:__________________________________ State__________ Zip:______________________
Date Moved in: Month:___________________ Year__________ Monthly Rent: $_____________
Current Landlord: _______________________________________Fax# ____________________
Landlord Phone #:_______________________________________ Fax#____________________
Reason for leaving:_______________________________________________________________
 
Previous Address:______________________________________________________________
City:__________________________________ State__________ Zip: ______________________
Date Moved in: Month:___________________ Year__________ Monthly Rent: $_____________
Current Landlord: _______________________________________Fax# ____________________
Landlord Phone #:_______________________________________ Fax#____________________
Reason for leaving:_______________________________________________________________
 
Current Employer: _____________________________________________________________
Address:______________________________________________ Phone#__________________
Company Fax#:__________________________ Supervisor:______________________________
Position: _______________________________ Start Date: Month:_____________ Year _______
Monthly Income (Before Taxes): $_____________ Hourly Wage: $________________
 
Previous Employer: ____________________________________________________________
Address:______________________________________________ Phone#__________________
Company Fax#:__________________________ Supervisor:______________________________
Position: ________________________________ Start Date: Month:____________ Year _______
Monthly Income (Before Taxes): $_____________ Hourly Wage: $________________
 
Any other sources of income you would like us to consider: (Documentation needed)
____________________________________________________________________________
____________________________________________________________________________
 
 
Have you ever: Please circle Y for YES or N for No
Filed for Bankruptcy? Y N If so, date of discharge:_________/_________
Been evicted? Y N Been convicted of a felony Y N
Broken a lease? Y N Been sued for non-payment of rent? Y N
Are you a smoker? Y N Been sued for damage to rental property? Y N
Have you given notice to move at your current residence? Y N
Do you have a checking account? Y N  Savings Account? Y N
Bank name(s): ___________________________________________________________
______________________________________________________________________
Personal reference (non relative): ________________________________________________ 
Phone#:______________________________Relationship:________________________________
Emergency reference (relative):______________________________________________________
Phone#:______________________________Relationship:________________________________
 
Please list all occupants:
Name:

Age

 Relationship
________________________________________  _____  ______________________________
________________________________________  _____  ______________________________
________________________________________  _____  ______________________________
________________________________________  _____  ______________________________
________________________________________  _____  ______________________________
________________________________________  _____  ______________________________
 
Pets: Breed            Age      Name                 Weight       Neutered         Kept Inside or Outside
___________________________________________    Y  N                   IN             Out
___________________________________________    Y  N                   IN             Out
___________________________________________    Y  N                   IN             Out
___________________________________________    Y  N                   IN             Out
Please note there will be a  $250.00 deposit per pet.
 
List all vehicles including motorcycles, boats, trailers, etc. that will be located on the property:
 
Year                   Make                                  Model                         Color             Tag number
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
 

I authorize Lancaster and Co. to obtain  a credit report
Sign Line: ____________________________________________________________