This form was created by the Oklahoma Real Estate Contract Form Committee and approved by the Oklahoma Real Estate Commission.
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LEASE APPLICATION (11-2020)
SECTION 4 OTHER INFORMATION
List name and age of occupants other than Applicant and Co-Applicant:
Name Age
No other individuals shall occupy the Property other than those named above.
Pets: Yes No if yes, how many? what kind?
breed weight age Neutered: Yes No ■ Indoors ■ Outdoors
breed weight age Neutered: Yes No ■ Indoors ■ Outdoors
Service/Assistance Animal: Yes No if yes, what kind?
breed weight age Neutered: Yes No ■ Indoors ■ Outdoors
NOTICE: Unless the Applicant, Co-Applicant or other occupant(s) has a disability or disability-related need for
an assistance animal that is readily apparent, you may be requested to provide reliable supporting documentation
that (1) is necessary to verify that the person meets the denition of disability pursuant to the Fair Housing Act, (2)
describes the needed accommodation, and (3) shows the relationship between the person’s disability and the need
for the requested accommodation. Notwithstanding the absence of an additional deposit for a service/assistance
animal, a tenant shall be responsible for any damages caused by the animal.
Will any person that smoke or vape occupy the property? Yes No
NOTICE: Smoking, including tobacco and marijuana, and vaping or the any use of 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 lters 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 grow or cultivate marijuana
on the interior or exterior of the Property. Tenant shall not sell or distribute marijuana, or products containing
marijuana, at the Property. If Tenant or Tenant’s guests engage in such activities, Tenant will be subject to eviction
and liable for any damages.
Do you have Tenant’s Homeowners Insurance Coverage? Yes No
If so, what is the name of your Insurance Company
Make and Year and License Tag Number of Automobiles
Will trailers, boats, motorcycles, motor homes or commercial vehicles be stored at the Property? List
Describe water-lled furniture you want to have in the Property