Stillwater Realty Unlimited Inc $30/person $60/married couple
307 W. Burris Rd Stillwater OK 74075 VALID PHOTO ID REQUIRED
(405) 624-6325 www.sruihome.com Rental:___________________
CREDIT & BACKGROUND APPLICATION
Name: ____________________________________________________________________________________
(Last Name) (First Name) (Middle Name) (Prefered Name if Different)
Social Security #: __________________________ Date of Birth: ______________ Age: ________
Current Address: ____________________________________________________________________________
(city) (state) (zip code)
Home/Cell Phone: __________________________ Email:__________________________________________
Employed By: _______________________________________________ Work Phone: __________________
Names & ages of ALL persons living on the property should be listed & every staying on property 18+ must
pass a credit/background check:
________________________________________________________________________________________
JOINT APPLICATION: YES NO (answer YES if you are currently MARRIED no matter the circumstances)
SPOUSE’S INFORMATION
Spouse’s Name: _____________________________________________________Phone #:________________
(Last Name) (First Name) (Middle Name)
Social Security #: _______________________Date of Birth: ___________ Email:_______________________
PET INFO: # of Dogs _____ # of Cats _____ Breeds _____________ Weights __________ Ages ________
ESA: ______ ESA Animals Require separate additional paperwork for EACH animal, contact our office.
CRIMINAL/TENANCY HISTORY
Have you been evicted from tenancy?
Have you been taken to small claims court?
Do you have any pending criminal charges?
Have you been convicted of ANY type of theft, fraud, sex, or FELONY crime? ________________
STOP if you answered YES to any of these questions, you must discuss them before you can apply.
We do not rent to persons with felony convictions no matter the length of years.
I grant permission for Stillwater Realty Unlimited, Inc. to verify the above information and other rental and
employment information with the people listed in this document. I have not given any information that I know
is false or fraudulent on this form. I understand that if I provide any false information my lease agreement
may be canceled or I may be evicted. The application service fee is non-refundable.
Signature: _______________________________________________ Date: ________________
Picture ID
Paid Fee
Background:
Pass
Fail Credit: Pass Fail
CPN is not accepted & a SS card may be requested. Fraud will be reported.
ADDRESS
Name, Age Name, Age Name, Age
READ APP INFO ON NEXT PAGE
DO NOT SIGN THIS FORM FOR ANOTHER PERSON - FRAUD WILL BE REPORTED TO THE D.A.'s OFFICE