Online Rental Application – Uptown Realty Group

Prefer a form that you can fill out and then email or fax to us?

PDF Application

Want to check out an example of a lease?

Sample Lease

Otherwise, please fill out the form below completely & honestly, we will contact you when/as needed!

Rental Information

Address of rental unit *

Desired move-in date *

Personal Details

Full Name *

Date of Birth *

Current Address

From

Previous Address

From

Primary Phone *

Work Phone

Your Email *

Employment Information

Current Employer Name

Current Employer Address

Supervisor Name

Supervisor Phone

Employed From

Employed To

Occupation/Role/Position

Monthly Gross Income (US dollars)

Additional Contacts

Rental Reference #1 Name *

Rental Reference #1 Phone *

Rental Reference #2 Name

Rental Reference #2 Phone

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Address *

Additional Information

Have you ever?

Been Served Late NoticeBeen EvictedFiled BankruptcyBeen Convicted of a FelonyTerminated A Lease Early

Current OU Students:

Academic College

Academic Advisor Name

Parent/Guardian Name

Parent/Guardian Contact (Email and/or Phone)

How did you hear about us?

Confirmation

I understand that additional information may be required for a background check (including social security number & license/ID number), and I may be contacted at a later date to provide that information using my contact details entered above.