WiredLofts Apartment Homes

Online Bill Pay The fields marked with (*) are required fields. * First Name  * required * Last Name  * required * Address Line 1  * required   Address Line 2   City   State   Zip Postal Code * Credit Card Number  * required * Expiration Date  * required * Amount  * required * Email Address  * required

Service call The fields marked with (*) are required fields. * First Name  * required   Last Name * Apartment #  * required * Telephone Number  * required * Email Address  * required * Your Comments

Important Contact Number's : OG&E 405-297-9741 or WWW.OGE.COM Oklahoma City Water 405-297-2833 or WWW.OKC.GOV/Water  COX Cable 405-600-8282 or WWW.COX.NET Wiredlofts Email Wiredlofts@yahoo.com

Online Application The fields marked with (*) are required fields. * Full Name  * required * Home Phone  * required * Date of Birth  * required * Social Security #  * required   Email Address   Other Phone   Co-Applicant Name   Dependents   Co-Applicant Date of Birth   Co-Applicant Social Security   Dependents Date of Birth * List all pets  * required   Give Residential History (Last 3 Years) Current Address/Apt. #/City/State/Zip/Month-Year Moved In/Reasons for Leaving/Rent $/Owner-Agent/Phone ( )/Previous Address (Last 3 Years)/Rent $/Owner-Agent/Phone ( )   Describe Your Credit History * Declared bankruptcy in the past seven (7) years? Yes No * Ever been evicted from a rental residence? Yes No * Had two or more late rental payments in the past year? Yes No * Ever willfully or intentionally refused to pay rent when due? Yes No   Provide Your Employment Information * Your Status Full Time Part Time Student Unemployed * Employer  * required * Dates Employed  * required * Employed As  * required * Supervisor's Name  * required * Phone  * required * Salary $  * required * per  * required   (If employed by above less than 12 months, give name & phone of previous employer or school):   If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.   Amount $   Source/Contact Name   List Your References * Banking Accounts Name/Type of Account/Account # Name/Type of Account/Account # * Credit Card Account  * required * Personal Reference or Emergency Contact: Name/Address/Phone/Relationship * Your Driver's License  * required * Vehicle Information Make/Model/Year/License Plate State   Please give any additional information that might help owner/management evaluate this application?   Where may we reach you to discuss this application? * Day Phone #  * required * Night Phone #  * required