Apply for a Residence

OKPotter Properties

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Name (Include middle initial) *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Current Landlord / Phone *

How Long Rented / Why Leaving *

Employer *

Employer Phone *

Personal Reference Name and Phone *

By submitting this form, you are authorizing OKPotter Properties, Potter Apartments, Potter Rental Homes, to contact and confirm any information provided, as well as checking references and public sources of information in order to qualify you as a tenant. All information will be held confidential.

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