Contact

COMMERCIAL LEASE APPLICATION

Location of Premises and Date of Application: *

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Name of Applicant and Business Name: *

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Complete Legal Name(s) to Appear on Lease: *

Home Address and Business Address: *

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Social Security # / and State of Issuance: *

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Driver’s License # *

Date of Birth / / / Mobile Phone: *

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Business Phone: *

E-mail Address: *

If Married, Spouse’s Name: *

E-mail Address:

If Married, Spouse’s Name: *

E-mail Address:

If Married, Spouse’s Name:

Is your business a corporation, LLC or other entity?

EIN

Business Name

Experience in business industry:

Commercial Rental History: Present Business Address / Rent Payment

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Landlord’s Contact Information: Phone:

Duration of tenancy and Landlord:

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Landlord’s Contact Information: E-mail:

Previous Business Address:

Rent Payment:

Duration of tenancy and Landlord:

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Landlord’s Contact Information: Phone:

Landlord’s Contact Information: E-mail:

Financial Information: Current Monthly Income:

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Bonus/Commissions and Amount:

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Other: / Amount

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Current Monthly Expenses: (Home Mortgage)(Amount))

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Loan Payments:

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General Living Expenses:

Amount:

Other/ Amount:

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Other/ Amount:

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Assets / Liabilities (Cash on Hand & in Banks )

Accounts Payable ($ you owe)

Savings Account(s)

Notes/loans Payable to Banks

IRA/Retirement Accounts

Automobile Payments

Accounts Receivable ($ owed to you)

Other Installment Accounts

Insurance Cash Surrender

Loans on Life Insurance

Stocks & Bonds

Mortgages on Real Estate (home)

Real Estate (personal residence)

Unpaid Taxes

Real Estate (investments)

Outstanding Credit Card Balances

Automobiles and Other Liabilities

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Other Personal Property

Other Liabilities

Other Assets

TOTAL ASSETS: ///TOTAL ASSETS:

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Net Worth

Liability Insurance Information

Agent Information: Phone:

Insurance Company:

Policy Number:

Credit References: Banking Information: Bank / Account #

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Business Checking:///#

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Business Checking:///#

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Business Checking:///#

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Savings:///#

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Savings:///#

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Other /// #

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Other /// #

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Credit Cards:

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Credit Cards:

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Credit Cards:

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Credit Cards:

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Consent To Credit

I, the undersigned applicant(s), authorize landlord or his/her/their agent to order and review my/our credit and criminal history and investigate the accuracy of the information contained in the application. I/We further authorize all banks, employers, creditors, credit card companies, references, and any and all other persons to provide to Landlord any and all information concerning my/our credit. By your signature hereon, you agree that the information disclosed by you herein is true, complete and accurate to the best of your knowledge, and you agree that the information disclosed by you herein is material to the potential lessor’s decision with respect to granting or denying your application to enter into a lease agreement. This application is not a commitment to rent to Applicant(s) or reserve a premises unless a formal lease agreement is fully executed by both parties.

Name /// Date *

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Signature: *