LEASE APPLICATION

PLEASE COMPLETE ENTIRELY

Date *

Location of Premises *

Business Information :

Full Legal Company Name *

Business Address *

Business Phone *

Years in this Location *

Business Owner's Name *

Business Owner's Home Address *

Please List All Bank(s) :

Name of Bank *

Account Number *

Name of Bank

Account Number

References :

Current Landlord's Name *

Current Landlord's Address *

Current Landlord's Phone *

Current Rent Amount *

Other Reference (Name & Phone) *

Short Other Reference (Name & Phone)

Personal Information :

Applicant's First Name *

Applicant's Last Name *

Applicant' Social Security #

Applicant's Date of Birth *

Upload Government Issued ID

Make and Model of Vehicle

Mailing Address *

Contact Number *

Email *

Person 2 :

Person 2 - Full Name

Person 2 - Date of Birth

File upload

Mailing Address

Contact Number

Proposed Use of Premises *

Application Agreement

Agree *

I hereby give permission for the individuals and business listed above as reference to provide financial and credit information to my prospective lessor, his manager, and / or his broker. I also hereby authorize the owner and his / her representatives to perform a credit check on me and / or my company. The representations of fact contained in this application are considered part of the lease and are true and correct. If any information herein contained is discovered to be false or misleading, the lease made on the strength of this application may, at the option of the lessor, be terminated at any time. In addition, the lessor is hereby granted permission to verify all credit / personal information and to obtain any credit reports it deems necessary.