COMMERCIAL RENTAL APPLICATION

Name of Business: ______

DBA (If Different): ______Years in Business: _____

Sole Proprietorship:

Full name of Applicant: ______

Nature of Business: ______

Phone Number: (___) ______Cell Phone Number: (___) ______

Fax: (__) ______E-Mail Address: ______

Home Address: ______Applicant’s Social Security Number: ______

Partnership (If Applicable) :

Name of Partnership: ______

Type of Partnership: ______

Principle Partner (1): ______Social Security #: ______

Partner (2): ______Social Security #: ______

Nature of Business: ______

Phone Number: (___) ______Cell Phone Number: (___) ______

Fax: (___) ______E-Mail Address: ______

Corporation (If Applicable) :

Name of Corporation: ______

Nature of Business: ______

Where incorporated: ______

Corporate officers: President______V.P.: ______

Secretary: ______Treasurer: ______

Phone Number: (___) ______Cell Phone Number: (___) ______

Fax: (___) ______E-Mail Address: ______

Federal I.D. #: ______

Rental References:

Current Location Address: ______

Name of Current Landlord/Manager: ______

Landlord/Manager’s Phone #: (____) ______How long at Present Address: ______

Current Rent Amount: ______

Reason for Leaving: ______

Other Locations: ______

Landlord/Manager: ______Phone #: (____) ______

If present address is less than one year, and/or you have additional business locations, please list those addresses below and indicate landlord/manager’s name and phone number:

______

______

______

Business References:

Bank name: ______Bank Address: ______

Bank Contact Name: ______Bank Phone: ______

Business Reference: ______Address: ______Phone: (____) ______Contact: ______

Business Reference: ______Address: ______Phone: (____) ______Contact: ______

Business Reference: ______Address: ______Phone: (____) ______Contact: ______

Business Reference: ______Address: ______Phone: (____) ______Contact: ______

Do you have a Business Plan? If so, please describe below or include attachment:______

______

______

______

______

______

______

Additional Comments:

______

Applicant represents the above information to be true, correct, and complete and hereby authorizes any and all credit reporting agencies to disclose all information concerning past credit history prior to the date of the application and at any time during the tenants tenancy. Applicant acknowledges and agrees that this application does not constitute a contract, lease or agreement for space. Applicant understands that the landlord may terminate any rental agreement entered into for any misrepresentation made above.

______

Applicant Signature Date