Please fill out this Application completely and please fill in all sections which are applicable.
Personal Information:
Name - Last First Middle
Previous Name - Last First Middle
Fictitious Business Name or D.B.A
Social Security #
Driver's License # State
Date of Birth(MM/DD/YYYY)
Present Address City State Zip
How Long?
If less than two years please provide previous address.
Address City State Zip
Do you Rent or Own your Home? Rent Own
E-mail Address
Home Phone Work Phone
Cell Phone
Business Information:
Present Business Address City State Zip
Landlord Name Phone
Date Resided From To
Reason for Moving
Have you ever been evicted or part of an evicition proceeding? Yes No
Have you ever filed or been in bankruptcy? Yes No
What classification of business are you?(Sole Prop,Partnership, Corp)
What kind of business use do you wish to lease the premises for?
Are you an established business? Yes No
How Long have you been in business?
Zip
Employment Information:
Current Employment Status (Check one)
Employed
Unemployed
Self-Employed
Current Occupation
Employer
Address City
State
Name &
Title of Supervisor
How Long at this job?
Will you continue to work at this location if you were to open your business on the premises?
No
Financial Information:
Current Monthly Income? How Long?
Other Income?
Do you have insurance? Yes No
If so, what kind?
Application to Lease (Commercial)
(Individual applications required from each adult applicant)