Application For Commercial Lease

There will be a $200 application fee once submitting the application. Your application will not be complete until the application fee is received.

Property of Interest *
* Is there a Co-Applicant?

General Information — Primary Applicant

* First Name
* Last Name
* Phone
Alternate Phone
* Email Address
Driver's License #
State Issued
* Date of Birth
* Social Security Number
* Present Address
Apt. #
* City
* State
* Zip
Landlord Name
Landlord Phone
Dates of Residence

Occupation — Primary Applicant

* Occupation
* Employer
* Business Address
* Business Phone
* Nature of Business
* Dates of Employment
Email
* Supervisor at Work
Supervisor Phone
* Education Background

**If your residence or employer has changed in the last three years, please indicate prior address, dates of residence and landlord information; and/or name, address, & dates of prior employment.

Income — Applicant

* Employment
Dividends
Interest
Rental Income
Alimony/Child Support
Sale Of Capital Assets
Other (Itemize Separately)

Miscellaneous

* Emergency Contact Name
* Emergency Contact Phone
Reason For Moving

Proposed Occupants of Premises

Name/Company
Title
Position
Years with Company

Applicant

*Do you or any principal in your company have any outstanding judgments?

*In the past 7 years, have you or your company declared bankruptcy?

*Have you or your company ever had property foreclosed upon or give title or ? deed in lieu thereof?

*Are you or your company a party in a any lawsuit?

*Are there any outstanding liens or judgments against you or your company?

*Will any part of your security deposit or rent be borrowed?

If yes to any, Explain. Further information may be required to determine eligibility for a rental.

Banking Information — Applicant

Bank Name & Address
Balance

Bank Name & Address
Balance

Bank Name & Address
Balance

Bank Name & Address
Balance

Security Income — Applicant

# Of Shares
Type of Security
Issuer
Market Value
Mo. Dividend/Interest

# Of Shares
Type of Security
Issuer
Market Value
Mo. Dividend/Interest

# Of Shares
Type of Security
Issuer
Market Value
Mo. Dividend/Interest

# Of Shares
Type of Security
Issuer
Market Value
Mo. Dividend/Interest

Real Estate Owned — Applicant

Address of Property
Type of Property
Cost
Market Value
Amt. of Mtg/Loan

Address of Property
Type of Property
Cost
Market Value
Amt. of Mtg/Loan

Mo. Gross Income
Mo. Mortgage Pymts
Mo. Taxes,Insur,Maint,Mispymt
Mo. Net Rental Income

Mo. Gross Income
Mo. Mortgage Payments
Mo. Taxes,Insur,Maint,Mispymt
Mo. Net Rental Income

Balance Sheet

Assets

Cash
Checking Account Balance
Savings Account Balance
Marketable Securities
Insurance

Real Estate Owned
Autos/Pleasure Craft Owned
Vested Interest in Retirement Fund
Net Worth of Business Owned
Furniture and Personal Property
Notes Receivable
Other Assets

Liabilities

Installment Debt Payable
Other Unsecured Loans
Mortgage Loans
Autos/Pleasure Craft Loans
Other Secured Loans
Current Rent
Alimony/Child Support
Student Loans

*Enter the characters shown below:

Application For Commercial Lease

General Information — Primary Applicant

General Information — Co-Applicant

Occupation — Primary Applicant

Occupation — Co-Applicant

**If your residence or employer has changed in the last three years, please indicate prior address, dates of residence and landlord information; and/or name, address, & dates of prior employment.

Income — Applicant

Income — Co-Applicant

Miscellaneous

Proposed Occupants of Premises

Applicant

Co-Applicant

Banking Information — Applicant

Banking Information — Co-Applicant

Security Income — Applicant

Security Income — Co-Applicant

Real Estate Owned — Applicant

Real Estate Owned — Co-Applicant

Balance Sheet

Assets

Liabilities