Commercial Lease Application Form Page 2
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1
2Principal/Owner/Guarantor Information
1
Name
Social Security Number
DOB:
Home Address
City/County
State
Zip
% of Ownership is Business
Gross Income*
Own / Rent Home?
Personal Net Worth Excluding Business Value
2
Name
Social Security Number
DOB:
Home Address
City/County
State
Zip
% of Ownership is Business
Gross Income*
Own / Rent Home?
Personal Net Worth Excluding Business Value
3
Name
Social Security Number
DOB:
Home Address
City/County
State
Zip
% of Ownership is Business
Gross Income*
Own / Rent Home?
Personal Net Worth Excluding Business Value
*Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for
repaying this obligation.
~ If there are more than three applicants, please use another application and reference the business name on front. ~
Has any applicant above ever been convicted of:
No
Yes – please specify, use separate page if needed
FELONY CRIME
MISDEMEANOR CRIME
RAPE
CHILD SEXUAL ASSAULT
VIOLENT CRIME CONVICTION
HAVE YOU EVER BEEN EVICTED?
Certification and Authorization
The signer(s) certifies that he/she is authorized to execute the application for the business named above, and that the information in
this application and any other documents submitted in connection with the application are true, correct and complete. Pursuant to
the Fair Housing Law, the Landlord shall not refuse to rent to any person because of race, creed, color, religion, national origin,
handicap, or familial status, nor discriminate in the terms offered or services rendered. I (we), the applicant, do represent all
information to be true and accurate and that owner/agent may rely on this information when investigating and accepting this
application.
I hereby authorize the owner/agent to make independent investigations to determine my credit, financial, and character standing. I
authorize any person or credit checking agency having any information on me to release any and all such information to the owner,
their agent, or credit checking agencies. I hereby release, remise, and forever discharge from any action whatsoever, in law and
equity, all owners, managers, employees and/or agents, both of the Landlord and their credit checking agencies in connection with
processing, investigating, or credit checking this application, and will hold them harmless from any suit or reprisal whatsoever. I
declare that a photocopy of my signature shall be as valid as the original.
Signed By: ___________________________________________________ Title: ______________________________________________ Date: __________________
Signed By: ___________________________________________________ Title: ______________________________________________ Date: __________________
Signed By: ___________________________________________________ Title: ______________________________________________ Date: __________________
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Parent category: Legal