Property Information

lease Application

This online Lease Application assists the Landlord in establishing suitability for the property of your choice. This information will be used only in relation to a prospective lease agreement.

Property/Area Description

Today's Date

Applicant's Personal Information

First Name

Last Name

Company

Address

City

State

Zip

Telephone Number

Fax Number

Date of Birth

Tax ID or SSN

Proposed Use

Size of Desired Space (sqft)

Guarantor's Information

First Name

Last Name

Date of Birth

Tax ID or SSN

Address

City

State

Zip

Financial Information

Name of Applicant's Bank

City

Bank Officer

Telephone Number

Credit Reference

Address

State

Zip

Applicant's Present Location

Location of Existing Space

Name of Landlord

Telephone Number

Address

City

State

Zip

General Information

Reason for vacating your present place (if applicable)?

Other Information

Has Applicant or any affiliated company ever been evicted?

Yes

Has Applicant or any affiliated company ever breached a rental agreement/lease contract?

Yes

Has Applicant or any affiliated company ever been used for non-payment of rent or damages to rental property?

Yes

CORRECT INFORMATION

False information provided above shall be grounds for Landlord's rejection of this application, retention of any tendered security deposist(s) as liquidated damages for Landlord's expenses of processing this application, and termination of applicant's/tenant's right of occupancy. The Submittor represents that the above statements are true and complete and hereby authorizes verification of said information by means of obtaining a credit report.

DISCLAIMER

THIS IS NOT A LEASE AGREEMENT NOR A COMMITMENT ON THE PART OF LANDLORD TO ENTER INTO A LEASE AGREEMENT. THIS APPLICATION IS SUBMITTED MERELY TO DETERMINE APPLICATION'S SUITABLY FOR LEASE AT THE ABOVE-REFERENCED PROPERTY. NO RIGHT OR INTERESTS ARE CONVEYED OR CONFERRED HEREBY ON APPLICANT.

verification :1 + 12 =

Signature of Applicant/Authorized Representative of Applicant (Please sign if you are submitting by fax.)

I have read and agree to the "CORRECT INFORMATION" and "DISCLAIMER" above: