COMMERCIAL LEASE APPLICATION
I. THE LANDLORD.
Landlord/Lessor: ____________________________ Date: ________________
Property Address: _______________________________________________________
Square Feet (SF): ______________ Property Name (if any): ________________
II. THE BUSINESS.
Business Name: ________________________________________________________
Principal Office Address: _________________________________________________
Phone Number: ________________ E-Mail Address: ________________
Type of Entity: - LLC - Corporation - Partnership - Other ________________
State of Incorporation: ________________
Federal TAX ID Number (FEIN): ________________
Business Type: ________________ (e.g. “pharmacy”, “convenience store”, etc.)
III. THE TENANT.
Owner/Principal: ____________________________________________________
Ownership Percentage: _____ %
Title: - President - CEO - Vice President - Other ________________
Driver’s License Number: ________________ State: ________________
Issued Date: ________________ Expiration Date: ________________
Social Security Number (SSN): ________________
2
nd
Owner/Principal: ____________________________________________________
Ownership Percentage: _____ %
Title: - President - CEO - Vice President - Other ________________
Driver’s License Number: ________________ State: ________________
Issued Date: ________________ Expiration Date: ________________
Social Security Number (SSN): ________________
IV. LEASE GUARANTEE.
Name(s) of the Person(s) that will Guarantee the Lease:
Person 1: ____________________________________________________
Person 2: ____________________________________________________
V. RENTAL HISTORY.
Present Address: _______________________________________________________
Rent: $________________ / Month - Rent - Own - Other ________________
If Renting, Name of Landlord: ________________ Phone: ________________
Previous Address: _______________________________________________________
Rent: $________________ / Month - Rent - Own - Other ________________
If Rented, Name of Landlord: ________________ Phone: ________________
Previous Address: _______________________________________________________
Rent: $________________ / Month - Rent - Own - Other ________________
If Rented, Name of Landlord: ________________ Phone: ________________
Previous Address: _______________________________________________________
VI. CREDIT REFERENCE. (Former Landlord, Bank, Vendor, etc.)
1
st
Reference: __________________________________________________________
Address: ______________________________________________________________
Phone: ________________ E-Mail Address: ________________
2
nd
Reference: _________________________________________________________
Address: ______________________________________________________________
Phone: ________________ E-Mail Address: ________________
3
rd
Reference: __________________________________________________________
Address: ______________________________________________________________
Phone: ________________ E-Mail Address: ________________
VII. CURRENT MONTHLY REVENUE.
Gross Revenue: $________________ Total Expenses: $________________
VIII. CURRENT ASSETS.
Cash on Hand & in Banks $________________
Savings Accounts $________________
IRA/Retirement Accounts $________________
Accounts Receivable $________________
Insurance Cash Surrender $________________
Stocks & Bonds $________________
Real Estate $________________
Vehicles $________________
Other Personal Property $________________
Other ________________ $________________
Other ________________ $________________
Other ________________ $________________
Total Assets: $________________
IX. CURRENT LIABILITIES.
Accounts Payable $________________
Notes Payable to Banks $________________
Auto Payments $________________
Other Installment Accounts $________________
Loans on Life Insurance $________________
Mortgages on Real Estate $________________
Unpaid Taxes $________________
Other Liabilities ________________ $________________
Other Liabilities ________________ $________________
Other Liabilities ________________ $________________
Total Liabilities $________________
X. BANKING REFERENCES.
1
st
Account Bank Name ____________________ Phone ________________
Bank Address _________________________________________________________
Account Number ____________________ Type - Checking - Savings
2
nd
Account Bank Name ____________________ Phone ________________
Bank Address _________________________________________________________
Account Number ____________________ Type - Checking - Savings
XI. CONSENT.
I/We, __________________________, the undersigned applicant(s) authorize the
Landlord, __________________________, or his/her/their agent to order and review
my/our credit and criminal history and investigate the accuracy of the information
contained in the application. I/We further authorize all banks, employers, creditors,
credit card companies, references, and any and all other persons to provide to Landlord
any and all information concerning my/our credit.
Tenant Signature __________________________ Date _______________
Tenant Signature __________________________ Date _______________