TENANT APPLICATION

UNIT INFORMATION:

Fields with an asterik(*) are required.

Location of Leased Premises:

Complete Legal Name to Appear on Lease: *

Industry: *

Operational Use of Space: *

Reason for Moving?:

BUSINESS INFORMATION:

Business Type:

State in Which Entity Formed:

Year Formed:

Federal Tax Payer ID#:

Years in Business:

Number of Employees at This Location:*

Number of Cars:*

Number of Trucks:*

Does the Business Require Semi-Trailer Deliveries?:*

Previous Year Net Income of Business:*

Previous Year Gross Income of Business:*

Business Phone:

Business Email:

City:

State:

Zip Code:

NAME OF PERSON(S) WHO WILL SIGN THIS LEASE:

Person 1: *

Social Security Number: *

Date of Birth: *

Drivers License Number: *

State of Issuance: *

Address: *

City: *

State: *

Zip Code: *

Mobile Phone: *

Email: *

Person 2:

Social Security Number:

Date of Birth:

Drivers License Number:

State of Issuance:

Address:

City:

State:

Zip Code:

Mobile Phone:

Email:

LANDLORD HISTORY:

Current Landlord Name: *

Have You Been Evicted?: *

Have You Been in Litigation With A Landlord?: *

Current Monthly Rent: *

Current Landlord Phone: *

Current Landlord Email: *

Years of Occupancy: *

OTHER QUESTIONS:

How Did You Hear About This Location of Interest?:

Checkbox: I declare that all statements made above are true and correct, I hereby authorize verification of references and the authorization of credit and criminal background checks.

Thank you! Your submission has been received!

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Please email supporting documents, (Photo ID, Social Security Card, and Two Months of Current Bank Statements) to jared@rossmanrealty.com.

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