Assignment and Assumption of Lease Application
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Shopping Center Location
*
Please Select
Please select the shopping center where you are interested in applying to join
Business Information
If you are Assuming a lease under the already existing entity, please use their current information as per the lease. If you are Assuming the lease under a new enitity, please input the new information of the purchasing entity below.
Present Location of Business
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
No. of years at this location
Federal Tax ID:
State of Formation
Form of Business (Corporate Structure)
Business Phone Number
*
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Applicant Information
Personal and Employment questions for Applicant(s)
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Social Security #
Drivers License #
Phone Number
*
E-mail
*
example@example.com
Name of Employer (if applicable)
Co-Applicant
Are you married? If yes, please include spouse information Below.
Co-Applicant Name
First Name
Last Name
Co-Applicant Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Social Security #
Drivers License #
Phone Number
E-mail
example@example.com
Name of Employer for Co-Applicant (if applicable)
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Photo ID's of applicant(s) - (Encrypted for Security)
*
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Balance Sheet, Supporting Schedules and Income Statement (Encrypted for Security)
*
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Only the portion of assets and liabilities that belong to you
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Please attach 2 years of Tax returns for you business entity. (Encrypted for Security)
*
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Signature
Disclaimer
By submitting this application you agree: 1) The information provided herein is complete and accurate. Providing incomplete and/or false information could result in the rejection of the application. 2) Submission of this application does not guarantee an automatic approval. 3) Once application is completed, please mail a check in the amount of $2,500 to 2750 Coral Way, Suite 200, Miami FL 33145. Once this check is receieved the review will commence. Please note, this payment is related to the Administrative fee and not to be confused with an Assignment Fee as per the Lease.
*
Acknowledged Disclaimer
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