Lease Application

Lease Application

Confidential Tenant Lease Application
Applicant Name*

First NameLast Name
Applicant E-mail*
example@example.com
Spouse Name

First NameLast Name
Spouse E-mail
example@example.com
Lease Guarantor*

First NameLast Name
Guarantor E-mail
Skip if same as applicant e-mail
Lessee Name*
State Incorporated*
Year Incorporated
DBA/Trade Name
Federal I.D. Number
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.

Employment Information (Applicant)
Employment Information (Applicant)
Present Employer*
How Long*
If self-employed, Name of Business
Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone
Please enter a valid phone number.
Position
Do you plan to leave this job within the next year?

YesNo

Sources of Income
Sources of Income

In Even Dollars (Annual)
Salary (Annual)
In Even Dollars (Annual)
Bonuses and Commissions (Annual)
In Even Dollars (Annual)
Dividends (Annual)
In Even Dollars (Annual)
Real Estate Income (Annual)
In Even Dollars (Annual)
Other Income (Itemized)
In Even Dollars (Annual)
ANNUAL TOTAL
In Even Dollars (Annual)

Employment Information (Spouse)
Present Employer
How Long
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone
Please enter a valid phone number.
Position
Does your spouse plan to leave this job within the next year?

YesNo
Sources of Income (Spouse Cont.)
In Even Dollars (Annual)
Bonuses and Commissions (Spouse Cont.)
In Even Dollars (Annual)
Dividends (Spouse Cont.)
In Even Dollars (Annual)
Real Estate Income (Spouse Cont.)
In Even Dollars (Annual)
Other Income (Itemize) (Spouse Cont.)
In Even Dollars (Annual)
ANNUAL TOTAL (Spouse Cont.)
In Even Dollars (Annual)

Business Information
Business Information

Please complete the following and attach additional information regarding your related background and business plans as necessary.
What background do you have in this business? (Please attach a resume if available)*
Business background
Upload Resume

Upload Resume
Cancelof
How do you plan to generate business?
How many locations do you currently operate?
Do you have expansion plans?*

YesNo
How much do you estimate you will initially spend to build-out the Premises?
How much do you estimate you will initially spend on inventory?
What level of Annual Gross Sales/Receipts do you feel you need:
$ to stay in business.
$ to be satisfied in business.
$ to be extremely satisfied in business.

Financial Information
Financial Information
ASSETS (In Even Dollars)
$* Cash on hand and in Banks
U.S. Government Securities
Listed Securities
Unlisted Securities
Other Equity Interests
Accounts & Notes Receivable
Market Value of Real Estate Owned
Cash Value Life Insurance
Other Assets
TOTAL ASSETS (A)
LIABILITIES (Balances In Even Dollars)
$ Notes Payable: This Bank
$ Notes Payable: Other Institutions
$ Notes Payable: Relatives
$ Notes Payable: Others
$ Accounts and Bills Due
$ Unpaid Taxes
$ Real Estate Mortgages Payable
$ Land Contracts Payable
$ Life Insurance Loans
$ Other Liabilities
$ TOTAL LIABILITIES (B)
Net Worth (Balances In Even Dollars)
$ Total Assets (A)
$ Total Liabilities (B)
$ TOTAL ASSETS (A) MINUS TOTAL LIABILITIES (B) = TOTAL NET WORTH

Schedule A: Banks, Brokers, Savings, & Loan assocaition, Finance Companies or Credit Unions.
Schedule A: Banks, Brokers, Savings, & Loan assocaition, Finance Companies or Credit Unions. List the names of all the institutions at which you maintain a deposit account and/or where you have obtained loans.

BANK 1

Name of Institution: Chase Bank

Name on Account Full Name

Balance on Deposit $

High Credit

Amount Owing   $

Monthly Payment   $

Secured by what Asset?   Type a label

BANK 2
Name of Institution: Chase Bank
Name on Account Full Name
Balance on Deposit $
High Credit
Amount Owing   $
Monthly Payment   $
Secured by what Asset?   Type a label
BANK 3
Name of Institution: Chase Bank
Name on Account Full Name
Balance on Deposit $
High Credit
Amount Owing   $
Monthly Payment   $
Secured by what Asset?   Type a label
TOTAL BALANCE on DEPOSIT   $

Schedule B: U.S. Governments, Stocks (Listed & Unlisted), Bonds (Gov't & Comm.), and Partnership Interests (General & Ltd.)
Schedule B: U.S. Governments, Stocks (Listed & Unlisted), Bonds (Gov't & Comm.), and Partnership Interests (General & Ltd.)
ASSET 1

No. of Shares, Face Value (Bonds), or % of Ownership:

Indicate:
1. Agency or name of company issuing security of name Type a label
2. Type of investment or equity classification Type a label
3. Basis of valuation Type a label
In Name of

Market Value

Pledged   Yes   No

_____

ASSET 2

No. of Shares, Face Value (Bonds), or % of Ownership:

Indicate:
1. Agency or name of company issuing security of name Type a label
2. Type of investment or equity classification Type a label
3. Basis of valuation Type a label
In Name of

Market Value

Pledged   Yes   No

_____

ASSET 3

No. of Shares, Face Value (Bonds), or % of Ownership:

Indicate:
1. Agency or name of company issuing security of name Type a label
2. Type of investment or equity classification Type a label
3. Basis of valuation Type a label
In Name of

Market Value

Pledged   Yes   No

TOTAL $
*If unlisted security or partnership interest, provide current financial statements to support basis for valuation.

Schedule C: Real Estate Owned (and Related Debt, if Applicable)
Schedule C: Real Estate Owned (and Related Debt, if Applicable)

PROPERTY 1

Description of Property or Address:

Title in Name of
Date Acquired
Cost + Improvements
Present Market Value

Mortgage or Land Contract

Balance   Type a label

Monthly Payment   Type a label

Mortgage Holder   Type a label

_____

PROPERTY 2

Description of Property or Address:

Title in Name of
Date Acquired
Cost + Improvements
Present Market Value

Mortgage or Land Contract

Balance   Type a label

Monthly Payment   Type a label

Mortgage Holder   Type a label

_____

PROPERTY 3

Description of Property or Address:

Title in Name of
Date Acquired
Cost + Improvements
Present Market Value

Mortgage or Land Contract

Balance   Type a label

Monthly Payment   Type a label

Mortgage Holder   Type a label

_____

PROPERTY 4

Description of Property or Address:

Title in Name of
Date Acquired
Cost + Improvements
Present Market Value

Mortgage or Land Contract

Balance   Type a label

Monthly Payment   Type a label

Mortgage Holder   Type a label

_____

TOTAL $

Schedule D: Life Insurance Carried
Schedule D: Life Insurance Carried

POLICY 1

Name of Company:

Face Amount:
Cash Surrender:
Loans:
Beneficiary:

_____

POLICY 2

Name of Company:

Face Amount:
Cash Surrender:
Loans:

Beneficiary:

_____

POLICY 3

Name of Company:

Face Amount:
Cash Surrender:
Loans:

Beneficiary:

_____

POLICY 4

Name of Company:

Face Amount:
Cash Surrender:
Loans:

Beneficiary:

_____

TOTAL $

Signatures
The information is presented as a true and accurate statement of my/our financial condition on the date indicated. This statement is provided for the purpose of obtaining and maintaining credit with a landlord/owner affiliated with Alliance Real Estate. I/we agree that if any material change(s) occur(s) in my/our financial condition that I/we will immediately notify Alliance Real Estate of said change(s) and unless Alliance Real Estate is so notified, Alliance Real Estate and its affiliated landlord/owner may continue to rely upon this financial statement and the representations made herein as a true and accurate statement of my/our financial condition.
I/we authorize Alliance Real Estate to make whatever credit inquiries it deems necessary in connection with this financial statement. I/we authorize and instruct any person or consumer reporting agency to furnish to Alliance Real Estate any information that it may have or obtain in response to such credit inquiries.

I/we also hereby certify that no payment requirements listed herein are delinquent or in default except as follows; if
“NONE” so state.
Type a label
I/we fully understand that it is a federal crime punishable by fine or imprisonment or both to knowingly make any false
statements concerning any of the above facts, pursuant to 18 U.S.C. Section 1014.

Applicant Signature:   Signature*

Date:   Date*

Social Security #   Number

Date of Birth   Date*

_____

Spouse Signature:   Signature

Date:   Date

Social Security #   Number

Date of Birth   Date
Upload Additional Files

Cancelof
Should be Empty:

Lease Application

Employment Information (Applicant)

Sources of Income

Business Information

Financial Information