BUSINESS PROFILE AND LEASE APPLICATION for Enterprise Business Center of Louisiana

Enterprise Business Center of Louisiana

3419 NW Evangeline Thwy, Carencro, LA 70520

TEL: (337) 565-9105 LEASING INFORMATION OFFICE: (337) 280-3363

www.EBCLouisiana.com

SHORT BUSINESS PROFILE

Tell Us Who You Are and What You Do

Todays Date

Date

Business Name

Owners Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Address

Street Address Line 2

CityState

Zip

Description of Business What do you do

Price Range that works best for your budget: * - * .

Will you be working in the office 9AM to 5PM DAILY?

A VIRTUAL OFFICE Membership is only $115/month and you have an office "when you need one". It also includes meeting and conference rooms when you need one. Would you like to learn more?

Would you like to be placed on a waiting list if no office is currently available for rent?

Will you work in your office 3-5 days a week full-time?

Do you meet your customer/clients by appointment most of the time?

Would you like a short meeting with the Enterprise Business Center of Louisiana Director or staff to approve your application?

THAT IS IT!

WE WILL NOW RECEIVE YOUR BUSINESS PROFILE FOR REVIEW.

Scroll To The Bottom and Hit SUBMIT.

ONLY COMPLETE THE NEXT PORTION IF YOU WOULD LIKE TO BE APPROVED NOW FOR AN OFFICE OR SUITE

Applicants full name

Name of Business

Number of Years in Business

Number of Employees

Date of Birth

Date

Social Security

Upload a valid PHOTO ID:

Drivers License

State

Exp

Address

Current Address

Street Address Line 2

CityState

Zip

Auto Yr

Make

Model

StateLicense Plate

Rental History: Current Landlords Name

Current Landlords Name

Landlords Phone

How long at this address

Reason for leaving

Have you ever been party to an eviction?

Ever convicted of a crime?

Credit and Financial Information: This information is needed to approve your application and to determine your ability to pay the lease amount.

Name of bank

Branch

Name of bank

Branch

Average monthly amounts of other income specify sources

Your gross monthly employment income before deductions

TOTAL

References and Emergency Contact: Name

Name

Yrs Known

Relationship

Phone

Name

Yrs Known

Relationship

Phone

Total number of occupants to have access and use of this office space

Names and relations of all other applicants/tenants/users of office space

I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if have made any material false or incomplete statements in this application. I authorize verification of the information provide in this application from my credit sources, credit bureaus, current and previous landlords and employers and personal references. This permission will survive the expiration of my tenancy.

Signature

Date