COMMERCIAL LEASE APPLICATION

Landlord / Lessor

Date of Application

Date

Location of Residence

Name of Tenant

Other Names Tenant Has Used

Current Home Phone Number

Drivers License Number

State of Issuance

Date of Birth

Date

Marital Status

Spouse Name

Children Names

Name of Tenant 2

Current Phone Number

Name of Business

Address

Phone Number

Your Job Title

Work Hours

Monthly Pay

How Long at Current Job

Other Sources of Income

YesNo

If No, How Long?

YesNo

If Yes, Court and Case Number

YesNo

If Yes, Please Describe

YesNo

If Yes, Please Describe

Bank Name

Phone Number

Account Number

Credit Reference

Name

Phone Number

Name

Phone Number

Name

Phone Number

All pages of this lease application must be signed by all persons who will sign the lease agreement. Additional tenant information is on page 2.

The completion of this application by Tenant and the acceptance of this application by Landlord creates no obligation of Landlord to approve the application.

This application will be approved or rejected usually within five (5) days of being submitted to the landlord. However, there is no obligation of the Landlord to notify tenant(s) unless the application is approved.

If this application is approved, Tenant must make the security deposit and sign the lease before the tenancy begins.

Landlord(s) complies with all Federal and State laws regarding discrimination and does not discriminate based upon age, sex, race, marital status, religion, national origin, or other prohibited classifications.

(Continued on Page 2) By your signature hereon, you agree that the information disclosed by you herein is true, complete and accurate to the best of your knowledge, and you agree that the information disclosed by you herein is material to the potential Lessor's decision with respect to granting or denying your application to enter into a lease.

Signed

Date

Signed

Date

PAGE 2

Have you ever been evicted from a rental unit?

NoIf yes, provide reason for eviction.

YesNo

If Yes, Provide Reason for Eviction.

Motor Vehicle Identification

Car 1 Year

MakeModel

Color

Tag Number

Car 2 Year

Make / Model

Color

Tag Number

List Credit Cards

Type

Card

Type

Card

Type

Card

Type

Card

Creditors Name

Type Of Debt

Person to notify in case of emergency

Phone

How long

Present Address

Zip

Name and phone # of owner/manager

Reason for leaving

Previous Address

DISCLOSURE OF MANAGER

The Manager of the Premises is

Phone

Address

Street Address Line 2

CityState

Zip

OWNER DISCLOSURE: The owner of the premises or a person authorized to act for and on behalf of the owner for the purpose of service of process and receiving and receipting for notices and demands is disclosed as:

Name

Phone

Address

City

State

Zip

RADON GAS DISCLOSURE. Radon is a naturally occurring radioactive gas that, when it has accumulated in a building in sufficient quantities, may present health risks to persons who are exposed to it over time. Levels of radon that exceed federal and state guidelines have been found in buildings in every State of the United States. Additional information regarding radon gas may be obtained from your County public health unit. See also http://www.epa.gov/iaq/radon/

I/We,, the undersigned applicant(s) authorize landlord, 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.

IWe

, or his/her/their agent to order and review my/our credit and

Signed

Date

Signed

Date