Tenant Application

Micron USA Management LLC

399 Camino gardens Blvd, Suite 300, Boca Raton, FL, 33432
Rental Application Form

(Co-Tenant must file separate application)
Store Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
1) Company Information
Type of Business:
Is this Business a start up?
Years In Business?
Desired Date of Occupancy:
Length of Desired Lease:
Company Name:
Mailing Address:
Address of any other Locations:
Desired Use:
Hours of Operation:
Business Trade Name:
2) Personal Information

(Guarantor of Lease)
Full Name:
Position In Company:
Home Address:
City:
State:
Zip Code:
Mobile Number:
Home Phone Number:
Fax Number:
Email:
Driver License Number:
Driver License State:
Social Security Number:
Date of Birth:
Do You Own or Rent Your Home?
If Rent: Landlord Name and Phone Number Please:
If Own: Paid in Full?
If Not: Please Provide Financial Institution Name and Loan Number:
Personal Information Continued

(Spouse of Guarantor of Lease)
Full Name:
Home Address:
City:
State:
Zip Code:
Mobile Number:
Home Phone Number:
Fax Number:
Email:
Driver License Number:
Driver License State:
Social Security Number:
Date of Birth:
3) Commercial / Credit References
1st Reference
Name:
Type of Business:
Phone Number:
Account Number:
2nd Reference
Name:
Type of Business:
Phone Number:
Account Number:
4) Current / Previous Landlord References
1st Reference
Name:
Property Address:
Phone Number:
Rent Period:
2nd Reference
Name:
Property Address:
Phone Number:
Rent Period:
5) Documents Upload
Applicant Driver License:

Cancelof
Business Tax Receipt:

Cancelof
DBPR License (If Applicable):

Cancelof
Last Three Months of Bank Account Statements:

Cancelof
Previous Year Income Tax Return:

Cancelof
6) Application Fee and Authorization For Release of Personal, Business, and Credit Information For Landlord

(Read and Sign Statement Below)
I, Type Name Here hereby authorize the release of information concerning my employment, credit, residential information, and any other information that may appear on my rental application to any credit bureau and Micron USA Management LLC as agent for the owner. I understand that this information is to be used as part of an investigative consumer report and credit report. Furthermore I and any other co-applicant waive any and all privileges I may have with respect to disclosure of said information to the aforesaid parties. I have no Real Estate representative and in the event I need one I'll be responsible for paying any commission owed.
Applicants Name:
Social Security Number:
Date of Birth:
Today's Date:
Signature:

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7) Rental Application Payment

My Products

Application & Screening Fee

$240.00 Quantity
Item subtotal:$0.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Afterpay

Should be Empty:

Micron USA Management LLC

Rental Application Form

1) Company Information

2) Personal Information

Personal Information Continued

3) Commercial / Credit References

1st Reference

2nd Reference

4) Current / Previous Landlord References

1st Reference

2nd Reference

5) Documents Upload

6) Application Fee and Authorization For Release of Personal, Business, and Credit Information For Landlord

7) Rental Application Payment

Payment Methods