C-PARK BUSINESS HUB
LEASE APPLICATION
1762 Temple Avenue
College Park, GA 30337
APPLICANT INFORMATION
Applicant Name (Business Owner/Authorized Representative):
Date of Application:
-
Month
-
Day
Year
Date
Email Address:
example@example.com
Cell Phone:
Format: (000) 000-0000.
Business Phone:
Format: (000) 000-0000.
Driver's License Number:
State Issued:
Date of Birth:
-
Month
-
Day
Year
Date
Social Security Number (SSN):
Current Home Address:
Street:
City:
State:
Zip:
Length of Residence:
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BUSINESS INFORMATION
Legal Business Name:
DBA (If Applicable):
Business Entity Type:
Sole Proprietorship
LLC
S Corporation
C Corporation
Partnership
Nonprofit
Other
Business EIN:
State of Formation:
Date Business Established:
Years in Business:
Business Address:
Business Website:
Industry Type:
Description of Business Activities:
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LEASE TERM
Desired Lease Term
9 Month Lease
12 Month Lease
24 Month Lease
Office Requested
Private Office (10x10)
Private Office (10x12)
Virtual Office
Coworking Membership
Desired Move-In Date
-
Month
-
Day
Year
Date
Number of Employees
Full-Time:
Part-Time:
Contractors:
Expected Daily Office Occupancy
Expected Daily Office Occupancy
1 Person
2-3 Persons
4-5 Persons
More than 5 Persons
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BUSINESS FINANCIAL INFORMATION
Annual Gross Revenue
Annual Gross Revenue
Startup (Pre-Revenue)
Under $50,000
$50,001 - $100,000
$100,001 - $250,000
$250,001 - $500,000
$500,001 - $1 Million
Over $1 Million
Annual Net Profit
Annual Net Profit
Loss
Under $25,000
$25,001 - $50,000
$50,001 - $100,000
Over $100,000
Business Credit Score (If Known)
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Personal Credit Score Range
Personal Credit Score Range
Under 580
580-619
620-679
680-739
740+
Have you ever filed bankruptcy?
Have you ever filed bankruptcy?
Yes
No
If yes, provide date:
Are there any pending lawsuits involving the business?
Yes
No
If yes, explain:
BUSINESS DOCUMENTATION
Please upload the following:
Required Documents
Required Documents
Driver's License
Business Formation Documents
EIN Confirmation Letter
Business License
Certificate of Good Standing
Most Recent Tax Return
Prior Year Financial Statements
Current Year Profit & Loss Statement
Business Bank Statements (Last 3 Months)
Certificate of Insurance (Prior to Occupancy)
File Upload
Browse Files
Drag and drop files here
Choose a file
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BUSINESS READINESS ASSESSMENT
Do you currently maintain:
Do you currently maintain:
Rows
Yes
No
Business Bank Account
Accounting Software
Business Insurance
Payroll System
Written Business Plan
Business Budget
Separate Business Credit
PROFESSIONAL REFERENCES
Reference #1
Business Name:
Contact Person:
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Phone:
Relationship:
Reference #2
Business Name:
Contact Person:
Phone:
Relationship:
C-PARK COMMUNITY ALIGNMENT
What are your primary goals for leasing space at C-Park Business Hub?
Professional Office Space
Client Meetings
Business Growth
Networking
Access to Resources
Training & Workshops
Mailbox Services
Are you interested in participating in:
Invest South Fulton Capital Readiness Programs
Networking Events
Business to Business opportunites
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EMERGENCY CONTACT
Name:
Relationship:
Phone:
Format: (000) 000-0000.
APPLICANT CERTIFICATION
I certify that all information contained in this application is true and complete to the best of my knowledge. I authorize C-Park Business Hub and its representatives to verify information contained herein, including business records, references, and creditworthiness, for purposes of evaluating this application.
I understand that submission of this application does not guarantee approval for tenancy and that C-Park Business Hub reserves the right to approve or deny applicants based on its leasing criteria.
Applicant Signature:
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