Commercial Rental Application w/ Background Information

Commercial Lease Application

WALTER PROPERTY MANAGEMENT COMPANY
Please fill out the application completely. If information is left out, your application will be returned and not processed. If you have any questions please call 309-948-1014.
Address of Property Applying for*
Address, City and State
Move in Date*

MonthDayYear
Date
BUSINESS INFORMATION
Contact Email*
example@example.com
Legal Name of Business*
DBA Name of Business
Business Manager*

First NameMiddle NameLast Name
Business Phone Number*

Area CodePhone Number
Current Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Annual Sales
$ Amount
Federal Tax ID#
Number of Employees
Date Established

MonthDayYear
Date
Type of Organization
Briefly describe the product sold or the service rendered by your business:
BUSINESS FINANCIAL INFORMATION
Gross Receipts/Sales for the past 3 years.
2019 Sales
$ Amount
2018 Sales
$ Amount
2017 Sales
$ Amount
Bank Information

Name of Bank

Bank Address

CityState / Province

Postal / Zip Code
Bank Balance
In the account from which you pay rent
PRINCIPAL / OWNER / GUARANTOR INFORMATION
Full Name*

First NameMiddle NameLast NameSuffix
Birth Date*

MonthDayYear
Social Security #*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
% of Ownership in Business*
Personal Gross Income Excluding Business Value*
$ Amount
Sources of Income*
Business income, Secondary income, Spousal income, Child Support, etc.
Do you own or rent your home?*
Additional Applicants

First NameLast Name
First NameLast Name
Business Rental History
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Move in Date

MonthDayYear
Move Out Date

MonthDayYear
Amount Paid Monthly
Landlord or Company Name
Landlord Phone #

Area CodePhone Number
Landlord Email
(if available)
Reason for Leaving
If "other" please explain:
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Move in Date

MonthDayYear
Move Out Date

MonthDayYear
Amount Paid Monthly
Landlord or Company Name
Landlord Phone #

Area CodePhone Number
Landlord Email
(if available)
Reason for Leaving
If "other" please explain:
Other Information
In the past, have you been delinquent in paying rent or other financial obligations? If yes, please explain:*
In the past, have you failed to perform any obligations of a rental agreement or have you been a defendant in an eviction lawsuit? If yes, please explain:*
Terms
I, Applicant, represent that all of the above statements are true and correct and hereby authorize verification of the above items including but not limited to the obtaining of a consumer credit report and criminal background search. I agree to furnish additional credit references on request. I recognize that as a part of processing my application an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. Any false statements made above shall be sufficient cause for Walter Properrty Management, Landlord, to cancel and terminate any agreement made with Applicant. I understand that the $30 processing fee is not rent or deposit and will not be refunded even if this application is denied.*

I Agree
BACKGROUNDCHECK AUTHORIZATION After carefully reading the Background Check Disclosure form, I authorize the Company to order my background report, including investigative consumer reports. I understand that the Company may rely on this authorization to order additional background reports, including investigative consumer reports. I also authorize the following agencies and entities to disclose to Background Intelligence Bureau and its agents all information about or concerning me, including but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies;federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; if applicable, workers’compensation injuries; all other private and public sector repositories of information; and any other person, organization, or agency with any information about or concerning me. The information that can be disclosed to Background Intelligence Bureau and its agents includes, but is not limited to, information concerning my employment history, earnings history, education, personal references, credit history, motor vehicle history, criminal history, military service, professional credentials and licenses and substance abuse testing. I agree the Company may rely on this authorization to order background reports, including investigative consumer reports, from companies other than Background Intelligence Bureau without asking me for my authorization again as allowed by law. I also agree that a copy of this form is valid like the signed original. I certify that all of my personal information on this form is true and correct and understand that dishonesty may disqualify me from consideration for housing with the Company.*

I Agree
Signature*

Clear
Use your cursor to sign your name above.
Name*

First NameLast NameSuffix

My Products

Application Fee$40.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

Commercial Lease Application

BUSINESS INFORMATION

BUSINESS FINANCIAL INFORMATION

PRINCIPAL / OWNER / GUARANTOR INFORMATION

Business Rental History

Other Information

Terms