McKenzie Real Estate Commercial Lease Information Sheet
Applicant's Full Name
*
Today's Date
*
-
Month
-
Day
Year
Date
Date of Birth
*
-
Month
-
Day
Year
Date
Social Security Number
*
Driver's License Number
*
Phone
*
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
Email
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address of Premises to Be Rented
*
Street Address
Unit Number
City
State / Province
Postal / Zip Code
Business Name
*
Short description of your business
*
Business Phone
*
-
Area Code
Phone Number
Do You Have Any Previous Judgements Against You in Relation to a Property Eviction?
*
No
Yes
If So, Please List and Date:
*
Professional Reference #1 Name
*
How Do You Know This Person?
*
Contact Information
*
Professional Reference #2 Name
*
How Do You Know This Person?
*
Contact Information
*
I Hereby Authorize the Person or Firm to Whom This Application Is Submitted to Obtain Any Information as May Be Deemed Necessary in Connection to Their Rental Property.
Signature
*
Date
*
-
Month
-
Day
Year
Date
Do You Need to Include Another Signature
*
No
Yes
Signature
Date
-
Month
-
Day
Year
Date
The Applicant Declares All Above Statements to Be True and Authorizes the Lessor to Use Any Contact Information in Regards to Rent Collection. This Information Is Confidential and Will Not Be Released to Anyone Without the Consent of the Applicant.
Submit
Should be Empty: