Lease Application For Property Located At * Tenant Information Legal Business Name * Doing Business As (DBA) Business Phone Number * Business Fax Number Website Address Date Business Established * Specific Use Of Premises * Business Ownership * Proprietorship Limited Liability Company (LLC) Corporation Partnership Date of Incorporation * State of Incorporation * Owner(s) or Officer/Partner Information First Name * Last Name * Title * Home Phone Number Cell Phone Number Email Address * Home Address * Home Address Home Address Home Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Social Security Number * Driver's License & State * Date Of Birth * Add Remove Current Bussiness Address Lease Currently Leasing Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Landlord Name * Landlord Phone Number * Monthly Lease Amount * Term of Lease * Previous Business Address Not Applicable Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Landlord Name * Landlord Phone Number * Monthly Lease Amount * Term of Lease * Business Declarations HAS THE BUSINESS, ITS OFFICERS, PARTNERS, OR OWNER EVER BEEN DELINQUENT IN PAYMENT OF ANY FINANCIAL OBLIGATION OR FILED FOR BANKRUPTCY? * Yes No If Yes, Explain: HAS THIS BUSINESS, ITS OFFICERS, PARTNERS, OR OWNER EVER BEEN A DEFENDANT IN AN UNLAWFUL DETAINER AND/OR BREACH OF CONTRACT LAWSUIT? * Yes No If Yes, Explain: * Authorization * I/We hereby authorize Pacific West Business Properties, Inc. to verify all information and to check Lessee’s credit and/or financial information on this application by contacting the sources listed herein or any other sources available. Additionally, in the event of a default during Lessee’s tenancy, Pacific West Business Properties, Inc. is authorized to check Lessee’s credit. I/We understand that information that does not verify, or cannot be verified, may result in this application not being approved. If you are human, leave this field blank.
