CORPORATE LEASE APPLICATION

 

By:

Firm Legal Name

 

Business Address

 

Phone Number

 

Fax Number

E-mail Address

Contact Person

 

Title

Parent Company (If applicable)

 

Business Address

 

Ownership:

Type of Business

 

Year Established

State of Jurisdiction

__ Corporation

__ Partnership

__ Other

Tax ID Number (Partnerships)

Number of Officer(s)/Partner(s)

 

Address

SS# (If Partner)

Number of Officer(s)/Partner(s)

 

Address

SS# (If Partner)

Number of Officer(s)/Partner(s)

 

Address

SS# (If Partner)

Bank References:

 

If the business is a Partnership, provide references for all partners

Name

 

Account Officer

Account Number

Address

 

Phone Number

Name

 

Account Officer

Account Number

Address

 

Phone Number

Credit References:

 

 

If the business is a Partnership, provide references for all partners

Company Name

 

Contact Person

Address

 

Phone Number

Company Name

 

Contact Person

Address

 

Phone Number

Company Name

 

Contact Person

Address

 

Phone Number

 

I, the undersigned applicant, hereby declare that the representations of fact contained in the foregoing application are considered part of the Corporate Suite Lease to be executed by me on behalf of my Corporation/Company and are true and correct. I agree that if any information herein contained is false, the lease made on the strength of this application may, at the option of the Owner, be terminated at any time. I authorize the Agent for Owner to verify the above statements including, but not limited to, the use of credit information agencies, In the case whereas a credit reference is not available, a complete and thorough Company Financial Statement will be provided upon request.

 

Authorized Corporate Officer/General Partner Signature

 

 

Date

Receipt of Application Acknowledgement

 

 

Date