Commercial Lease Application
COMMERCIAL LEASE APPLICATION
The following information is provided to Bell Properties Inc. (the “property management”) in order for the landlord to better evaluate the stability of the undersigned as a tenant. The submission of this document shall not be deemed an offer to lease. Any occupancy agreement, if any shall be made by a written agreement signed by both parties. The Landlord is relying upon the accuracy of the information given by the undersigned and any material inaccuracy shall be a basis for termination of any occupancy agreement.
I. THE PREMISES INFORMATION.
Application to rent a space located at: ___________________________ Date: _______
Square Feet (SF): ______________ Property Name (if any): _____________________
Requested Occupancy term:______________
Requested Occupancy commencement date:_________________
II. THE BUSINESS.
Business Name: ________________________________________________________
Principal Office Address: _________________________________________________
Phone Number: ________________ E-Mail Address: ________________
Type of Entity:
State of Incorporation: ________________
Federal TAX ID Number (FEIN): ________________
Business Type: ________________ (e.g. “pharmacy”, “convenience store”, etc.)
Please describe nature of business:
____________________________________________________________________________________________________________________________________________
III. THE TENANT.
Owner/Principal: ____________________________________________________
Ownership Percentage: _____ %
Title:
Driver’s License Number: ________________ State: ________________
Issued Date: ________________ Expiration Date: ________________
Social Security Number (SSN): ________________
2 nd Owner/Principal: ____________________________________________________
Ownership Percentage: _____ %
Title:
Driver’s License Number: ________________ State: ________________
Issued Date: ________________ Expiration Date: ________________
Social Security Number (SSN): ________________
IV. LEASE GUARANTEE.
Name(s) of the Person(s) that will Guarantee the Lease:
Person 1: ____________________________________________________
Person 2: ____________________________________________________
V. RENTAL HISTORY.
Present Address: _______________________________________________________
Rent: $________________ / Month
If Renting, Name of Landlord: ________________ Phone: ________________
Previous Address: _______________________________________________________
Rent: $________________ / Month
If Rented, Name of Landlord: ________________ Phone: ________________
Previous Address: _______________________________________________________
Rent: $________________ / Month
If Rented, Name of Landlord: ________________ Phone: ________________
Previous Address: _______________________________________________________
VI. CREDIT REFERENCE. (Former Landlord, Bank, Vendor, etc.)
1 st Reference: __________________________________________________________
Address: ______________________________________________________________
Phone: ________________ E-Mail Address: ________________
2 nd Reference: _________________________________________________________
Address: ______________________________________________________________
Phone: ________________ E-Mail Address: ________________
3 rd Reference: __________________________________________________________
Address: ______________________________________________________________
Phone: ________________ E-Mail Address: ________________
VII. CURRENT MONTHLY REVENUE.
Gross Revenue: $________________ Total Expenses: $________________
VIII. CURRENT ASSETS.
Cash on Hand & in Banks $________________
Savings Accounts $________________
IRA/Retirement Accounts $________________
Accounts Receivable $________________
Insurance Cash Surrender $________________
Stocks & Bonds $________________
Real Estate $________________
Vehicles $________________
Other Personal Property $________________
Other ________________ $________________
Other ________________ $________________
Other ________________ $________________
Total Assets: $________________
IX. CURRENT LIABILITIES.
Accounts Payable $________________
Notes Payable to Banks $________________
Auto Payments $________________
Other Installment Accounts $________________
Loans on Life Insurance $________________
Mortgages on Real Estate $________________
Unpaid Taxes $________________
Other Liabilities ________________ $________________
Other Liabilities ________________ $________________
Other Liabilities ________________ $________________
Total Liabilities $________________
X. BANKING REFERENCES.
1 st Account Bank Name ____________________ Phone ________________
Bank Address _________________________________________________________
Account Number ____________________ Type
2 nd Account Bank Name ____________________ Phone ________________
Bank Address _________________________________________________________
Account Number ____________________ Type
XI. CONSENT.
I/We, __________________________, the undersigned applicant(s) authorize the
Landlords Property Manager, Bell Properties Inc., or his/her/their agent to order and review
my/our credit and criminal history and investigate the accuracy of the information
contained in the application. I/We further authorize all banks, employers, creditors,
credit card companies, references, and any and all other persons to provide to Landlord
any and all information concerning my/our credit.
Applicant(s) further understands and agrees that (i) this is an application to rent only and does not guarantee that applicant will be offered the Premises; (ii) Landlord or Manager or Agent may accept more than one application for the Premises and, using their sole discretion, will select the best qualified applicant, and (iii) Applicant will provide a copy of applicant’s driver license upon request.
Tenant Signature __________________________ Date _______________
Tenant Signature __________________________ Date _______________