COMMERCIAL LEASING APPLICATION

COMMERCIAL LEASING APPLICATION
Greenspring Valley Office Center

9505 Reisterstown Road, Suite 3rd Floor South

Owings Mills, MD 21117

Office: 410-469-9837 | Fax: 443-288-4036
PERSONAL INFORMATION
LAST NAME*
Last Name
FIRST NAME*
First Name
M.I.
Middle Initial
ADDRESS*
Street Address
APARTMENT/UNIT
Apartment/Unit #
CITY*
City
STATE*
State
ZIP CODE*
Zip Code
PHONE*
Primary Phone #
EMAIL*
example@example.com
DATE OF BIRTH*

MonthDayYear
Date of Birth
MARITAL STATUS:

SINGLEMARRIEDDIVORCED
SPOUSE’S NAME
Name of Spouse
SPOUSE’S PHONE
Spouse's Phone #
SPOUSE’S EMPLOYER
EMERGENCY CONTACT
NAME*
Name of Emergency Contact
PHONE*
Emergency Contact Phone #
RELATIONSHIP*
CURRENT EMPLOYMENT
COMPANY*
TITLE*
COMPANY ADDRESS
WORK PHONE
CELL PHONE
Please enter a valid phone number.
EMAIL
example@example.com
DEPARTMENT
SUPERVISOR
Supervisor's Name
SUPERVISOR’S PHONE
EMPLOYMENT START DATE

MonthDayYear
Employment Start Date
SALARY
BUSINESS INFORMATION
CORPORATE NAME*
Official Name of Business
TRADE NAME
Trade Name / DBA for Business
BUSINESS TYPE (select one)*

SOLE PROPRIETORSHIPPARTNERSHIPCORPORATIONOther
ADDRESS*
Business Street Address
SUITE/UNIT #
Suite/Unit # for Business Address
CITY*
City
STATE*
State
ZIP CODE*
Zip Code
BUSINESS PHONE*
Business Phone #
TYPE OF BUSINESS*
Type of Business
REFERENCES
LANDLORD NAME
Landlord's Name
PHONE
Landlord's Phone #
EMAIL
Landlord's Email (example@example.com)
BUSINESS ASSOCIATE NAME
PHONE
Business Associate's Phone #
EMAIL
Business Associate's Email (example@example.com)
FINANCIAL INFORMATION
ASSETS

(IN U.S. DOLLARS)
CASH ON HAND / IN BANKS
U.S GOVT MARKETABLE SECURITIES
REAL ESTATE OWNED (attach separate schedule)
LOANS RECEIVABLE
AUTOMOBILES & OTHER PERSONAL PROPERTY (list on separate schedule)
CASH VALUE IN LIFE INSURANCE
OTHER ASSETS - ITEMIZE
TOTAL ASSETS (in dollars)*
LIABILITIES

(IN U.S. DOLLARS)
NOTES PAYABLE TO BANKS
AMOUNTS PAYABLE TO OTHERS
ACCOUNTS & BILLS DUE
UNPAID INCOME TAX
REAL ESTATE MORTGAGE PAYABLES (list on separate schedule)
OTHER DEBTS - ITEMIZE
TOTAL LIABILITIES*
NET WORTH
OTHER SOURCES OF INCOME

(IN U.S. DOLLARS)
SALARY, BONUSES & COMMISSIONS
DIVIDENDS
REAL ESTATE INCOME
OTHER INCOME (ALIMONY, CHILD SUPPORT, ETC)
TOTAL
PLEASE BE SURE TO ATTACH ANY ADDITIONAL REQUESTED INFORMATION

(ie. bank statements, articles of organization, photo ID, tax returns, financial details, real estate schedules, etc.)
THE INFORMATION HEREIN PROVIDED IS FOR THE PURPOSE OF PROCURING A LEASE WITH YOU ON BEHALF OF THE UNDERSIGNED, PERSON OR PERSONS IN WHOSE BEHALF THE UNDERSIGNED MAY EITHER SEVERALLY OR JOINTLY WITH OTHERS, EXECUTE A GUARANTEE IN YOUR FAVOR. EACH UNDERSIGNED UNDERSTANDS THAT YOU ARE RELYING ON THE INFORMATION PROVIDED HEREIN (INCLUDING THE DESIGNATION MADE AS TO OWNERSHIP OR PROPERTY) IN DECIDING TO EXECUTE A LEASE. EACH UNDERSIGNED REPRESENTS AND WARRANTS THAT THE INFORMATION PROVIDED IS TRUE AND COMPLETE AND THAT YOU MAY CONSIDER THIS INFORMATION TO BE TRUE AND CORRECT UNTIL WRITTEN NOTICE OF A CHANGE IS GIVEN TO YOU BY THE UNDERSIGNED. YOU ARE HEREBY AUTHORIZED TO MAKE ALL INQUIRIES YOU DEEM NECESSARY TO VERIFY THE ACCURACY OF THE STATEMENTS MADE HEREIN, AND TO BE DETERMINE MY/OUR CREDITWORTHINESS. YOU ARE AUTHORIZED TO ANSWER QUESTIONS ABOUT YOUR CREDIT EXPERIENCE WITH ME/US.
NAME (INDIVIDUAL)*
SIGNATURE (INDIVIDUAL)*

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DATE*

MonthDayYear
Date
NAME (INDIVIDUAL #2)
SIGNATURE (INDIVIDUAL #2)

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DATE

MonthDayYear
Date
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COMMERCIAL LEASING APPLICATION

PERSONAL INFORMATION

EMERGENCY CONTACT

CURRENT EMPLOYMENT

BUSINESS INFORMATION

REFERENCES

FINANCIAL INFORMATION

ASSETS

LIABILITIES

OTHER SOURCES OF INCOME