Corporate Lease Application – Commercial Applicant:Company Name President's Name Address Email City, State, Zip Code PhoneBusiness Information:Present Business Address Landlord Name and Address Present Rate per month Landlord PhoneHow Long? In years May we contact them? Yes No Reason for New Location Type of Business Name of Business Years Established Principal Suppliers:Business Name Your Account Number Business Address Business Representative PhoneHow Long Business Name Your Account Number Business Address Business Representative PhoneHow Long Financial Information:Name of Financial Institution Agent Branch Address Branch PhoneType of Account Account Number Type of Account Account Number Type of Account Account Number Type of Account Account Number Acknowledgments:How did you find out about our commercial space? I authorize investigation on all statements contained in this application and I authorize the companies or persons named in this application to furnish any true information regarding me or my employment whether or not it is on their records, personnel or otherwise, thereby releasing said companies or person from all liability for any damages whatsoever for issuing this information. I understand that misrepresentation or omission of facts called for is cause for cancellation of the lease. The above information is true and correct statement sworn by me and is hereby made a part of the lease and/or any attachment to this lease.Signature Date MM slash DD slash YYYY CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Builders, Inc. does not discriminate against applicants, residents or employees on the basis of their race, color, creed, religion, sex, national origin, age, familial status or disability.