Personal Lease Application – CommercialFirst Applicant:NameEmail Date of Birth Date Format: MM slash DD slash YYYY AddressPhoneCity, State, Zip CodeSocial Security NumberSecond Applicant:NameEmail Date of Birth Date Format: MM slash DD slash YYYY AddressPhoneCity, State, Zip CodeSocial Security NumberBusiness Information:Present Business AddressLandlord Name and AddressPresent Rate per monthLandlord PhoneHow Long? In yearsMay we contact them?YesNoReason for New LocationType of BusinessName of BusinessYears EstablishedPrincipal Suppliers:Business NameYour Account NumberBusiness AddressBusiness RepresentativePhoneHow LongBusiness NameYour Account NumberBusiness AddressBusiness RepresentativePhoneHow LongFinancial Information:Name of Financial InstitutionAgentBranch AddressBranch PhoneType of AccountAccount NumberType of AccountAccount NumberType of AccountAccount NumberType of AccountAccount NumberAcknowledgments:How did you find out about our commercial space?I authorize investigation on all statements contained in this application and I authorze 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.SignatureDate Date Format: MM slash DD slash YYYY SignatureDate Date Format: MM slash DD slash YYYY CAPTCHANameThis 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.