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Fill and Sign the Exhibit 1034 Lease Agreement Secgov Form

Fill and Sign the Exhibit 1034 Lease Agreement Secgov Form

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- 1 - C O M M ER CI A L LEA SE AP P LI CA T I O N Lan d l o r d / Lesso r : Dat e o f Ap p l i cat i o n : Lo cat i o n o f Leased Pr em i ses: Bu si n ess Nam e: Nam e o f Per so n s w h o w i l l si g n l ease: Per so n 1 : Dr i v er ’s Li cen se No . St at e o f I ssu an ce: So ci al Secu r i t y Nu m b er : Dat e o f Bi r t h : Per so n 2 : Dr i v er ’s Li cen se No : St at e o f I ssu an ce: I s y o u r b u si n ess a co r p o r at i o n , LLC o r o t h er en t i t y ? Yes No - I f y es, w h at f o r m o f b u si n ess en t i t y ? - Fed er al Tax I D Nu m b er : - St at e i n w h i ch en t i t y f o r m ed ? - Nam es o f Per so n ( s) w h o w i l l Gu ar an t ee Lease - Per so n 1 : - Per so n 2 : - Reg i st er ed Ag en t Nam e: - Ad d r ess f o r r eg i st er ed ag en t : Ci t y St at e Z i p Pr o p o sed u se o f p r em i ses? Ot h er Bu si n ess Lo cat i o n s: Cr ed i t Ref er en ces: Nam e: Ad d r ess: Ci t y St at e Z i p Co n t act : Ph o n e: Nam e: Ad d r ess: Ci t y St at e Z i p Co n t act : Ph o n e: Co n d i t i o n s a n d I n f o r m a t i o n Al l p ag es o f t h i s l ease ap p l i cat i o n m u st b e si g n ed b y al l p er so n s w h o w i l l si g n t h e l ease ag r eem en t . Ad d i t i o n al t en an t i n f o r m at i o n i s o n p ag e 2 . Th e co m p l e t i n g o f t h i s ap p l i cat i o n b y Ten an t an d t h e accep t an ce o f t h i s ap p l i cat i o n b y Lan d l o r d cr eat es n o o b l i g at i o n o f Lan d l o r d t o ap p r o v e t h e ap p l i cat i o n . Th i s ap p l i cat i o n w i l l b e ap p r o v ed o r r ej ect ed u su al l y w i t h i n f i v e ( 5 ) d ay s o f b ei n g su b m i t t ed t o l an d l o r d . Ho w ev er , t h er e i s n o o b l i g at i o n o f Lan d l o r d t o n o t i f y t en an t u n l ess t h e ap p l i cat i o n i s ap p r o v ed . I f t h i s ap p l i cat i o n i s ap p r o v ed , Ten an t m u st m ak e t h e secu r i t y d ep o si t an d si g n t h e l ease b ef o r e t h e t en an cy b eg i n s. Fo r La n d l o r d ’ s U se O n l y Ren t Am o un t : Dep o si t : Dat e Lease t o b eg i n : En d o f Lease: ( Co n t i n u e d o n P a g e 2 ) By y o u r si g n at u r e h er eo n , y o u ag r ee t h at t h e i n f o r m at i o n d i scl o sed b y y o u h er ei n i s t r u e, co m p l et e an d accu r at e t o t h e b est o f y o u r k n o w l ed g e, an d y o u ag r ee t h at t h e i n f o r m at i o n d i scl o sed b y y o u h er ei n i s m at er i al t o t h e p o t en t i al Lesso r ’s d eci si o n w i t h r esp ect t o g r an t i n g o r d en y i n g y o u r a p p l i cat i o n t o en t er i n t o a l ease. Si g n ed : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Dat e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Si g n ed : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Dat e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - 2 - Cr ed i t Ref er en ces Co n t i n u ed : Nam e: Ad d r ess: Ci t y St at e Z i p Co n t act : Ph o n e: Ban k I n f o r m at i o n Nam e Ty p e Of Acco u n t Acco u n t # Ci t y Cr ed i t Car d s Ty p e Car d # Ty p e Car d # Cr e d i t o r s ( N o t A l r e a d y l i st e d ) N a m e M o n t h l y P a y m e n t Ba l a n ce O w e d D I SCLO SU R E O F M A N A GER : T h e M a n a g e r o f t h e P r e m i se s i s _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ P h o n e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ A d d r e ss: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Ci t y : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ St a t e : _ _ _ _ _ _ _ _ _ _ _ _ _ Z i p : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Co m m e n t s: CO N SEN T T O CR ED I T CH ECK I / W e , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , t h e u n d e r si g n e d a p p l i ca n t ( s) a u t h o r i z e l a n d l o r d , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , o r h i s/ h e r / t h e i r a g e n t t o o r d e r a n d r e v i e w m y / o u r cr e d i t a n d cr i m i n a l h i st o r y a n d i n v e st i g a t e t h e a ccu r a cy o f t h e i n f o r m a t i o n co n t a i n e d i n t h e a p p l i ca t i o n . I / W e f u r t h e r a u t h o r i z e a l l b a n k s, e m p l o y e r s, cr e d i t o r s, cr e d i t ca r d co m p a n i e s , r e f e r e n ce s, a n d a n y a n d a l l o t h e r p e r so n s t o p r o v i d e t o La n d l o r d a n y a n d a l l i n f o r m a t i o n co n ce r n i n g m y / o u r cr e d i t . Si g n ed : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Dat e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Si g n ed : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Dat e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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