Sublease Agreement

APPLICATION FOR SUB-LEASE

List names of all current contractual Tenants for Leased Premises:

Address/identification of Leased Premises proposed for sub-lease:

Potential Sub-Lessees to answer the following questions and sign below [use a separate Application for each potential sub-lessee intending to sign sub-lease]:

Name:

S.S.#: Date of Birth:

Marital Status: Spouse’s Name:

Children:

Who other than yourself will dwell in the sub-leased premises:

Your current address:

How long at this address: Are you a U.S. citizen: Yes No

Home Phone: Work Phone:

Driver's License Number: State:

Place of Employment:

Employer’s Mailing Address:

Your Supervisor:

Your Occupation: Your Job Title:

Work Hours: Pay Dates:

Monthly Take Home Pay: How long at this job:

Other sources of income and amounts:

Do you intend to reside here indefinitely? If not, for how long?

Have you ever filed Bankruptcy? Yes No - If Yes, where and when, and who was your attorney?

Are you currently a party to any lawsuit pending in court? Yes No

If Yes, give name and number of case, type of case, court in which pending, your involvement in the case, the nature and amount of relief sought by all parties, and the name of your attorney:

Are you subject to a judgment by any court? Yes No - If Yes, describe judgment:

List Four (3) Friends or Relatives as references:

By your signature hereon, you agree that the information disclosed by you herein is true, complete and accurate to the best of your knowledge, and you agree that the information disclosed by you herein is material to the potential Lessor’s decision with respect to granting or denying your application for sub-lease.

Print Name: