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Form preview Commercial lease application f... COMMERCIAL LEASE APPLICATION Landlord/Lessor Date of Application Location of Leased Premises Business Name Conditions and Information Name of Persons who will sign lease Person 1 Driver s License No. State of Issuance Social Security Number Date of Birth Is your business a corporation LLC or other entity Yes No - If yes what form of business entity - Federal Tax ID Number All pages of this lease application must be signed by all persons who will sign the lease agreement. Additional tenant information is on page 2. The completing of this application Tenant and the acceptance of application by Landlord creates obligation of Landlord to approve by this no the - State in which entity formed This application will be approved or rejected usually within five 5 days of being submitted to landlord. However there is no obligation of Landlord to notify tenant unless the application is approved* - Person 2 - Registered Agent Name - Address for registered agent If this application is approved Tenant must make the security deposit and sign the lease before the tenancy begins. City State Zip Proposed use of premises Other Business Locations Credit References For Landlord s Use Only Name Rent Amount Address Deposit Contact Date Lease to begin Phone End of Lease Continued on Page 2 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 to enter into a lease. Signed Date -1- Bank Information Type Of Account Account City Credit Cards Type Card Creditors Not Already listed Monthly Payment Balance Owed DISCLOSURE OF MANAGER The Manager of the Premises is Phone Address City State Zip Comments CONSENT TO CREDIT CHECK I/We the undersigned applicant s authorize landlord or his/her/their agent to order and review my/our credit and criminal history and investigate the accuracy of the information contained in the application* I/We further authorize all banks employers creditors credit card companies references and any and all other persons to provide to Landlord any and all information concerning my/our credit. Additional tenant information is on page 2. The completing of this application Tenant and the acceptance of application by Landlord creates obligation of Landlord to approve by this no the - State in which entity formed This application will be approved or rejected usually within five 5 days of being submitted to landlord. However there is no obligation of Landlord to notify tenant unless the application is approved* - Person 2 - Registered Agent Name - Address for registered agent If this application is approved Tenant must make the security deposit and sign the lease before the tenancy begins. However there is no obligation of Landlord to notify tenant unless the application is approved* - Person 2 - Registered Agent Name - Address for registered agent If this application is approved Tenant must make the security deposit and sign the lease before the tenancy begins. City State Zip Proposed use of premises Other Business Locations Credit References For Landlord s Use Only Name Rent Amount Address Deposit Contact Date Lease to begin Phone End of Lease Continued on Page 2 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 to enter into a lease.
Form preview Act release form PRIVACY ACT RELEASE FORM As required by the Privacy Act of 1974 I authorize U.S. Representative Dan Benishek M. D. to obtain information from any federal government records regarding me in connection with my claim or problem* Agency Signature Date / Name First Home Telephone Work Telephone Date of Birth / 2012 Last Social Security Number - - Address City State Zip County Claim Number if applicable Please describe your problem and the current status of your claim* This matter has been brought to the attention of former Congressman Bart Stupak Levin and/or Senator Debbie Stabenow. Please check all that apply. Senator Carl Mail or Fax this form Gaylord 810 S* Otsego Ave. Ste 105 Gaylord MI 49735-1780 Tel 989-448-8811 Fax 989-448-8858 Petoskey 200 Division St* Ste 178 Petoskey MI 49770-2465 Tel 231-348-0657 Fax 231-348-0653 Iron Mountain 500 S* Stephenson Ave. Ste 500 Tel 906-828-1581 Fax 906-828-1583 Marquette 307 S* Front St* Ste 120 Marquette MI 49855-4613 Tel 906-273-1661 Fax 906-273-1663. D. to obtain information from any federal government records regarding me in connection with my claim or problem* Agency Signature Date / Name First Home Telephone Work Telephone Date of Birth / 2012 Last Social Security Number - - Address City State Zip County Claim Number if applicable Please describe your problem and the current status of your claim* This matter has been brought to the attention of former Congressman Bart Stupak Levin and/or Senator Debbie Stabenow. Please check all that apply. Senator Carl Mail or Fax this form Gaylord 810 S* Otsego Ave. Ste 105 Gaylord MI 49735-1780 Tel 989-448-8811 Fax 989-448-8858 Petoskey 200 Division St* Ste 178 Petoskey MI 49770-2465 Tel 231-348-0657 Fax 231-348-0653 Iron Mountain 500 S* Stephenson Ave. Please check all that apply. Senator Carl Mail or Fax this form Gaylord 810 S* Otsego Ave. Ste 105 Gaylord MI 49735-1780 Tel 989-448-8811 Fax 989-448-8858 Petoskey 200 Division St* Ste 178 Petoskey MI 49770-2465 Tel 231-348-0657 Fax 231-348-0653 Iron Mountain 500 S* Stephenson Ave. Ste 500 Tel 906-828-1581 Fax 906-828-1583 Marquette 307 S* Front St* Ste 120 Marquette MI 49855-4613 Tel 906-273-1661 Fax 906-273-1663. D. to obtain information from any federal government records regarding me in connection with my claim or problem* Agency Signature Date / Name First Home Telephone Work Telephone Date of Birth / 2012 Last Social Security Number - - Address City State Zip County Claim Number if applicable Please describe your problem and the current status of your claim* This matter has been brought to the attention of former Congressman Bart Stupak Levin and/or Senator Debbie Stabenow. Please check all that apply. Senator Carl Mail or Fax this form Gaylord 810 S* Otsego Ave. Ste 105 Gaylord MI 49735-1780 Tel 989-448-8811 Fax 989-448-8858 Petoskey 200 Division St* Ste 178 Petoskey MI 49770-2465 Tel 231-348-0657 Fax 231-348-0653 Iron Mountain 500 S* Stephenson Ave. Ste 500 Tel 906-828-1581 Fax 906-828-1583 Marquette 307 S* Front St* Ste 120 Marquette MI 49855-4613 Tel 906-273-1661 Fax 906-273-1663.

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