Property InformationWhat property are you applying for?Property Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Desired Move-In Date* MM slash DD slash YYYY When are you looking to move in?Desired Lease Term Length*One YearTwo YearsThree YearsOtherHow long would you prefer your lease to be?Business InformationTell us about your business.Business Legal Name*DBAIf different than legal nameCurrent Business Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Gross Annual Sales*** Please provide verification of sales (Ex. Tax Returns, Accountant's Statements, Bank Statements)Federal Tax ID Number*Business Phone Number*Business Fax NumberWhat is your current Property Manager's name* What is your current Property Manager's phone number?*How much is your current monthly rent?*Move In Date* MM slash DD slash YYYY When did you move into your current residence?Move Out Date* MM slash DD slash YYYY When are you moving out of your current residence?Why are you moving?Date of Business Formation MM slash DD slash YYYY Current Owner Since MM slash DD slash YYYY Current Number of Employees*Projected Furture Number of Employees*Current Number of Vehicles*Projected Future Number of Vehicles*Briefly describe the products or services your business provides:*(Ex. Accountant, bakery, vehicle repair, etc.)Primary Contact InformationThis person will be our contact during the term of your lease.Primary Business Contact* First Middle Last Primary Contact's Phone Number*Primary Contact's Email Address* Enter Email Confirm Email Primary Contact's Title*Is the Primary Contact also the Principal / Owner / Guarantor?*Select OneYesNoWill the Primary Contact be guaranteeing the lease?Primary Contact's Social Security Number*Primary Contact's Gross Monthly Income*Primary Contact's Personal Net Worth*Principal / Owner / Guarantor InformationThis person will be guaranteeing the lease.Guarantor's Name* First Middle Last Guarantor's Phone Number*Guarantor's Email Address* Enter Email Confirm Email Guarantor's Social Security Number*Guarantor's Gross Monthly Income*Guarantor's Personal Net Worth*Any Additional Comments?Are you using a Real Estate Agent? Yes No Name of Agent First Last Agent's Phone NumberEmergency Contact InformationName* First Middle Last Phone*Email* Application Fee Application Fee Each application requires a $50.00 fee to compensate the landlord's time and expenses to process this application and is not refundable. No applicant shall have right or interest in the premises until this application is approved by the landlord and the parties have duly signed and delivered a lease agreement. I, the undersigned, declare that all information given in this application is true and correct. I authorize Management to verify and obtain a complete consumer history report, including, but no limited to credit report, landlord verifications, employment verifications, reference herein to release information required for the completion of this screening to Management and/or ACUTRAQ. Acknowledgement* I will be required to submit an Application FeeApplicant Name* Date* MM slash DD slash YYYY Δ
