Application Tenant Application Form Date Needed: Associate: Application is hereby made for lease of the following described premises: Property: Suite: Square Footage: Business Name: Nature of Business: How many years in business: Number of Employees in Office: Name: SS#: Spouse: SS#: Email: Birthdate: Driver’s License#: State: Residence Address: City: State: Zip: How Long? Own/Rent: Landlord Phone: Residence Address: (less than 2 years at current) How Long? Own/Rent: Landlord Phone: Credit References: First Bank References: Branch Where Business is Done: Phone: Ext: Second Bank Reference: Branch Where Business is Done: Phone: Ext: Name of Creditor: City, State: Phone #: Account #: Assets Cash: Accounts Receivable: Fixed Assets: Stocks: Bond: Other: Liabilities Mortgage: Loans: Credit Cards: Personal References: 1.) 2.) 3.) The undersigned hereby certifies that the following information is correct and authorizes Gain Management to verify the information through a credit reporting agency. I agree to submit a money order or cashier’s check made payable to Gain Management for $30 to cover the application fee. Dated this Tenant Name Signed Tenant Name Signed
