Rental Application

Business & applicant

Tell us about your business and the space you'd like to lease.

Company or applicant name *

Current address

Street *

City *

State *

ZIP *

Business address (optional)

Street

City

State

ZIP

Requested monthly rent *

Business phone *

Requested suite

Federal Tax ID / EIN

Date business established (optional)

Current number of employees (optional)

Projected number of employees (optional)

Organizational type *

Building status *

OwnedLeasedOther

Type of business (goods or services) *

Current landlord name

Current monthly rent

Guarantor

At least one guarantor is required. This information is submitted securely and used only to evaluate your application.

Full legal name *

Home street address *

City *

State *

ZIP *

Phone *

Ownership % (optional)

Social Security Number *

Submitted securely and used only to evaluate your application.

Date of birth *

Financial & references

All fields in this section are optional, but they help us evaluate your application faster.

Bank name

Checking account balance

Savings account balance

Credit references (optional)

Creditor 1

Balance owed

Monthly payment

Creditor 2

Balance owed

Monthly payment

Creditor 3

Balance owed

Monthly payment

Personal references (optional)

Reference 1 — name

Phone

Address

Reference 2 — name

Phone

Address

Background

Please answer honestly. A 'Yes' does not automatically disqualify an application.

Has the applicant or any principal/guarantor ever been sued? *

noyes

Has the applicant or any principal/guarantor ever been evicted? *

noyes

Has the applicant or any principal/guarantor ever declared bankruptcy? *

noyes

Authorization & signature

I authorize Golden Rule Holdings to verify the information provided in this application and to obtain a consumer credit report on the applicant and any guarantor(s) for the purpose of evaluating this lease. I confirm the information I've provided is true and accurate. *

Full legal name (signature) *

Title *

Date *

Your information is submitted securely and used only to evaluate your application. Fields marked * are required.

Business & applicant

Guarantor

Financial & references

Background

Authorization & signature