Business Name
Business Address
Business Phone
Business Email
Website
Registered with which state?
EIN
Years in Business
Type of Business LLCIncSole ProprietorPartnershipOther
Are you the sole owner? Yes
If not, list other owners/members:
Type of Business
Number of Employees
Typical Business Hours
Special Permits Required? Yes
Leased a commercial space before? Yes
Past Commercial Locations
Reason for Leaving Last Location
Ever been evicted? Yes
Current Landlord Name & Contact
Previous Landlord Name & Contact
Monthly Revenue Estimate
Requested Lease Term 1 Year3 Years5 Years
Estimated Move-in Date
Required Build-out or Modifications? Yes
Signage or Exterior Branding Needed? Yes
Parking Requirements
Comments
