CORPORATE LEASE APPLICATION

By:	Firm Legal Name
	Business Address
	Phone Number	Fax Number		E-mail Address
	Contact Person			Title
	Parent Company (If applicable)
	Business Address
Ownership:	Type of Business		Year Established	State of Jurisdiction
	__ Corporation __ Partnership __ Other		Tax ID Number (Partnerships)
	Number of Officer(s)/Partner(s)		Address	SS# (If Partner)
	Number of Officer(s)/Partner(s)		Address	SS# (If Partner)
	Number of Officer(s)/Partner(s)		Address	SS# (If Partner)
Bank References: If the business is a Partnership, provide references for all partners	Name		Account Officer	Account Number
	Address			Phone Number
	Name		Account Officer	Account Number
	Address			Phone Number
Credit References: If the business is a Partnership, provide references for all partners	Company Name			Contact Person
	Address			Phone Number
	Company Name			Contact Person
	Address			Phone Number
	Company Name			Contact Person
	Address			Phone Number
I, the undersigned applicant, hereby declare that the representations of fact contained in the foregoing application are considered part of the Corporate Suite Lease to be executed by me on behalf of my Corporation/Company and are true and correct. I agree that if any information herein contained is false, the lease made on the strength of this application may, at the option of the Owner, be terminated at any time. I authorize the Agent for Owner to verify the above statements including, but not limited to, the use of credit information agencies, In the case whereas a credit reference is not available, a complete and thorough Company Financial Statement will be provided upon request.
Authorized Corporate Officer/General Partner Signature				Date
Receipt of Application Acknowledgement				Date