Commercial Lease Application Complete Online or download and print your application for a commercial space. Download and Print Commercial Application Step 1 of 4 25% Property you are applying for?Contact InfoFirm Name*Contact Person*Telephone + Ext.*Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Description of Business*Length of Time in Business*Current Landlord or Mgmt. Co.May we contact?*YesNoLandlord/Mgmt. Co - Contact infoContact PersonPhoneCompany InformationType of Business*CorportationPartnershipSole ProprietorLLCContractors Licence #State RegisteredTaxpayer I.D. #List of OfficersNameAddressTitle Personal InformationName* First Last Date of Birth* Date Format: MM slash DD slash YYYY Telephone + Ext.*Email* Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long have you live at this address?*Current EmployerEmployer PhonePositionLength of EmploymentSalaryEmployer Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Personal Banking InformationName of Bank*Branch*Type of Account*Account NumberDo you have any pending suits or unpaid judgements against you?*YesNoPlease ExplainHave you ever filed bankruptcy or compromised a debt?*YesNoPlease ExplainAdditional Applicant I would like to add a second applicant 2nd Applicant - Personal InformationName* First Last Date of Birth* Date Format: MM slash DD slash YYYY Telephone + Ext.*Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long have you live at this address?*Current EmployerEmployer PhonePositionLength of EmploymentSalaryEmployer Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Personal Banking InformationName of Bank*Branch*Type of Account*Account NumberDo you have any pending suits or unpaid judgements against you?*YesNoPlease ExplainHave you ever filed bankruptcy or compromised a debt?*YesNoPlease Explain Payment and AgreementWe hereby certify that the above information is true and correct to the best of our knowledge. If approved, we agree to pay all charges according to the terms and conditions as stated by Henselman Realty & Management. If we fail to do so, then we agree to pay any late charges, collections expenses, attorney fees, or service charges if collection proceedings are instituted. An application fee of $25 is due to process the application.Applicant SignaturesName(s)Title(s)Date
