Ashland Hardwired Commercial Rental Application Form
Property applying for______________________________________________ Move In: ____/____/____
Company Name________________________________________________________________________
Principal's Name_______________________________________________________________________
Business Address_______________________________City__________________St____Zip_________
Phone # ( ) _______________ Fax # ( ) _______________
Alternate Business Name(s)______________________________________________________________
Please Choose One: Corporation, Partnership, Sole Proprietor, Other _______________________
Years in business____________ Type of business____________________________________________
Description of business activities___________________________________________________________
BUSINESS REFERENCE:
Company Name_________________________________________________________________________
Address__________________________________________City_________________St___Zip_________
Phone#( )______________________________Fax#( )___________________________
Company Name_________________________________________________________________________
Address__________________________________________City_________________St___Zip_________
Phone#( )______________________________Fax#( )____________________________
BANK REFERENCE:
Name of Bank____________________________________Contact Name___________________________
Address__________________________________________City_________________St___Zip_________
Phone#( )______________________________Fax#( )____________________________
Name of Bank____________________________________Contact Name___________________________
Address__________________________________________City_________________St___Zip_________
Phone#( )______________________________Fax#( )____________________________
We confirm that all the information I/We have supplied is true and correct. I/We understand that I/We can be turned down for the property if I/We have falsified any information on this application. I/We hereby authorize the verification of all above information by American Tenant Screen including a business credit report. This application does not constitute a contract, lease or agreement for space.
COMPANY NAME_____________________________________________________________________
BY:_________________________________________________________________DATE:___________
(Authorized Signature)
Please Fax Application to: 1-541-482-3153 or
Mail or submit form to: Allenorth Properties, 340 A Street - Suite 3B - Ashland, OR 97520
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