Premier Centers

Commercial Lease Application

Please complete the application below and upload a photo of your driver's license (front and back) plus any business formation documents you have. All information is kept strictly confidential.

01

Business Information

02

Business Financial Information

Gross Receipts / Sales — last three (3) years

Current Year

Last Year

Previous Year

Bank(s) where applicant's / firm's accounts are maintained

Current creditor(s) / lender(s) / loan(s)

03

Principal / Owner / Guarantor Information

Add each principal, owner, or guarantor of the business.

#1 Personal Information

Employment

Personal Financial Statement

Assets

Real Estate Owned
Total Cash in Banks
Stocks / Investments worth
Automobiles, etc.
Other
Other
Other
TOTAL ASSETS

Liabilities

Real Estate Loans
Auto Loans
Credit Cards
Other
TOTAL LIABILITIES
TOTAL NET WORTH
04

Documents

A clear photo or scan of each. Images (JPG, PNG, HEIC) or PDF, up to 20 MB each.

Driver's License — Front *
Driver's License — Back *
Business DocumentsFormation documents, articles of incorporation, and anything else relevant you have on hand.
05

Notes & Emergency Contact

06

Certification & Authorization

The signer(s) certifies that he/she is authorized to execute the application for the business named above, and that the information in this application and any other documents submitted in connection with the application are true, correct and complete. Shopping Center shall not refuse to rent to any person because of race, creed, color, religion, national origin, handicap, or familial status, nor discriminate in the terms offered or services rendered. I (we), the applicant, do represent all information to be true and accurate and that owner/agent may rely on this information when investigating and accepting this application.

I hereby authorize the owner/agent to make independent investigations to determine my credit, financial, and character standing. I authorize any person or credit checking agency having any information on me to release any and all such information to the owner, their agent, or credit checking agencies. I hereby release, remise, and forever discharge from any action whatsoever, in law and equity, all owners, managers, employees and/or agents, both of the Landlord and their credit checking agencies in connection with processing, investigating, or credit checking this application, and will hold them harmless from any suit or reprisal whatsoever. I declare that a photocopy of my signature shall be as valid as the original.

Your information is sent securely to Premier Centers.