Commercial Lease Application-W/LINK TO PAYPAL FORM

PAX REAL ESTATE

COMMERCIAL LEASE
APPLICATION
PROPERTY TO BE LEASED
Address of Property to be Leased:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
PAX Agent's Name (please select)
Anticipated Move-In Date

MonthDayYear
Proposed Use of Property:
PERSONS FINANCIALLY RESPONSIBLE FOR LEASE
List all persons who will be financially responsible for monthly lease. NOTE: EACH PERSON LISTED MUST SUBMIT A SEPARATE LEASE APPLICATION.
Applicant #1 - Person Primarily Responsible for Monthly Rent:

First NameMiddle NameLast NameSuffix
Applicant #2 - Second Person Primarily Responsible for Monthly Rent. NOTE: PLEASE COMPLETE A SEPARATE APPLICATION

First NameMiddle NameLast NameSuffix
Applicant #3 - Third Person Primarily Responsible for Monthly Rent. NOTE: PLEASE COMPLETE A SEPARATE APPLICATION

First NameMiddle NameLast NameSuffix
APPLICANT INFORMATION
Full Legal Name

First NameMiddle NameLast NameSuffix
Birth Date

MonthDayYear
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Driver's License #
Social Security #
Name of Company
Have You Ever Been Convicted of a Felony?

YesNo
If yes, please explain
Have You Ever Been Evicted or Had Any Judgments or Liens Against You?

YesNo
If yes, please explain
CURRENT & PREVIOUS COMMERCIAL LEASES
Current Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current Monthly Rent:
How Long There?
Current Landlord's Name
Current Landlord's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Landlord's Phone Number

Area CodePhone Number
Reason for Leaving?
Previous Business Address (if less than 2 years at current)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Previous Landlord's Name
Phone Number

Area CodePhone Number
How Long There?
Reason for Leaving?
EMPLOYMENT INFORMATION
Current Employer
Position Title
Start Date

MonthDayYear
Gross Monthly Income
Employer Phone Number

Area CodePhone Number
Current Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
PREVIOUS EMPLOYER (if less than 2 years in current position)
Previous Employer
Position Title
Start Date

MonthDayYear
Gross Monthly Income
Employer Phone Number

Area CodePhone Number
Previous Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
BANK INFORMATION
Bank Name
Bank Phone Number

Area CodePhone Number
Account Type
Bank Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
REFERENCES (Business and/or Personal)
First Reference

First NameLast Name
1st Reference Phone Number

Area CodePhone Number
Relationship to Applicant
Second Reference

First NameLast Name
2nd Reference Phone Number

Area CodePhone Number
Relationship to Applicant
EMERGENCY CONTACT
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
ELECTRONIC SIGNATURE
I hereby certify that the information submitted on this form is true and accurate to the best of my knowledge.
Signature*

Clear
IT IS RECOMMENDED THAT YOU PRINT THIS FORM PRIOR TO CLICKING ON THE "SUBMIT" BUTTON. THIS WILL ENSURE THAT ALL DATA WILL BE SAVED AND AVAILABLE TO YOU IF IT IS NEEDED AT A LATER TIME.
**PLEASE NOTE: There is a $40 application fee required for EACH applicant.**

Payment may be made using this form once your application has been reviewed by your Agent.
Should be Empty:

PROPERTY TO BE LEASED

PERSONS FINANCIALLY RESPONSIBLE FOR LEASE

APPLICANT INFORMATION

CURRENT & PREVIOUS COMMERCIAL LEASES

EMPLOYMENT INFORMATION

PREVIOUS EMPLOYER (if less than 2 years in current position)

BANK INFORMATION

REFERENCES (Business and/or Personal)

EMERGENCY CONTACT

ELECTRONIC SIGNATURE