Commercial Lease Application PCC


Applicant

Full Name (required)

Date of Birth

Address

Phone

Fax

Email

Previous Addresses with zip codes (If Less Than 3 Years At Present Address)

Drivers License # Of Applicant

State


 Checking this box indicates my signature.

Your Signature

Date




Co-Applicant

Co-applicant (if any)

Date of Birth

Address

Phone

Fax

Email

Previous Addresses with zip codes (If Less Than 3 Years At Present Address)

Drivers License # Of Applicant

State


 Checking this box indicates my signature.

Your Signature

Date


 I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Your Signature

Application Authorization:
This is to clarify that all information provided in this Credit Application is, to the best of my (our) knowledge, accurate and truthful. I (we)
authorize Great American Capital to investigate and verify all information through a Credit Report or other inquiry





Confident Financial Statement

Name

Address

Occupation

Social Security #

Business Phone

Residence Phone

Employer

Employer's Address


Spouse's Name

Address

Occupation

Social Security #

Business Phone

Residence Phone

Employer

Employer's Address




Assets

All liquid assets must be accompained by verification

Cash (other than amounts shown in banks)

Cash in Banks (schedule 1)

Accounts Receivable (schedule 2)

Notes Receivable (schedule 2)

Stocks and Bonds (schedule 3)

Real Estate (schedule 4)

Sub Total

Automobiles

Other Investments (Schedule 3)

Personal Property

Networth of any Business Owned

Other Assets

Subtotal

Subtotal




Liabilities

Notes Payable to Others (Schedule 7)

Installment Loands Payable (Schedule 7)

Accounts Payable

TaxesPayable

Sub Total

Loands Against Life Insurance (Schedule 6)

Other Liabilities

Liens on Real Estate (Schedule 5)

Long Term Debts

Sub Total

Total

Networth

Salary




Schedule of Assets

Schedule1. Cash in Banks & Savings and Loan & Checking Accounts**

Bank Name

90 Day Avg Balance

Account Number

Balance

Total

**For each account, submit a verified statement from each banking institution, to include Name of Account, Current Balance, Account
Number, Length and Specific Dates of Account. The accounts must have been open and on deposit for a minimum of ninety (90) days
prior to the date of application.


Schedule 2 Receivables


Name of Debtor

Collateral

Payments

Maturity Date

Unpaid Balance

Total




Schedule 3 Stocks and Bonds

Number of Shares

Description

Amount Carries on My Books

Presents Market Value

Total




Schedule 4 Real Estate (If additional space is necessary, attach separate sheet)

Address of Legal Description

Type of Property

Monthly Income

Original Cost

Estimate Present Value

Total




Schedule 5 Mortgages of liens on Real Estate

Name of Creditor

Payments

Unpaid Balance

Total


Schedule 6 Cost of Maintaining Office

Rent

Telephone

Other (Describe)

Sub Total

Utilities

Clerical Help

Sub Total

Total




Schedule 7 Notes Payable to Others

Name of Creditor

Address

Payments

Collaeral

Unpaid Balances

Total


 I, by checking the box and filing this application, authorize any person or institution to which reference is made be me is connection with the application, to release or divulge to the Landlord or its representative any information I the possession of such person or institution regarding me. I hereby approve any investigation on my credit background.

Signature

Date




Prospective Tenant Questionnaire

Please complete in full. If you need more space to respond to any of the questions, please continue of a separate sheet of
paper.

Individual(s)

Corporation

LLC

What kind of business do you propose to operate at the center?

What is your current profession?

What is your spouse’s current profession?

Will either you or your spouse be leaving your current position to operate this business?

How will you operate your new business at the proposed location? Who will manage? How many employees will you have?

What is your experience at operating such an enterprise? (Please provide specifics)

What improvements do you plan to make to the Premises (fixtures, carpet, etc.) and what cost? How will you pay for these
improvements?

Describe your anticipated start-up operating expenses at the new location and list amounts (include inventory, supplies, initial payroll
costs, insurance, signage, etc. (attach additional sheet if more room is required to answer these questions.)








Total Start-Up Expenses

How will you pay for your start-up expenses?

Do you have any other comments of information that you feel the Landlord should take into account in evaluating your proposed store or
restaurant?

Upload any documents you wish to attach