Design better websites and spend less time without restricting creative freedom
Business Name
Business Address
Cell Phone
Business Email
Website
Registered with which state?
EIN
Years in Business
Type of Business Not registeredLLCIncSole ProprietorPartnershipOther
Are you the 100% Owner? YesNo
If not, list other owners/members:
Type of Business
Number of Employees
Typical Business Hours
Special Permits Required? YesNo
Leased a commercial space before? YesNo
Past Commercial Locations
Reason for Leaving Last Location
Ever been evicted? YesNo
If Yes, Please Explain
Current Landlord Name & Contact
Previous Landlord Name & Contact
Monthly Revenue Estimate
Add Bank Reference
Requested Lease Term 1 Year3 Years5 Years
Estimated Move-in Date
Required Build-out or Modifications? YesNo
Signage or Exterior Branding Needed? YesNo
Parking Requirements
Comments