Vermont Commercial Tenant Application
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4VERMONT COMMERCIAL TENANT APPLICATION
Full legal name of applicant: _____________________________________________________
Date of Birth _______________SS# ____________________Driver’s #____________________
Present mailing address: _________________________________________________________
E-mail address: ________________________________________________________________
Telephone #, Cell:_________________________ Land line: ____________________________
Name of business:_______________________________________________________________
Product or service: ______________________________________________________________
Number of employees/subtenants____________ (Include list of names and vehicle
descriptions)
Number of years you have owned this business: ____________________
Present location of business: ______________________________________________________
Your related business experience:
__________________________________________________
Special needs in space: ___________________________________________________________
Emergency contact person for you ______________________Phone #’s____________________
For Space_______________ Phone #: _______________ Day ________________ Evening
Have you ever declared bankruptcy?
☐ No ☐ Yes Date: _______________
Have you ever been convicted of a felony?
☐ No ☐ Yes Date: _______________
BUSINESS STRUCTURE
☐ Corporation
Name of President:___________________________________________
Name of other officers and shareholders: ________________________
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Parent category: Business