The Saylor Co. Inc.490 Riverview Dr. Edgewater MD 21037 Email Bruce@BruceSaylor.com
The following verifications must be supplied by applicant: Proof of income
Copy of Driver License. Date of Birth and SSN# must be on application
Current & Previous Landlord name and phone numbers must be on application
Self-employed persons need to submit their three (3) most recent income tax filings.
Business Information Legal Name of Business
______________________________________________________________________________________________________________ Street Address (a physical address, not a P.O. Box) City/County State Zip
______________________________________________________________________________________________________________ Mailing Address (if different from Street Address) City/County State Zip
Business Phone #: (____)_______________ Business Manager: _____________________________ Contact #: ____________________
Annual Sales :______________ Federal Tax ID #:______________________ # of Employees:_________
Date Established: ____________ Current owner Since: _________
Type of Organization: Proprietorship C-Corp S-Corp General Partnership Limited Partnership Non-Profit LLC LLP
Average sales: $ __________________
Propose use of space in detail (e.g. accountant office, bike shop, etc): ____________________________________________________ _____________________________________________________________________________________________________________________
Business Financial Information Gross Receipts/Sales (Complete accordingly for last three (3) years):
Current Year________ $ _____________ Last Year ________ $ _____________ Previous Year ________$ _____________
Identify bank(s) where applicant’s/firm’s accounts are maintained.
Name of Bank Bank Address Account No. Type of Account Contact Phone
Name of Landlord Contact Number ___________________________________________________________________________________
Principal/Owner/Guarantor Information Name Social Security Number ______________________________ DOB: ____________
Home Address_______________________________________________ City/County_______________ State________________ Zip_________ % of Ownership is Business Gross Income* _______________
Own / Rent Home? Personal Net Worth Excluding Business Value
*Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
~ If there are more than three applicants, please use another application and reference the business name on front. ~
Has any applicant above ever been convicted of: No Yes – please specify, use separate page if needed FELONY or VIOLENT CRIME HAVE YOU EVER BEEN EVICTED?
NOTE: NO COMPETING/SIMILAR BUSINESS ALLOW NOW OR IN THE FUTURE OF THE LEASE WITH SAYLOR CO INC. TENANTS WITHIN THE SAME PARK. Certification and 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. Pursuant to the Fair Housing Law, HPMG 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.
Signed By: ___________________________________________________ Title: ______________________________________________
Date: __________________
Signed By: ___________________________________________________ Title: ______________________________________________
Date: __________________
Signed By: ___________________________________________________ Title: ______________________________________________
