Company Information

Company Contact Person

Ownership

Type of Business *

Officers

Bank Reference

Credit Reference

Acknowledgement

I, the undersigned applicant, hereby declare that the representations of fact contained in the foregoing application are considered part of the Contemporary Short Term Housing lease to be executed by me on behalf of my Corporation/Company and are true and correct. I agree that if any information herein contained is false, the lease made on the strength of this application may, at the option of the Owner, be terminated at any time. I authorize the Agent for Owner to verify the above statements including, but not limited to, the use of credit information agencies, In the case whereas
Authorized Corporate Officer/General Partner Signature *
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