CROSS REALTY RENTAL MANAGEMENT COMPANY
1707 North Main Street
Suffolk, VA 23434
Office 757-539-3060 Fax 757-934-0811
COMMERCIAL RENTAL APPLICATION
Business Name: _____________________________________ Tax ID #: ________________________
Business Address: ___________________________________ City/State/Zip: ____________________
Work Phone: _______________________________________ Fax Number: ______________________
Monthly Income__________________________ Other Income: ________________________________
Applicant: _________________________________________ Birth Date: ________________________
Social Security #: ___________________________________ Phone #: ________________________
Home Address: _____________________________________ City/State/Zip: _____________________
Co-Applicant: ______________________________________ Birth Date: ________________________
Social Security #: ___________________________________ Phone #: ________________________
Home Address: _____________________________________ City/State/Zip: _____________________
Current Landlord: ___________________________________ Phone #: _________________________
Rent: __ Own: __ Lease Terms: ______________Notice Given: _____ Monthly Rent/Payment: ______
Insurance Company: _______________________________ Phone #: ___________________________
Bank References: Checking: ____________________________________________________________
Vehicle: ______________________________ License No. ____________________________________
Vehicle: ______________________________ License No. ____________________________________
Contact person in case of Emergency: _____________________________________________________
Relationship: _________________________________________ Phone #. _______________________
Address: _____________________________________________ City/State/Zip: __________________