For Individual Studio Suite Rental

Date of Application: *

Choose your nearest location: *

York Office Alliance, PA
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Desired Move-In Date: *

Applicant Information

Full Legal Name: *

Business Name (If Applicable):

Cell Phone: *

Email *

Current Address: *

EIN (For Business Entity): *

Date of birth *

Emergency Contact Information

Full Name *

Phone *

Upload Copy of your Driving License: *

Professional Information

What is your Profession: *

Cosmetology

Barber

Esthetics

Nail

Others

License State: *

License #: *

Expiry Date: *

Type of Services Offered: *

Years in Business / Experience *

Current Employer / Business Location (If Applicable)

Reason for Leaving Current Salon / Studio: *

Business Entity Information (If leasing as a company)

Legal Entity Name:

Entity Type (LLC, Corp, Sole Proprietor, etc.):

EIN #:

State of Formation:

Owners / Partners:

Financial Information

Estimated Monthly Gross Income: *

$

Do you currently have liability insurance? *

Yes

No

Will you be obtaining liability insurance before occupancy? *

Yes

No

Background Check & Credit Authorization

Have you ever filed for bankruptcy? *

Yes

No

Have you ever ben evicted or defaulted on a lease? *

Yes

No

Do you consent to a background and credit check? *

Yes

No

Requested Studio Information

Preffered Studio Size/Type: *

Requested Lease Term: *

6 Months

12 Months

Others

Do you need wash sink plumbing installed? *

Yes

No

Any special requirements?

References

Professional Reference:

Relationship:

Landlord / Property Manager Reference:

Acknowledgment & Signature

I certify that the above information is true and complete to the best of my knowledge. I
authorize Velour Salon Studios to verify all information, including obtaining credit, criminal,
and background reports as needed. I understand that submission of this application does
not guarantee approval or studio assignment.

Signature: *

Clear

Today's Date: *