THE WELLNESS HUB SUITE

Historic Franklin Blvd, Pontiac MI

Desired lease term *

3 months

6 months

12 months

Property Address *

Suite Number *

Applicants Personal Information

First Name *

Last Name *

Phone *

Email *

Date of birth *

Driver's License Number *

Please upload a valid Government ID *

Address *

City *

State *

Postal code *

Do you own your own home? *

Yes

If no, name of Landlord or Leasing Company

Applicants Business Information

Name of business you will be operating *

Business EIN # *

How long have you been in business? *

How much is your income? *

Is the business a *

Corporation

LLC/LLP

Sole Proprietorship

None of the above

Applicants Vehicle Information

For Safety Purposes Only.

Automobile Make *

Model *

Year *

Applicants References

They can be professional or personal. Cannot be your Emergency Contact or Suite Partner.

Full Name *

Phone # *

Relationship *

Full Name *

Phone # *

Relationship *

Applicants Employment Information

If you're self-employed you can leave this section blank.

Applicants Employer

Employer's Address

Time at Job

Position Held

Salary

Emergency Contact

Emergency Contact *

Phone # *

Relationship to Applicant *

Terms & Conditions:

I hereby authorize Suite Success to contact the references and emergency contacts listed in my application if necessary.

Furthermore, I confirm that all the information entered in my application is true, accurate, and complete to the best of my knowledge. I understand that any misrepresentation or omission may result in the rejection of my application or termination of any subsequent lease agreement.

Application fee and Security Deposit are both Non-Refundable.

One-Month Deposit & One-month advance to move-in

Full deposit is refundable, minus any damages beyond reasonable wear and tear.

A 30-day hold is available with a deposit, which goes toward the first month’s rent (non-refundable if canceled).

Rent can be paid weekly if preferred—please notify in advance to arrange.

Checking this box confirms that you have thoroughly read the terms & conditions: The applicant agrees to sign a weekly or monthly lease agreement before occupying the designated space. This lease agreement will outline the terms and conditions of the tenancy, including the duration, rental amount, payment schedule, and any other pertinent terms specific to the lease.

If you want to do holding fee please click here to sign form prior to completing app

Applicants Signature

Clear

Application Fee *

$ 40