Commercial Lease Application

Landlord Information

2449 Glass St LLC

2449 Glass St
Chattanooga, TN 37406

(865) 591-2469
mgmt@agdubbs.com

Lease Summary

Leased area: 1,500 square feet

Possession: August 1, 2026

Term: Through July 31, 2027

Base rent: $1,200/month, including tax

Operating costs: Tenant's proportionate share: 100%

Deposit: None Advance rent: First month

Privacy note: This application may include sensitive personal information. Submit only over HTTPS. The website does not intentionally store your application; it sends it by encrypted SMTP email to property management and sends a separate copy to the applicant.

Business Information

Tenant / Business Name *

Present Address *

Phone *

Fax

Applicant Email Address *A complete copy will be sent here.

Emergency Contact

Intended Use of Premises *

Emergency Contact Phone

Business Entity Type *

Type of Business

Other Business Type

Date Established

Number of Employees

Parent Company Name

Parent Company Address

Current Rental History

Time at Present Address

Monthly Payment

Present Landlord Name

Present Landlord Phone

Present Landlord Address

Previous Rental History

Time at Previous Address

Monthly Payment

Previous Landlord Name

Previous Landlord Phone

Previous Landlord Address

Other Business Locations

Owners, Partners, and Shareholders

First Owner

Name *

Home Address

Home Phone

Alternative Phone

Email Address

Date of Birth

Social Security NumberOptional; email is not end-to-end encrypted.

Driver's License Number

State Issued

Second Owner

Name

Home Address

Home Phone

Alternative Phone

Email Address

Date of Birth

Social Security NumberOptional; email is not end-to-end encrypted.

Driver's License Number

State Issued

Third Owner

Name

Home Address

Home Phone

Alternative Phone

Email Address

Date of Birth

Social Security NumberOptional; email is not end-to-end encrypted.

Driver's License Number

State Issued

Banking Information

Banking Institution 1

Institution Name

Phone

Address

Banking Institution 2

Institution Name

Phone

Address

Credit References

List industry references from which the tenant makes purchases through credit accounts.

Credit Reference 1

Company Name

Contact Name

Address

Phone

Credit Reference 2

Company Name

Contact Name

Address

Phone

Credit Reference 3

Company Name

Contact Name

Address

Phone

Other References

Reference 1

Name

Relationship

Address

Phone

Reference 2

Name

Relationship

Address

Phone

Reference 3

Name

Relationship

Address

Phone

Rental History Permission

The tenant gives permission to the individual or organization to whom this application is submitted to contact the references stated above regarding the tenant's rental history. The tenant also authorizes those references to discuss the tenant's rental history with the recipient of this application.

I have read and accept the rental history permission above. *

Electronic Signature 1 *Type your full legal name.

Date *

Electronic Signature 2

Date

Credit Check Authorization

I certify that the information provided is true, accurate, and complete. I authorize the individual or organization to whom this application is submitted to investigate the bank, credit, and trade references named in this application and to obtain information about the applicant's credit status to assess suitability as a tenant or lessee.

I have read and accept the credit check authorization above. *

Authorized Electronic Signature 1 *Type your full legal name.

Date *

Authorized Electronic Signature 2

Date

By submitting, the applicant requests delivery of the application to mgmt@agdubbs.com and a separate copy to the applicant email address entered above.