Application Fee

Your application will be submitted to our office via our Secure and Encrypted SSL.

Our application information will only be collected and stored for the express permission of this quote. Corporate Connection will not sell or share your personal information with any third party organizations.

Are You A Business? *

No
Yes

Furniture Rental or Furnished Apartment Customer? *

Furniture Rental Customer
Furnished Apartment Customer

Company Name *

Company Phone Number *

Personal Guarantor Officer

First Name Last Name

Date of Birth

Social Security Number

Company Address *

Address Line 1 Address Line 2 (Apt or Office Number) City State ZIP Code

Federal Tax ID *

Company Contact Email Address *

Invoices will be sent to this email address

Accounts Payable Contact

Personal Details

Accounts payable info

Name *

First Name Middle Initial Last Name

Email *

Lease Term (Minimum Lease Term is 1 months) *

Please enter a number greater than or equal to 1.

Individual Application

Your application information will only be collected and stored for the express permission of this quote. Corporate Connection will not sell or share your personal information with any third party organizations.

Date of Birth *

Drivers License Number *

Drivers License State *

Social Security Number *

Spouse Information

Marital Status *

Not Married
Married

Spouse's Name *

First Name Middle Initial Last Name

Spouse's Date of Birth *

Spouse's Drivers License Number *

Spouse's Drivers License State *

Social Security Number *

Other Occupant Information

How many additional occupants? *

None
1
2
3

How many occupants besides you and your spouse will be living in this apartment?

Other Occupant 1

Other Occupant *

First Name Last Name

Relationship to Occupant *

Occupant Date of Birth *

Other Occupant 2

Other Occupant 2 *

First Name Last Name

Relationship to Occupant 2 *

Occupant 2 Date of Birth *

Other Occupant 3

Other Occupant 3 *

First Name Last Name

Relationship to Occupant 3 *

Occupant 3 Date of Birth *

Pet Information

Do You Have A Pet? *

No
Yes

Number of Pets *

Pet Types *

Describe the species and breed of each pet that you own.

Pet Sizes *

Describe either the weight or height of each pet that you own.

Residency History

Address *

Address Line 1 Address Line 2 (Apt Number) City State ZIP Code

Do you currently own or rent this home? *

Own
Rent

Other Authorized People *

Additional people authorized to place orders and sign paperwork for the company

Any Additional Important Contact Information

Cell Phone *

Move In Date *

Lease Term (Minimum Lease Term is 3 months) *

Please enter a number greater than or equal to 3.

For a lease shorter than three months, contact our office directly at 864-627-4002.

Landlord Name *

Landlord Phone *

Landlord Fax

Mortgage Company

Mortgage Company Phone

Mortgage Company Fax

How long have you lived here? *

Current Monthly Payment *

Your Previous Address *

Address Line 1 Address Line 2 (Apt Number) City State ZIP Code

Did you own or rent this home?

Own
Rent

Have you lived anywhere else in the past 2 years? *

No
Yes

Please explain... *

Please explain your moving situation and list any additional addresses you've had in the past 2 years.

Income Information

Current Employer *

Employer Address

Address Line 1 Address Line 2 (Apt or Office Number) City State ZIP Code

Supervisor Information

Supervisor's Name

First Name Last Name

Employer Phone *

Employer Fax

How long have you worked here? *

Your Position/Occupation *

Gross Monthly Income *

(Your earnings per month before tax)

Additional Income

Income Source	Amount	Per

Please list all child support, alimony, parental support or annual bonuses/commissions on each row. Click the plus sign to add a row.

Vehicle Information

Do you have any recreational or work vehicles, vans, boats or motorcycles? *

No
Yes

Please list the additional recreational vehicles... *

How many licensed vehicles will you park on the property? *

1
2
None

Vehicle Details

Year *

Make *

Model *

Color *

License Tag Number *

License Tag State *

Vehicle 2 Details

Year *

Make *

Model *

Color *

License Tag Number *

License Tag State *

Delivery Information

Delivery Property Name *

Your apartment complex or office name that will receive the delivery.

Delivery Date *

Please note, deliveries are only made Mon-Fri.

Lease Information

Business References

Bank Reference

Bank Reference Name *

Bank Address *

Address Line 1 Address Line 2 (Apt or Office Number) City State ZIP Code

Trade Reference 1

Company Name *

Reference Phone *

Trade Reference 2

Company Name *

Reference Phone *

Trade Reference 3

Company Name *

Reference Phone *

Emergency Information

Emergency Contact

Emergency Contact *

First Name Last Name

Relationship to Emergency Contact *

Daytime Phone *

Alternate Phone

Emergency Contact Address

Address Line 1 Address Line 2 (Apt or Office Number) City State ZIP Code

Other Information

Have you, your spouse, your roommate, or any occupant listed ever had a Dispossessory Warrant filed or been evicted from a leased premises? *

No
Yes

Please explain... *

Please explain the situation for any warrants or evictions.

Have you, your spouse, your roommate, or any occupant listed ever been convicted of a felony? *

No
Yes

Please explain... *

Please state the offense, location, and date of conviction.

How did you hear about us?

Additional Comments

Minimum Lease, Terms & Privacy *

I understand that the minimum lease term is 30 days.
I understand that there is a required $35 Application Fee. I understand that after clicking "Submit Application," I will be taken to PayPal to pay this fee and that my form will not be submitted until this fee is paid.
I agree to having my application information only be collected and stored for the express permission of this quote. Corporate Connection will not sell or share your personal information with any third party organizations.

Minimum Lease, Terms & Privacy *

I understand that the minimum lease term is 3 months.
I understand that an applicable delivery charge is required prior to furniture delivery.
I understand that there is a required $35 Application Fee. I understand that after clicking "Submit Application," I will be taken to PayPal to pay this fee and that my form will not be submitted until this fee is paid.
I agree to having my application information only be collected and stored for the express permission of this quote. Corporate Connection will not sell or share your personal information with any third party organizations.

Comments

This field is for validation purposes and should be left unchanged.

Leasing Application

Personal Guarantor Officer

Accounts Payable Contact

Personal Details

Individual Application

Spouse Information

Other Occupant Information

Other Occupant 1

Other Occupant 2

Other Occupant 3

Pet Information

Residency History

Income Information

Supervisor Information

Vehicle Information

Vehicle Details

Vehicle 2 Details

Delivery Information

Lease Information

Business References

Bank Reference

Trade Reference 1

Trade Reference 2

Trade Reference 3

Emergency Information

Emergency Contact

Other Information