“Protecting Our Investment… One Tenant At A Time…”
Commercial Lease Application
Please fill in this commercial lease application form completely and submit it with any supporting documents
(business registration, Last Tax Return, Licenses, Etc.).
*BUSINESS INFORMATION
Legal Business Name: FALAYO INC DBA Name:
Established Since: __________
2024
Business Type:
[ ] Sole Proprietor [ ] Partnership [ ] Corporation [ ] Other
Business Scope/Type of Business: American Comfort Food/ Breakfast Number of Employees: 4
Main Address: 28 Weymouth Street Holbrook MA02343
Business Phone Number: 1800-440-5880 Business Fax Number:
Business Email:
*BUSINESS RENTAL HISTORY
Current Address: (Previous Address) 1201 Broadway Street Saugus Ma 01960
Rental Period: 01/19-11/23 Rent: $__________
5,000
Landlord Name: Madeline Warner Landlord Contact Number: +1 (617)
905-3653
Reason for Leaving: _____________________________________
Pandemic
Previous Address:
Rental Period: Rent: $__________
Landlord Name: Landlord Contact Number:
Reason for Leaving: _____________________________________
*BUSINESS CREDIT INFORMATION
Gross Annual Revenue: $__________
90,000 Other Assets:
Bank Name: Capital one Bank/ American Express Type of Account: Business Checking
Yes No
Any tax liabilities, IRS or municipal outstanding? No
1 Clarks Hill LN, Suite 100
, Framingham, MA 01702
Phone (508) 202-9372 - Fax (508) 202-9702
“Protecting Our Investment… One Tenant At A Time…”
Have you ever filed bankruptcy? No
If so – When: What chapter: Personal or Business (circle one)
Are you currently involved or have a pending lawsuit? No
If so, please explain:
*TRADE REFERENCES
1. Company Name: Madeline Warner
Address: 12 Sugar Loaf lane Buford GA Phone Number: +1 (617) 905-3653
2. Company Name:
Address: Phone Number:
3. Company Name:
Address: Phone Number:
*APPLICANT INFORMATION
Applicant #1
Full Name: ____________________________________________
Charlie Vick
Birth Date: _______________
05/11/1989 Social Security Number: _______________
010-96-3519 Contact Number: _________________
6174484474
Email Address: _________________________________________
[email protected]Home Address: _________________________________________
28 Weymouth Street Holbrook MA 02343
Applicant #2
Full Name: ____________________________________________
Birth Date: _______________ Social Security Number: _______________ Contact Number: ________________
Email Address: _________________________________________
Home Address: _________________________________________
*EMERGENCY CONTACT (NOT RESIDING WITH YOU)
Name__________________________________Relationship
Charlie vick sr _______________________________________________
Father
1 Clarks Hill LN, Suite 100
, Framingham, MA 01702
Phone (508) 202-9372 - Fax (508) 202-9702
“Protecting Our Investment… One Tenant At A Time…”
Cellphone#:
_____________________________Email_____________________________________________________
Address____________________________________
307 lowell ave City____________________________State
Haverhill _____Zip
Ma __________
01832
Partial Security Deposit
In addition to the application fee, the $500.00 holding fee accompanying this application shall be retained by landlord to
hold for occupancy and execution of lease by the undersigned upon approval of this application. If
the application is rejected for any reason or if the undersigned cancels the reservation within 48 hours of the application
date, the foregoing holding fee shall be refunded to the undersigned. If this application is not rejected and the
apartment is held in reserve for more than 48 hours (not including application date) the landlord shall not refund the
holding fee if the undersigned fails to execute a lease and occupy the apartment. Upon move-in, the foregoing holding
fee will be applied against the security deposit and if any amount of the holding fee exceeds the amount of the security
deposit, such excess shall be applied against the rent payable pursuant to the lease.
Lock Change/Re-Key Fee
In addition to the foregoing holding fee, in the event my application is approved I agree to pay a lock change/re-key fee
in the amount of $75.00 at the time I execute and deliver the lease to the Landlord.
I/We declare that all the information above is accurate and complete. I/We understand and agree that if any of the
information is found to be false or incomplete, the landlord will have the right to reject this application and terminate
the lease agreement with immediate effect.
I/We hereby authorize the landlord to run any credit check on me/us to verify any of the above information with
relevant third parties such as landlords, banks, creditors or other persons.
Applicant #1 Signature: _________________________Date: _______________
04/22/2025
Applicant #2 Signature: _________________________Date: _______________
Management Representative Signature: Date:
1 Clarks Hill LN, Suite 100
, Framingham, MA 01702
Phone (508) 202-9372 - Fax (508) 202-9702
