Step 1 of 6 - Personal Information 16% Name(Required) First Last Email(Required) Phone(Required) Business Name:(Required)Type of Business:(Required)Business Website:Business Social Media:Years in Business:Current Business Address (if applicable) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Monthly Income / RevenueAny Previous or Current Lease References (including contact details)(If applicable)What is Your Set Up Budget: Description of what the space will be used for:(Required)Expected daily foot traffic or business hours:(Required) List of previous locations rented (if applicable):AddressDurationReason for vacating Add Remove Consent(Required) Agreement to terms and conditionsBy submitting this application, I agree to the following terms and conditions: 1. Accuracy of Information: I certify that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false or misleading information may result in the rejection of my application or termination of any subsequent lease agreement. 2. Use of Information: I authorize Dupree Plaza to verify the information provided in this application, including contacting references and conducting background and credit checks as necessary. 3. Application Fee: I acknowledge that if my application is accepted, an application fee will be required for processing. This fee is non-refundable and will be disclosed in the follow-up email. 4. No Guarantee of Lease: I understand that submitting this application does not guarantee the approval of a lease. Dupree Plaza reserves the right to reject any application without providing a reason. 5. Compliance with Laws: I agree to comply with all federal, state, and local laws and regulations in connection with my use of the rented space. 6. Terms of Lease: If my application is approved, I agree to enter into a formal lease agreement with Dupree Plaza, which will outline the terms and conditions of my tenancy, including rent, lease duration, and other relevant details. 7. Confidentiality: Dupree Plaza agrees to keep all information provided in this application confidential and to use it solely for the purpose of evaluating my suitability as a tenant. 8. Termination of Application: Dupree Plaza reserves the right to terminate this application process at any time without notice or reason. 9. Digital Signature: By checking the box above and submitting this application, I agree to the above terms and conditions and acknowledge that my digital signature has the same legal effect as a handwritten signature.Signature(Required)