
CROSS REALTY RENTAL MANAGEMENT COMPANY 
1707 North Main Street 
Suffolk, VA 23434 
Office 757-539-3060           Fax 757-934-0811 
 
COMMERCIAL RENTAL APPLICATION 
 
 
Business Name: _____________________________________ Tax ID #: ________________________ 
 
Business Address: ___________________________________ City/State/Zip: ____________________ 
 
Work Phone: _______________________________________ Fax Number: ______________________ 
 
Monthly Income__________________________ Other Income: ________________________________ 
 
Applicant: _________________________________________ Birth Date: ________________________ 
 
Social Security #: ___________________________________ Phone #:  ________________________ 
 
Home Address: _____________________________________ City/State/Zip: _____________________ 
 
Co-Applicant: ______________________________________ Birth Date: ________________________ 
 
Social Security #: ___________________________________ Phone #:  ________________________ 
 
Home Address: _____________________________________ City/State/Zip: _____________________ 
 
Current Landlord: ___________________________________ Phone #: _________________________ 
 
Rent: __ Own: __ Lease Terms: ______________Notice Given: _____ Monthly Rent/Payment: ______ 
 
Insurance Company: _______________________________ Phone #: ___________________________ 
 
Bank References: Checking: ____________________________________________________________ 
 
Vehicle: ______________________________ License No. ____________________________________ 
 
Vehicle: ______________________________ License No. ____________________________________ 
 
Contact person in case of Emergency: _____________________________________________________ 
 
Relationship: _________________________________________ Phone #. _______________________ 
 
Address: _____________________________________________ City/State/Zip: __________________