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Incubator Tenant Lease Application
Consent for storing submitted data
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Yes, I give permission to store and process my data
Lease Start Date
Name
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Business Name
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Personal Home Address, include city, state & zip code
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Business Phone
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Applicant's Title
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Personal Phone
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Email
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Website
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Business Registered with the State of Utah?
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Yes
No
Business Status
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New Business
Existing Business
Start Date of Business
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Do you have a dependable revenue source?
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Yes
No
Legal Organization of Firm
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Sole Proprietorship
Partnership
Limited Liability
Corporation
Description of Business Product or Service
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Is your Business a
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Franchise
Independent Agent
Multi-Level
Do you have a Business Plan?
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Yes
No
Number of Full-Time Employees (if currently operating)
Number of Part-Time Employees (If currently operating)
Estimated number of employees in the next three years?
Please provide a brief statement with the following information:
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- Your for-profit start-up business plan. - How you will be marketing your product or service. - Demonstrate your need for the incubation benefits to grow your business. - Your business's reasonable financial projections demonstrating sufficient capital to pay the monthly lease obligations.
Requesting Lease Options
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Small Office: $300-$310 per month
Large Office: $320-$350 per month
Membership: $150 per month
Please indicate services, facilities, or utilities needed
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Phone
Internet
Mailbox
Scanner
Printer
Copier
Fax
Reference Name, Address & Phone
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Signature (by typing your name it is the same as your signature)
Today's Date