Lease application form

Guadalajara

1. Lessor's information (owner)

Full name

Street and number

Neightborhood

Municipality

City or State and ZIP Code

Telephone number

Cellphone number

E-mail

TIN (Taxpayer Information Number)

Nationality

Type of identification

Identification number

CURP (Unique Population Registry Code)

2. Legal representative's information

Full name

Street and number

Neightborhood

Municipality

City or State and ZIP Code

Telephone number

Cellphone number

E-mail

TIN

Nationality

Type of identification

Identification number

CURP

3. property information

Street and Number

Neightborhood

Municipality

City or State and ZIP Code

Type of property

Number of property tax account

Parking spaces

Location and numbers

Services

Phone
Electricity
LP Gas
Natural Gas
Cable television

4. Lease information

Monthly Rent (Amount)

Maintenance Fee

Is maintenance included in rent?

Security Deposit

5. Payment Information

Name of the beneficiary

Bank

Account number and branch

CLABE (Standardized Banking Code)

6. Validity Term

Duration of the Lease

Starting date

Ending date

7. Information of the real estate agent

Name of the real estate agency

Real estate agent

Telephone number

Cellphone number

E-mail

Place of signature

Coverage

Convenia Coverage
Convenia Premier Coverage
Confiable Coverage
Confiable Premier Coverage

Notes

ALL INTERESTED PARTIES HEREBY DECLARE TO HAVE TOLD THE TRUTH, AND THAT THE INFORMATION GIVEN IS LEGALLY CORRECT, THUS THEY ARE RESPONSIBLE FOR THE INFORMATION PREVIOUSLY PROVIDED.