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Lease Info

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Lease Start Date

Facility Location:
Main Street Storage
524 3rd St.
Beaver, Pennsylvania 15009

Available Unit Sizes

Name

Email

Business Contact Name If you are a business, please enter a contact name.

Phone Numbers

Primary?

Country

Address Line 1

Address Line 2

City

State / Province

Postal Code

Cell Phone

Initials

Alternate Contact - Name

Alternate Contact - Address

Alternate Contact - City

Alternate Contact - State

Alternate Contact - Zip Code

Alternate Contact - Home Phone

Alternate Contact - Work Phone

Alternate Contact - Cell Phone

Alternate Contact - Email Address

Is Occupant a member of the U.S. Military/Reserves/National Guard?

If Yes, Which Branch?

Employer

Employer Address

Driver's License Number

State Issuing Driver's License

Social Security Number

Occupant agrees that the rented space is in good order and repair except for:

Occupant's estimation of the value of the contents of the rented space

If Applicable, Provide Name of Third Party with Interest in Property

Unit Heated (Yes or No)

Third Party Address and Telephone

Description of Property with Third Party Interest
Review & Sign

Review the lease agreement and sign.
Pay

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