Louisiana Business & Technology Center Tenant Application
Legal Business Name
Taxpayer ID #
Current Business Address
Registered with Secretary of State
Sub S Corp.
Principal Business Owner(s) Representing 10% or Greater Ownership
General Liability Insurance Coverage
If yes, which company?
Amount of Coverage
Less than $10,000
Do you have a written business plan?
Yes (if yes, please attach)
No (if no, expected date of completion)(MM/YY)
(MM/YY) of business plan completion
What type of space are you looking for?
Desired square footage
How many phone lines would you need?
How many internet access connections?
Desired date of occupancy (MM/YY)
Please provide contact name, company, and phone number of two trade references:
Line of Credit
How did you hear about the Louisiana Business & Technology Center?
By clicking submit you certify that all information contained in this application is true and complete. You authorize Louisiana Business & Technology Center to verify the information contained in this application by contacting bank, trade, or other sources. You may exchange with or furnish information to others regarding your credit experience with me and I agree to release you from all liability that may result. I understand that this application, when submitted, becomes the property of the Louisiana Business & Technology Center and that this application will be retained by the Center whether or not my application is approved.
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