Apply | Whittier Business Center

Your information

Legal name as it appears on your ID.

First name *

Middle

Last name *

Phone *

Email *

Address *

City *

State *

Zip *

Social Security Number *

Date of birth *

Driver’s license # *

DL state *

DL date issued

DL expires

Space interest

Company info

Company name *

Your position *

Company address

Year company started

Company phone

City

State

Zip

Personal history

Have you ever…

Been asked to move out or evicted?

No Yes

Broken a rental agreement or lease?

No Yes

Declared bankruptcy?

No Yes

Been sued for nonpayment of rent?

No Yes

Been sued for damage to a rental unit?

No Yes

Been convicted of a felony?

No Yes

Your vehicle

Make

Model

Color

License plate

Plate state

Other occupants (legal names and ages)

Emergency contact, business summary & ID

Emergency contact *

Phone *

Address

City

State

Quick summary about your business *

Government ID upload (driver’s license or other government ID — image or PDF)

Card on file

A card is saved securely with Stripe for late payments only. It is not charged for regular rent.

Signature

By typing your name below, you certify that the information provided is true and complete.

Applicant signature (typed name) *

Date *

I certify the information is accurate and authorize Whittier Business Center / Lending Enterprise to verify it. *

On submit we generate application.pdf and send it with your ID and application.json to our secure Google Drive applications folder (or save locally in development). Only safe card metadata (brand, last 4, expiry, Stripe IDs) is recorded — never a card number or security code.

Apply to Whittier Business Center

Your information

Company info

Personal history

Your vehicle

Emergency contact, business summary & ID

Card on file

Signature