Apply for a lease consultation today. Provide us with your business information and a lease specialist will get back to you shortly. Please enable JavaScript in your browser to complete this form. - Step 1 of 3SECTION 1 | BUSINESS INFORMATIONLegal Business Name *DBA *State Incorporated *Time in Business *Legal Entity Type *Sole ProprietorshipPartnerLLCCorporationOtherBusiness Type *GrowerManufacturerDispensaryLaboratoryBusiness Address *Address Line 1CitySTATEAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTIN *Business Phone *Website *Products Sold *CannabisHempBothProduction Facility Ownership *LeaseOwnRent/Mortgage Amount $ *Additional CommentsSourceNextSECTION 2 | OWNERS/OFFICERS INFORMATIONFor principal Officer/Primary Owner with Ownership >2%Name *Title *Percentage of Ownership *Business Address *Address Line 1CitySTATEAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeFacility Ownership *OwnRentEmail Address *Phone Number *SSN *DOB *DL# *State of Issuance *PreviousNextSECTION 3 | REFERENCESBank Reference (Previous bank if less than two years of history with current bank)Bank Name *Business Bank Account *CheckingSavingsBank Location *Name on Bank Account *Bank Account Number *Routing Number (ABA) *Trade ReferenceCompany *Phone Number *PreviousEmailSubmit