[print_button] **Please fill out, print, and sign this form. Bring this form to the main office to apply it to your service.** _______________________________________________________________________________________________________________ Tenant Information Form (Information needed to prepare rental agreement for an individual tenant) Please fill in the following information so we can prepare your self-storage rental agreement. 1) First Name Middle Initial Last Name 2) Date of Birth 3) Mailing Notification Address 4) Email 5) Employer's Name 6) Home Phone Home Fax Cell Phone 7) Work Phone Work Fax 8) Access rights for others. List other person(s) you want specifically named in the rental agreement as having access rights to the space, i.e., other persons who may break your lock on the storage unit (if necessary) to gain entry and to whom we may give a facility access code without us having to check with the tenant for authorization. This is optional. Authorized User 1 Name Address Work/Home/Cell # Email Address Authorized User 2 Name Address Work/Home/Cell # Email Address 9) Emergency contacts. List other person(s) who we may contact in an emergency (fire, flood, missing lock, etc.). Do not list persons living with you. These persons may have access under the very limited circumstances (affidavit of death, incarceration, permanently missing, or permanently incapacitated) as listed in paragraph 1 of the lease. Emergency User 1 Name Address Work/Home/Cell # Email Address Emergency User 2 Name Address Work/Home/Cell # Email Address 10) Military? YesNoIf yes, are you currently (check all that are applicable) in the reserves, National Guard, or Texas State Guardon active dutyCurrently stationed where? What military branch? Assigned military unit number and address 11) Your driver's license: 12) Other photo ID if you have no driver's license (describe type, put N/A if non-applicable) 13) Your vehicle license plate: 14) If not listed above, your home address: 15) Generally describe what will be stored: 16) How did you find out about us? drove byYellow Pagesrecommended by another personnewspaperInternetother If other, please explain: NOTICE: For security and environmental protection purposes, photographing, and videotaping may occur and thumb printing of tenants or photocopying their driver's license may be required, at the facility owner's option. Owner has no duty to do so. ________________________ Date ________________________________ Signature ________________________________ Printed Name I acknowledge and confirm that this information is accurate and I wish to enter a rental agreement with Store It Ministorage with the provided information. I understand that I must visit the main office after having submitted this form to finalize the lease agreement and pay for the first months lease on my storage unit. TSSA Offical Form #12-13Copyright 2013, Texas Self Storage Association, Inc.