WE REQUIRE A $20 APPLICATION FEE.

NOTICE:
THE OWNER OF THE SELF-SERVICE STORAGE FACILITY HAS A LIEN UPON ALL PERSONAL PROPERTY LOCATED AT THE SELF-SERVICE STORAGE FACILITY.



Applicant




Military Status


Alternate Contact


Owner may contact such alternate/emergency contact person(s) in event of casualty (fire, accident or damage, etc.) or other emergency, or if Owner is unable to reach Occupant. Further, unless Occupant refuses consent by marking the box below, Owner may at Owner's option allow such person(s) or Occupant's brother, sister, spouse, parent, or child over 18 to have access to the Premises if such person signs an affidavit that Occupant is deceased, incarcerated, permanently missing or permanently incapacitated.

Please list the Personal Property stored in the Premises along with the amount of the lien, address of the lienholder, and phone number of the lienholder. (This request includes any uniform commercial code filings on any Personal Property sotred in the Premises.)