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Tenant Information and Emergency Contact Form

Tenant Information and Emergency Contact Form

Legal Name on Lease

Doing Business As

Notice Address

Street Address City State ZIP Code

YAM Property Name

Physical Address

Street Address City State ZIP Code

Store Phone Number

Store ID Number (if applicable)

Store Manager

Name

Phone Number

Email

Security Alarm System

Alarm Code

Phone Number

Name of Company

TENANT INFORMATION CONTACTS

Lease Administration

Name

Phone Number

Email

Accounting/Billing Primary

Name

Phone Number

Email

Accounting/Billing Secondary

Name

Phone Number

Email

Gross Sales

Name

Phone Number

Email

Insurance

Name

Phone Number

Email

Emergency Contact

Name

Phone Number

Email

Other

Name

Phone Number

Email

Form Completed By

Print Name

Date

Month

Day

Year

Title

Signature

Phone

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