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Lease Info

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Lease Start Date

Facility Location:
Safe Haven Self Storage, LLC
849 South Mayo Trail
Pikeville, Kentucky 41501

Available Unit Sizes

Name

Email

Business Contact Name If you are a business, please enter a contact name.

Phone Numbers

Primary?

Country

Address Line 1

Address Line 2

City

State / Province

Postal Code

Cell Phone

Driver's License Number

Are you or your spouse in the Military/Reserves?

Yes

No

If in the Military, please provide contact info.

Emergency Contact - Name

Emergency Contact - Address

Emergency Contact - Phone

Emergency Contact - Email

Company Name

Company Address

Insurance Company

Insurance Policy #

Initials

Description of Contents

If Motor Vehicle, Provide VIN

Registration Number (Includes Trailers)

If Applicable, Property with Lien

Lienholder Name/Secured Creditor

Address of Creditor

Amount of Lien - Secured Interest
Review & Sign

Review the lease agreement and sign.
Pay

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