State Form 203 - Proposal For Leasing Space

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Type of space:
PROPOSAL FOR LEASING SPACE
Office
State Form 203 (R3 / 8-01)
Warehouse
Please print or type all information.
Other ________________
May use attachments if necessary.
SECTION 1 - INFORMATION ON THE PROPOSED LANDLORD
Name of proposed landlord
Address (number and street, city, state, ZIP code)
Name of contact person
Telephone number
SECTION 2 - INFORMATION ABOUT PROPOSED PROPERTY
Address of proposed property (number and street, city, county, state, ZIP code)
Is the property a multi tenant or single tenant building?
Is the property ADA compliant?
What type of construction is the building?
Square feet available for lease
Total rentable square feet within the building
Age of the building
SECTION 3 - PROPOSAL
Amount of square feet proposed to lease
Proposed commencement date
Cost per square foot
Cost per square foot includes:
If Yes, how many and where located
Parking
Yes
No
Utility usage (i.e.: water, HVAC, electric gas, sewer)
If No, explain:
Yes
No
Maintenance, upkeep and repair of all the building
If No, explain:
Yes
No
structure and systems
Janitorial services
If Yes, describe the services to be performed and frequency
Yes
No
Trash removal
Yes
No
If Yes, please explain:
Additional services and / or charges
Yes
No
Improvements to the property
Describe the improvements and amount to be spent on improvements
that are included in the rental rate of this proposal (use an extra sheet if necessary)
Yes
No
Historic Building
Is the building located in one of the following area?
If yes please circle the appropriate one.
Yes
No
Yes
No
1.The central business district of the town or city.
2. A traditional neighborhood commercial district.
3. An urban Enterprise zone.
4. A Brownfield.
I HAVE READ A COPY OF THE STATE'S STANDARD LEASE AND AGREE TO USE THIS DOCUMENT AS IS.
Signature

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