NYC 9/11 Public Portal Document
JIL.-15'97(TUE) 13:47 SILVERSTEIN PROP. TEL'.212 687 0067 P, 009
JUL-15-37 Jlieo FROM.BlLVERSTEtN PROPERTIES iD>2ia7a?ta«7 PAGE BZ3
DIVISION Ob REAL ESTATE SERVICES
CREDIT INFORMATION AUTHORIZATION FORM
DRES Project No.;___________ _ PremisesAddros: 7 World Trade Center
7 World Trade
Apniir^nt’..;NamflCompanv, L.P. Rrtroiigh Manhattan Block 84 Lo^(s)
I uadenrtaad that the City of New York (the City) will rely on the truthfulness of this disclosure stetement (The
Statement) in datennining my eligibility to lease the subject commercial property. The City may obtain a credit repen/s)
on me in connection with this application or any lease or occupancy relating thereto, If I a^ the City will tell me
whether it has obtained a credit report and the nanie of the credit bureau.
Further, I hereby authorize the release of infonnaticai to the Deputy Conunisaonfir or designee of the New York City
Department of Citywide Administrative Services, Division of Real Estate Services pertaining to applicant’s payment of
taxes, fees, charges or other obligations to the United States government and the and State of New Yoik by the
appropriate agens of said govemmeotal bodies.
The Statement is intended to be a writtoa inatrumeni as defined in Article 17$ of the Penal Law, and I understand that
any false siaieaieat may be punishable as a Class £ felony. IT the Diviaon of Real Estate Services discovers any mmeriai
misreprescctation, omission or false natemcot, the Division of Real Estate Services will not enter into a lease, h«nse,
permit or other agreement for use and/or possession of real property.
1) ladtvidonl's Name (print) 1) Individual’s Name (print)
2) Individual’s Signature 2) Individual’s Signature
Sworn to and subscribed befbm me Swonx to and subscribed before ma
this day of. 19 thia day of 19___
Notary Public or ComQUSSioner ofDeeds Notary Public or Commissioner of Deeds
7 World Trade Company, I .P.
Name of Entity (Print)
Larry A. Silverstein, president of Silverstein-7 World Trade
.Coni£anXj J[n£;j jrh^ Partner
Name® Officer,Title
of Officer
Sworn to and subscribed before me n
this day -1
ANN G, TOeiN
Notary Public, State of New Yorb'
No. 01-T04694133 .
/”/ ' ZId Qualified in Kings County yv
// yj ,Commission Expires March 30. 19_I_ '
Notary Public or CommissiMier ofDeeds
NYC-WTC_000167640
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