Landlord application form for City property lease, 1997

NYC 9/11 Public Portal Document

io List all real properr.' landlord has leased i include properties under license and permit for use or pos.sessior from or to the City' wthin the past five years by street address, borough, block, and lot Indicate date and term of lease(s).

a. City is Landlord: City is Tenant: Address: Borough: Block and Lot: Floors: ______ Size: __________ Base Rent: Term: Commencement: Expiration: Owner (if City is Tenant)/Tenant (if City is Landlord)

b. City is Landlord; City is Tenant: Address: Borough: Block and Lot: Floors: ______ Size; __________ Base Rent; Term: _______ Commencement: Expiration: Owner (if City is Tenant)/Tenant (if City is Landlord) Address: City: State: Zip Code:

11. Is landlord currently in arrears and/or in default on any obligations relating to any property identified in section 10 above?

Yes □ No □

If yes, specify and ejqilain reason for the default(s): Address; Borough: Block and Lot; Arrears/Default;

12. Has landlord been in default on any of it’s obligations relating to real property which landlord owned or managed within the past 5 years? Yes □ No □

If yes, specify and explain: Address: ____________ Borough; _______ _ Block and Lot: Default: _____________ Comments: __________

13. Has landlord been the successful bidder on and/or purchased/leased any real property from the City in the past five years? Yes □ No □

If yes, identify addresses of each property and date of the successful bid and /or purchase/lease;

a. Address: Borough; Block and Lot: Bid: ________ Date: ______ Purchase/Lease: Date: ______

b. Address; Borough: Block and Lot; Bid; ________ Date: ______ Purchase/Lease: Date: _____

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