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Landlord application form for City property lease, 1997

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Form requesting landlord information and property details for a proposed lease transaction with the City of New York.

NYC-WTC_000170985–000170992

Folder label: “Department of Citywide Administrative Services Division of Real Estate Services ®Landlord Disclosure Form

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NYC 9/11 Public Portal Document

U is landlord in default on any cLugaUons relating to the bid andyor purchase,lease of anv propertv listed ab<Ae Yes □ No □

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

m. General Background: This section must be completed by all landlords unless: A. landlord has filed a disclosure form within the past 12 months, in which case, applicant must explaui anv material change which has occurred since the previous filing for each question below, or

B. landlord is the owner of record and is a corporation listed on a national exchange or other regulated entities (e.g., insurance companies, public utilities).

Answer each question below with respect to the landlord and each of its principal/partners, officers, directors, and owners of 10% or more of the outstanding shares):

15. Are there any judgments outstanding against you resulting from lawsuits brought by the Division of Real Estate Services (DRES), the Department of Citywide Administrative Services (DCAS) or the City of New York?

Yes □ No □

If yes, state: Court: . County: State: ____________ Date: Docket Number: Type: _ Amount of Judgement:

16. Have you ever been convicted of a crime (excluding minor traffic violations?)

Yes □ No □ If yes, specify: Court: _________ County: _____ State: Nature of Crime: Date of Judgement: Date of Sentencing: Sentence Imposed:

17. Have you ever been barred from bidding or declared non-responsible by any local, state, or federal government agency, entity or authority?

Yes □ No □ If yes, e?q>lam:

18. Have you ever been declared in default on any local, state or federal contract?

Yes □ No □ If yes, explain:

H:\SHARRLKGAL\>ORMBOAl.>7/4

NYC-WTC_000170988

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NYC-WTC_000170988Source: NYC Law Department, mirrored locally

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NYC-WTC_000170296

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