Property Type Estoppel Certificate is for a Estoppel Certificate is for a Commercial LeaseResidential Lease Enter the Property Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Property Details What is the Square Footage? SF As stated in the commercial lease How many Bedrooms? ChooseZero (0)One (1)Two (2)Three (3)Four (4)Five (5)Six (6)Seven (7)Eight (8)Nine (9)Ten (10) How many Bathrooms? Choose0.511.522.533.544.555.566.577.588.599.510 A bathroom with only a toilet or shower is considered 0.5 bathrooms The Tenant(s) How many Names are on the Lease? Select12345678910 For example, if it's a married couple it would be 2. Tenant's Name Tenant #2 Name Tenant #3 Name Tenant #4 Name Tenant #5 Name Tenant #6 Name Tenant #7 Name Tenant #8 Name Tenant #9 Name Tenant #10 Name Landlord's Name Landlord's Name This is usually the owner or manager of the property Legal Description Do you know the Tax Map and Lot Numbers? Do you know the Tax Map and Lot Numbers? YesNo Also known as the "Legal Description" this is how the property is identified with the local or county assessor's office. Map: Lot: Block: If there is no "Block" number then just keep this field blank Do you know the Book and Page Numbers? Do you know the Book and Page Numbers? YesNo The Deed Book and Page Numbers is where the official ownership of the property is listed. This is usually recorded in the County Registry of Deeds and can usually be found through an online search. Book: Page: Type of Lease Choose One (1) Choose One (1) Standard (Fixed-Term) Lease AgreementMonth-to-Month (Tenancy-at-Will) Lease Agreement How Long is the Lease? Lease Term Select Select Month(s)Year(s) Lease Start Date Lease Start Date Lease End Date Lease End Date Monthly Rent ($) What is the Monthly Rent? $ Not including any additional fees Additional Fees ($) Does the Tenant pay any Monthly Fees to the Landlord? Does the Tenant pay any Monthly Fees to the Landlord? YesNo Such as Parking, Internet, etc. Fee Description Fee ($) Amount $ Add Another Fee? Add Another Fee? YesNo Fee ($) Amount $ Fee Description Add Another Fee? Add Another Fee? YesNo Fee ($) Amount $ Fee Description Last Rent Payment The Tenant made their last Rent Payment on Enter the date when the Tenant last paid their monthly rent. Security Deposit Does the Landlord have a Security Deposit from the Tenant? Does the Landlord have a Security Deposit from the Tenant? YesNo This is usually collected at the beginning of the Lease Period in case of damage or eviction by the Tenant. Security Deposit Amount $ Rent Pre-Payment Has the Tenant Pre-Paid their Rent? Has the Tenant Pre-Paid their Rent? YesNo Has the Tenant made any future payments on their Rent further than 30 days? Enter the Pre-Payment Amount $ Enter the Tenant's current balance Pre-Payment End Date When does the pre-payment period end? Amendments / Changes Has the Lease Agreement been amended since it was originally signed? Has the Lease Agreement been amended since it was originally signed? YesNo Has the Original Lease Agreement been modified or changed in any way since it was first signed? Date of Amendment SubLetting Does the Tenant currently Sublet any part of the Property? Does the Tenant currently Sublet any part of the Property? YesNo In other words, is the Tenant re-renting any part of the property to someone else? The Tenant is Subletting: The Tenant is Subletting: Part of the PropertyAll of the Property Landlord's Personal Property Does the Landlord have any Personal Items in the Property? Does the Landlord have any Personal Items in the Property? YesNo Such as Washer/Dryer, Microwave, Toaster Oven, etc. Enter the Personal Items Rights to Purchase Does the Tenant have any Rights to purchase the property? Does the Tenant have any Rights to purchase the property? YesNo Such as an Option to Purchase, First Right of Refusal, or any other language that gives the Buyer the rights to purchase the property. Explain the Tenant's Rights to Purchasing the Property Breach or Default of Lease Has the Tenant ever Breached or Defaulted on their Lease Agreement? Has the Tenant ever Breached or Defaulted on their Lease Agreement? YesNo Has the Tenant ever breached the Lease Agreement by not paying rent, damage to the property, etc. Explain the Breach or Default Has the breach or default been Cured? Has the breach or default been Cured? YesNo In other words, has the breach or default been resolved? Signature Location Where the Tenant will sign this Estoppel Certificate State of Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming County of Notary Acknowledgment This form is Highly Recommended to be Signed with the Tenant in front of a Notary Public This form is Highly Recommended to be Signed with the Tenant in front of a Notary Public I Understand Date of Estoppel Next Save Save and finish later
