3WI0240 RLP Exhibit I Foreign Representation.pdf
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- Solicitation number
- 3WI0240
About this file
This document contains a foreign ownership and financing representation form related to a federal lease solicitation. The solicitation seeks offers for an office building in Milwaukee, Wisconsin to lease between 16,984-18,682 square feet of ANSI/BOMA office space. The General Services Administration Public Buildings Service Central Office is the contracting agency. The representation form requires the offeror to disclose whether a foreign entity is involved in the ownership structure or financing of the offered property, including construction and permanent loans. The offeror must sign and return the completed form to the leasing contracting officer as part of the solicitation response.
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Foreign Ownership and Financing Representation (Acquisitions of Leasehold Interests in Real Property)
Request for Lease Proposals Number
Dated
Complete appropriate boxes, sign the form, and return to LCO.
The Offeror makes the following additional Representations. NOTE: The "Offeror," as used on this form, is the owner of the property offered, not an individual or agent representing the owner.
FOREIGN OWNERSHIP AND FINANCING (APR 2018)
(a) Offeror represents that the ownership of the offered Building
[ ] has a foreign person, foreign-owned entity, or foreign government involved in the ownership structure.
If checked, enter country: ____________________
[ ] does not have a foreign person, foreign-owned entity, or foreign government involved in the ownership structure
(b) Offeror represents that the financing of the offered Premises, including, but not limited to, construction and permanent loans:
[ ] has a foreign person, foreign-owned entity, or foreign government involved in the financing structure
If checked, enter country: ____________________
[ ] does not have a foreign person, foreign-owned entity, or foreign government involved in the financing structure.
OFFEROR OR
LEGALLY AUTHORIZED
REPRESENTATIVE
NAME, ADDRESS (INCLUDING ZIP CODE)
Signature
TELEPHONE NUMBER
Date
3WI0240 EXHIBIT I
LESSOR: _____ GOVERNMENT: _____
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