6NY0729 RLP Exhibit H.pdf
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- Solicitation number
- 6NY0729
About this file
This is a federal contracting form titled "Foreign Ownership and Financing Representation" used for acquisitions of leasehold interests in real property. The form, designated as Exhibit H and revised in October 2018, is part of a Request for Lease Proposals process and must be completed and returned to the Lessor Contracting Officer (LCO).
The form requires the offeror, defined as the property owner rather than an agent or representative, to make representations regarding two specific areas. First, the offeror must disclose whether the ownership structure of the offered building involves any foreign person, foreign-owned entity, or foreign government, and if so, identify the country of origin. Second, the offeror must represent whether the financing of the offered premises—including construction and permanent loans—involves foreign ownership or financing, again requiring country identification if applicable. The form provides checkbox options for each representation to indicate either the presence or absence of foreign involvement. Completion requires the signature of the offeror or legally authorized representative, along with their name, address, zip code, telephone number, and date of signature.
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Text version
LESSOR: ________ GOVERNMENT: ________ Foreign Ownership and Financing Representation
REV (10/18)
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
6NY0729 EXHIBIT H
File details come from the government source that posted it. Updated .