8MI2290_Exhibit I_Foreign Ownership and Financing Representation 10.2018.pdf

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