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Lessee Information Statement

This document contains a commercial lease agreement template with sections for listing new and terminated tenants. The sections include fields for the tenant's name, leased space details, rental amounts, lease dates, and tax identification information. The document also includes a notarization section to be signed verifying the accuracy of the tenant information provided.
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88% found this document useful (8 votes)
15K views4 pages

Lessee Information Statement

This document contains a commercial lease agreement template with sections for listing new and terminated tenants. The sections include fields for the tenant's name, leased space details, rental amounts, lease dates, and tax identification information. The document also includes a notarization section to be signed verifying the accuracy of the tenant information provided.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Name of Owner/Lessor___________________________________ TIN: ________________________

Address: _________________________________________________________________________________

Tenant's Profile
As of __________________________

Location of Building/Space for Commercial Lease: ______________________________________________________________

Location Name of Tenant Total Leased Monthly Start of Lease Duration / BIR Registration Profile
Floor / Unit Area Rental (mm/dd/yyyy) Period of Tax Authority to POS / CRM
No. Lease Identafication Print # for Permit #*
No. (TIN) OR's /
Invoices
LeaseUnitID CustomerName RentableSqFeetLeasePrice StartDate PeriodOfLea CustomerTIN CustomerATP CustomerPOSPer

*For taxpayers also using Point of Sdale (POS) / Cash Register Machine (CRM) in dispensing receipts
Name of Owner/Lessor____________________________________ TIN: ________________________

Address: _________________________________________________________________________________

Tenant's Profile
For the Period: ___________________________________________________

Location of Building/Space for Commercial Lease: ___________________________________________________________________

i. New Tenants
Location Name of Tenant Total Leased Monthly Rental Start of Lease Duration / BIR Registration Profile
Floor / Unit Area (mm/dd/yyyy) Period of Tax Authority to POS / CRM
No. Lease Identafication Print # for Permit #*
No. (TIN) OR's /
Invoices
LeaseUnitID CustomerName RentableSqFeet LeasePrice StartDate PeriodOfLeasCustomerTIN CustomerAT CustomerPOSPer

*For taxpayers also using Point of Sdale (POS) / Cash Register Machine (CRM) in dispensing receipts
Name of Owner/Lessor__________________________________________________ TIN: ________________________

Address: _________________________________________________________________________________

Tenant's Profile
For the Period: ___________________________________________________

Location of Building/Space for Commercial Lease: ____________________________________________________________

ii. Terminated Tenants


Location Name of Tenant Tax Identafication Total Leased Area Monthly Rental Date Lease
Floor / Unit No. Number (TIN) ended
(mm/dd/yyyy)

LeaseUnitID CustomerName CustomerTIN RentableSqFeet LeasePrice EndDate


REPUBLIC OF THE PHILIPPINES )
) S.S.

KNOW ALL MEN BY THESE PRESENTS:

I, , ______________________ OF THE ABOVE-MENTIONED


(NAME (POSITION)
CORPORATION DECLARE UNDER THE PENALTY OF PERJURY, THAT ALL MATTERS SET FORTH IN THIS LESSEE
INFORMATION STATEMENT WHICH CONSISTS OF ( ) PAGES HAVE BEEN MADE IN GOOD FAITH, DULY VERIFIED BY
ME AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, ARE TRUE AND CORRECT.

DONE THIS _______DAY OF ____________________, 20 _______ IN _______________________________.

__________________________
(SIGNATURE)

SUBSCRIBED AND SWORN TO BEFORE ME IN _________________________CITY/PROVINCE, PHILIPPINES ON


____________________, AFFIANT PERSONALLY APPEARED BEFORE ME AND EXHIBITED TO ME HIS/HER TAX
IDENTIFICATION NUMBER ____________________

NOTARY PUBLIC FOR ______________________ CITY/PROVINCE


DOC. NO: : Notarial Commission No. _________________________________
PAGE NO. : Commission expires on December 31, ______________________
BOOK NO. : Roll of Attorney Number __________________________________
SERIES OF : PTR No. _______________________________________________
IBP No. ________________________________________________
Office Address: _________________________________________

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