g e n e r a l i n f o r m a t i o n（g f e n e r l我n o r m t i o n）（10页）.docVIP

GENERAL INFORMATION Customer Requesting Space Survey Location XXXXX XXXXX Realty Specialist/GSA Broker Customer Representative Name: XXXXX Company (if Broker): XXXXX Name: XXXXX Title: XXXXX Amount of Space/Sq. Ft.(Rentable Usable) Type Date of Survey XXXXX Office Warehouse Special (ex. RETAIL, FLEX, LAB) XXXXX MM-DD-YYYY BUILDING INFORMATION Building Name Building Address XXXXX STREET EXTRA LINE IF NEEDED CITY, ST ZIP Owner/Agent Company Name Address Phone # XXXXX STREET EXTRA LINE IF NEEDED CITY, ST ZIP (###) ###-#### Ext. ###### Space Available Floor # Common Area Factor % Amount (Sq. Ft.) a. XXXXX a. XXXXX a. XXXXX b. XXXXX b. XXXXX b. XXXXX c. XXXXX c. XXXXX c. XXXXX Total Space in Building: XXXXX Asking Price a. Rent/month $XXXXX or Rent/sq. ft. per year (note type of measurement being used) $ XXXXX b. Services utilities included: Yes No c. Alterations included: XXXXX d. Allowance for Tenant Improvements (per sq. ft.): $ XXXXX e. Overtime HVAC: Rate Per Hour = $XXXXX Rate Per Zone = $ XXXXX f. Building amenities: (ex. conference rooms, business center, cafeteria, health/fitness center, child care facility, etc.) XXXXX g. Other remarks: XXXXX Building Location Zoning Conforms to Government Use Central Business Dist Commercial Office Park Industrial Urban Renewal Residential Yes No Historic Information a. Building Age: XXXXX b. On Historic Register: Yes No c. Other: XXXXX Is Building: a. Historic and in a Historic District: Yes No b. Non-historic in a Historic District: Yes No c. Historic in a Non-historic District: Yes No EXTERIOR INFORMATION (Upload Photo to eLease or attach here) Appearance of Structure Appearance of Grounds Excellent Good Fair Poor Excellent Good Fair Poor Exterior Building Design Exterior Facing Material Urban Suburban Single-Core Multi-Core Adaptive Re-use Office Park Free-Standing Conversion Brick Concrete Glass Steel Marble Stone Other Specify INTERIOR IN