Certified Rent Roll
As of date:
Property Name
Property Address
Month Annual
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Total
APPLICANT SIGNATURE DATE CO-APPLICANT SIGNATURE DATE
Certified Rent Roll
Tenant
Unit #
Square
Feet
Occupied
Special Terms and Lease
Options
Type of Business
Square
Feet
%
CERTIFIED RENT ROLL
I (we) certify that the above information is true and accurate to the best of my (our) knowledge.
Lease
Commence
Date
Lease
Expiration
Date
Rent per
Square Foot
CAM Exps
Paid by
Tenant
Lease Payment
List unoccupied units as "VACANT" in the tenant column. Please fill out separate rent roll for all properties
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