Real Estate
Estoppel Certificate
General estoppel certificate certifying the status of an agreement or obligation. Single signer (certifier).
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# Estoppel Certificate **Date:** ___________ This Estoppel Certificate ("Certificate") is executed by: **Certifier:** ___________ ("Certifier") **Certifier Address:** ___________ This Certificate is provided to: **Requesting Party:** ___________ ("Requesting Party") **Requesting Party Address:** ___________ ## 1. Purpose This Certificate is provided in connection with: **Purpose:** ___________ **Additional Purpose Details:** ___________ The Certifier understands that the Requesting Party and its lenders, investors, successors, and assigns will rely upon the statements made in this Certificate. ## 2. Underlying Agreement **Agreement Type:** ___________ **Agreement Date:** ___________ **Parties to the Agreement:** ___________ **Agreement Reference/Number:** ___________ The Certifier hereby certifies the following with respect to the above-referenced agreement (the "Underlying Agreement"): ## 3. Status of Agreement
Fields (44)
effective date
date · required
certifier name
text · required
certifier address
textarea · required
requesting party
text · required
requesting party address
textarea · required
purpose
select · required
purpose details
textarea
agreement type
select · required
agreement date
date · required
agreement parties
textarea · required
agreement reference
text
amendments
textarea
term status
select · required
expiration date
date
renewal options
select · required
renewal details
textarea
current payment
text · required
payment frequency
select · required
payments current through
date · required
security deposit
text · required
prepaid amounts
text
amounts owed
text · required
amounts due
text · required
certifier default
select · required
certifier default details
textarea
counterparty default
select · required
counterparty default details
textarea
pending disputes
select · required
dispute details
textarea
offsets
select · required
offset details
textarea
assignments
select · required
assignment details
textarea
liens
select · required
lien details
textarea
premises
textarea
square footage
text
tenant improvements
select · required
ti details
textarea
options
select · required
option details
textarea
governing state
select · required
certifier signer name
text · required
certifier signer title
text · required
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