Simon Fraser University
Facilities Services
Lease Initiating Form
Lessee:
Lessor:
Address:
Address:
PART A: Contact Information
Date:
Primary Sponsor:
Department:
Phone & Email:
Requested Lease start date:
Purpose of the Lease:
PART B: Property Information
Property Name:
Property Address:
Initial term of Lease (Length):
Additional term (Length)
Basic Rent
Operating Rent
Estimated Financial Obligation
PART C: Signing Authority
Sponsor and Dean/VP acknowledge the financial obligation of $______ per year for a term
of ________ years and have approved funding available to cover these costs
VP/Dean signature
Name:
Title: