(Revised 6/27/2014)

E.V. Bishoff Company Lease Requisition Form

LEASE APPLICATION MUST BE COMPLETED UNLESS CORPORATE HAS A CURRENT
APPLICATION ON FILE.

(600+ - no credit score premium)

BASE RENT

Credit Score Premium (10% if under 600) = $

in additional to the above rent.

ADDITIONAL RENTAL CHARGES (IN ADDITION TO RENT ABOVE):

CLEVELAND: OE .03 / Tax .08 / Ins. .03 / Electric .11 / Total cost .25
PITTSBURGH: OE .03 / Tax .08 / Ins. .03 / Electric .11 / Total .25
COLUMBUS: OE .03 / Ins. .03 / Electric .11 /Tax: BLP .13 / Gay St. .15 / Hamilton .13 / Third .09 / all others .08
SHOPPING CTR: CAM .28 Blacklick Office Center: $10/mo. Water/Sewer: .08 Heat/AC
WAREHOUSE: Cam $.05 Electric $.02 Heat $.02 H20/sewer $.004 Taxes $.04 Ins $.01

If no amount put in, last months’ total rent shall be required for security deposit

AUTO RENEW:

NEW LEASES

DAY AUTO RENEW (DEFAULT OF 120 DAYS IF LEFT BLANK)

RENEWALS – check prior lease and put same renewal notice of

days

LANDLORD’S ALTERATIONS:

Lessor shall promptly schedule the following alterations:

in the location(s) shown on the attached Exhibit B. Light switch(es) and electrical outlet(s) shall be:

Office LOFTS

Lessee and Lessee agrees that said deck is ready to paint with the exception of:

Upgrades

In-Office safe for $15.00 per month for 24 months

Internet connectivity

Private in-office CCTV system installed for $59.00 per month for 36 months

Lessor provides complimentary

Max 1 Mbps/$1,000 in rent

Mbps bandwidth

Discounted parking (Cleveland only) 3 spaces for $50/space/month with each $1,000/mo. rent

PARKING ADDENDUM:

spaces at $ per space

PERCENT OF RENT:

for

Notice Date:

RIGHT OF FIRST REFUSAL FOR SUITE

through

DEATH & DISABILITY CLAUSE:

prevents Lessee from practicing

TERMINATION CLAUSE: can terminate by:

if notice rec’d by

ADDRESS FOR NOTICES: To premises / Other:

PLEASE NOTE THAT ANY LEASE WHERE INVOICES ARE TO BE SENT ELSEWHERE MUST HAVE A
MAILING ADDRESS OR ANY INVOICE/NOTICES WILL BE SENT TO THE PREMISES – WHETHER THAT BE A STORAGE UNIT OR A WAREHOUSE SPOT.

TELEPHONE NUMBER - HOME:

WORK: