Retail Leases Regulations 2023

Landlord:

Tenant:

Premises:

PART 1 KEY INFORMATION

1

Renewal of lease

1.1

Date on which the option to renew the lease agreement for the premises was exercised, or date on which all of the parties to the lease entered into an agreement to renew the lease.

[landlord to insert date]

1.2

Details of any changes from previous disclosure statement.

2

Alteration works

2.1

Are there any alteration or demolition works, planned or known to the landlord at this point in time, to the premises or building/centre, including surrounding roads, during the term or any further term or terms?

🞏 Yes

[insert details of the proposed works]

🞏 No

2.2

Details of any changes from previous disclosure statement.

3

Other matters

3.1

Are there any other matters that may materially affect the tenant's ongoing business and are not referred to in the lease? [e.g. current legal proceedings, planned changes to tenancy mix]

🞏 Yes

[insert details]

🞏 No

3.2

Are there any alteration or demolition works, planned or known to the landlord at this point in time, to land adjacent to or in close proximity to the premises or building/centre, during the term or any further term or terms?

🞏 Yes

[provide details]

🞏 No

3.3

Details of any changes from previous disclosure statement.

4

Other monetary obligations and charges

4.1

Outline any other costs arising under the renewed lease not including costs that are:

 referred to in the statement of outgoings under section 47 of the Retail Leases Act 2003; or

 referred to elsewhere in this disclosure statement.

[e.g. interest and legal costs]

4.2

Details of any changes from previous disclosure statement.

PART 2 LANDLORD ACKNOWLEDGEMENTS AND SIGNATURE

5

Acknowledgements by landlord

By signing this disclosure statement, the landlord confirms and acknowledges that:

● the landlord has not knowingly withheld information that may materially affect the tenant's ongoing business.

Warning to landlord when completing this disclosure statement:

● the tenant may have remedies including termination of lease if the information in this statement is misleading, false or materially incomplete.

6

Landlord's signature

6.1

Name of landlord

[insert name of landlord]

6.2

Signed by the landlord or the landlord's agent for and on behalf of the landlord

x................................................................

6.3

Name of the landlord's authorised representative or landlord's agent

[insert name of person signing with the authority of the landlord]

6.4

Date

/ /20

PART 3 TENANT ACKNOWLEDGEMENTS AND SIGNATURE

7

Acknowledgements by the tenant

By signing this disclosure statement, the tenant confirms and acknowledges that the tenant received this disclosure statement.

8

Tenant's signature

It is important that a tenant seek independent legal and financial advice before renewing the lease.

8.1

Name of tenant

[insert name of tenant]

8.2

Signed by the tenant or for and on behalf of the tenant

x......................................................................

8.3

Name of the tenant's authorised representative

[insert name of person signing with the authority of the tenant]

8.4

Date

     /     /20