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PSRA CL1-17

The Property Services Regulatory Authority
Commercial Lease Return Form


Particulars to be returned under Section 88 of the Property Services (Regulation) Act 2011
THE STAMPING DOCUMENT ID WILL NOT BE PUBLISHED

(This is the number received from the Revenue eStamping System. It is 9 digits and one letter)

** Please complete all Required Fields. **

TO ENSURE GDPR COMPLIANCE, SECTIONS NOT PUBLISHED ARE HIGHLIGHTED ON THIS FORM
- ALL OTHER SECTIONS ARE PUBLISHED

Part A - Address of Property the Subject of the Lease

(Dublin only)

** Please complete all Required Fields. **

Part B - Tenant Particulars

(THESE DETAILS WILL NOT BE PUBLISHED)

Tenant is a :

(As it appears on the lease)
(if any)

(This field will accept numbers only - do not use any dashes, spaces or brackets etc.)

** Please complete all Required Fields. **

Part C - Particulars of Property the Subject of the Lease


(Tick as appropriate)		 Retail
 Office
 Industrial
 Agricultural
 Other

(dd-mm-yyyy)
(e.g. car parking, storage yards)?

Retail
m² Net Internal Area
Area Usage

(e.g. Ground, 1st etc.)
e.g. Retail, Office
(In Sq. Mts.)
(Where applicable)

*ITZA (In Terms of Zone A) In simple terms 'Zone A' refers to the area of a retail premises which falls within a 6.1m depth of the shop frontage. The formula for this is (In Terms of Zone A) = Total of Zone A (shop width at street x 6.1 metres depth) + Zone B ( shop width x 6.1 metres ÷2) + Zone C (shop width x 6.1 metres ÷4) + Zone D (shop width x remaining depth ÷8 ). ITZA allows a price per square metre figure to be quoted for the rent making rental comparables easier.

Office
m²
Floor Area Gross InternalNet Internal
Industrial
m²
Floor Area Gross InternalGross External

(Where relevant - in Metres) Mts.

AGRICULTURAL LAND
Use ha ha ha
(e.g. Fencing, Drainage, Reseeding, Hedge removal, Liming, etc)

(Barns, Outhouses, etc)

Other
m² Gross Internal
Area Usage

(e.g. Ground, 1st etc.)
e.g. Retail, Office
(In Sq. Mts.)

** Please complete all Required Fields. **

Part D - Particulars of Lease Period, Lease Breaks and Reviews

years months
(dd-mm-yyyy)
(if different from above) (dd-mm-yyyy)
Rent Review
Is there a Rent Free Period at the Start of the Lease?
(in months)
Is there a Further Rent Free Period?

Is there a Break Clause in the Lease?

Is there a Notice Period?

Is there a Penalty?

** Please complete all Required Fields. **

Part E - Particulars of Rent and Fitting Out

What is the Annual Rent Agreed?
€
(monthly, quarterly, six monthly, other)
Did the Tenant Pay a Capital Consideration (Premium) at Start of Lease?
(e.g. make a payment as incentive to take out the lease)
€
Did the Tenant Receive a Capital Consideration (Premium) at Start of Lease?
(e.g. receive a payment as incentive to enter into the lease)
€
Did the Tenant Pay a Capital Contribution at Start of Lease?
(e.g. make a payment for service connection, building works etc.)
€
Did the Tenant Receive a Capital Contribution at Start of Lease?
(e.g. for services connection, building works paid for on behalf of the tenant)
€
Were there any fit out costs incurred?
Was any concession given for fitting out time?
(e.g. Rent-free period, cash payment etc.)

** Please complete all Required Fields. **

Part F - Other Charges and Costs

Is a Service Charge Payable?
How is it Calculated?
€
 
Is Building Insurance Payable?
How is it Calculated?
€
 
Is the Premises Separately Rated?
 
Is Tenant Responsible for Repairs?
Specify:
Basis of Contribution :
 

Part G - Other Details - (Not Mandatory)

(DO NOT INCLUDE CONFIDENTIAL / PERSONAL INFORMATION - THESE DETAILS WILL BE PUBLISHED)

** Please complete all Required Fields. **

Part H - Details of person submitting Commercial Lease Form

(THESE DETAILS WILL NOT BE PUBLISHED)

(This field will accept numbers only - do not use any dashes, spaces or brackets etc.)

Declaration

I declare that the information given in this return is true and complete in every respect and I fully understand that it is an offence to deliberately furnish inaccurate or misleading information.

Name : Date: (dd-mm-yyyy)

Please print and retain a copy for your records

You are not required to post a copy of the completed form to the PSRA.

Please check all details are correct before Submitting

The Property Services Regulatory Authority will treat all information and personal data that you provide as confidential, in accordance with the EU General Data Protection Regulation and the Data Protection Act, 2018. All information provided to the Property Services Regulatory Authority will only be shared with other approved organisations in accordance with the Property Services (Regulation) Act 2011. The full text of the PSRA’s Data Protection Policy can be found on our website http://www.psr.ie

An email acknowledgement will issue from the Authority on successful receipt of the completed form.



Commercial Lease Return Form (CL1-17)
Privacy Notice

1. The data you provide in this form is collected by the Property Services Regulatory Authority (PSRA).
The Data Controller for the information you provide is the Property Services Regulatory Authority and can be contacted at:

Property Services Regulatory Authority
Abbey Buildings
Abbey Road
Navan
Co. Meath.

2. We may use the personal data you provide in this form for the purpose of compliance with Section 88 of the Property Services (Regulation) Act 2011 (The Act) and any other functions as set out under the Act and its prescribed Regulations.

3. Our legal basis for collecting and processing this data is under the Property Services (Regulation) Act 2011 and its prescribed Regulations.

4. The personal data provided here will be stored securely on Dept. of Justice IT servers. It may be shared, where appropriate, with other approved organisations including; government departments, other state agencies, legal and financial advisors.
(On an ongoing basis, the PSRA puts in place appropriate contracts / memoranda of understanding / bilateral agreements with third parties with which personal data is shared.)

5. This data will be stored in accordance with specified PSRA retention schedules.

6. You can request a copy of the personal data that we hold on you. You can do this by completing a Subject Access Request form (available on the PSRA website at http://psr.ie/en/PSRA/Pages/Data_Protection) and forwarding it to info@psr.ie or by post to the PSRA Data Protection Officer at the address below. You will be required to verify your identity before the data can be forwarded to you.

7. You have the right to rectify any inaccuracies in your data. To do this you should write to the PSRA documenting the inaccuracies which need to be rectified.

8. You have the right, where appropriate, to obtain erasure of your data and/or a restriction on processing of your data as well as the right to object to the processing of your data. In addition you have the right to lodge a complaint with the Data Protection Commission.

9. Further details in relation to your data protection rights can be found in the Property Services Regulatory Authority Data Protection Policy available on the PSRA website at http://psr.ie/en/PSRA/Pages/Data_Protection

You can contact the Data Protection Officer for the PSRA with any queries in relation to this form or to any other data protection issues:

Data Protection Officer
Property Services Regulatory Authority
Abbey Buildings
Abbey Road
Navan
Co. Meath.		 Phone: 046-9033800
Email: info@psr.ie