ES95 - 6 - 18 . ESTOPPEL STATEMENT The printed portions of this form, except differentiated additions, have been approved by the Colorado Real Estate Commission . ( ES95 - 6 - 18 ) (Mandatory 1 - 1 9 ) THIS FORM HAS IMPORTANT LEGAL CONSEQUENCES AND THE PARTIES SHOULD CONSULT LEGAL AND TAX OR OTHER COUNSEL BEFORE SIGNING. ESTOPPEL STATEMENT Date: Re: Lease Dated: Premises: (Premises) Original Landlord: Current Landlord: (Landlord) Telephone: Tenant: Telephone: The signer states and certifies to , buyer of the Premises (Buyer) and, if applicable, to 1 . The commencement date of the Lease was . The current scheduled termination date of the Lease is . 2. The Lease is in full force and effect and there have been no modifications or amendments other than as attached to this Estoppel Statement. 3 . The amounts of advanced rentals, rent concessions and deposits are as foll ows: 3 .1. $ as advance rentals paid; 3 .2. $ as other advance payments paid to Landlord; 3 .3. $ as ren t concessions given by Landlord; and 3.4. $ as a security deposit under t he terms of the Lease. 4 . The amount of rent currently paid to Landlord per month is $. 5. Lease Defaults. 5.1. Landlord Is Is Not in default under the terms of the Lease. 5.2. Tenant Is Is Not in default under the terms of the Lease. 6. The copy of the Lease attached to this Estoppel Statement is a true, correct and complete copy, including modifications and amendments (collectively Lease). 7 . Additional Provisio ns. Tenan t Seller Signature Date Signature Date American LegalNet, Inc. www.FormsWorkFlow.com