Tenant Estoppel Certificate

of
[Name of Tenant]
TO: [Name of Lender] (the “Lender”)

RE: Lease dated [Date of Lease (ie. July 31, 2002)] (the "Lease") between [Name of
Landlord], of [Address of Landlord] (the "Landlord") and [Name of Tenant], of
[Address of Tenant] in respect of space located at [Address of Leased Premises]
(the “Leased Premises”).

For good and valuable consideration and as an inducement to the making of a secured loan by
the Lender to the Tenant covering property of which the Leased Premises are a part, the Tenant
hereby:

1. Certifies to the Lender, its successors and assigns that:

(a) the undersigned has entered into occupancy of the Leased Premises on [Date of
Initial Occupancy by Tenant under Lease] and has accepted the same, which
Leased Premises is acknowledged to contain [Size of Lease Premises (ie. 1,256
square feet)] rentable square feet;

(b) the Lease is in full force and effect and has not been modified, supplemented or
amended in any way other than as set forth above;

(c) the Lease represents the entire agreement between the parties as to this leasing;

(d) the term of the Lease commenced on [Commencement Date of Lease Term] and
expires on [Expiry Date of Lease Term];

(e) the Tenant is presently occupying the Leased Premises and is paying rent and
additional rent in accordance with the terms of the Lease;

(f) there are no options to extend the term except as follows:

[Specify Terms of Options to Renew or State "None"]

(g) the Tenant has no right to cancel the Lease before the end of the term thereof, as
that term is defined in the Lease;

(h) there are no options to purchase the Leased Premises or any part thereof or any
rights of first refusal;

(i) all conditions under the Lease to be performed by the Landlord prerequisite to the
full effectiveness of the Lease have been satisfied;
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(j) all of the construction, repair and improvements contemplated by the Lease to be
performed by the Landlord have been performed by the Landlord and have been
completed satisfactorily in accordance with the terms of the Lease, and that no
other construction, repair and improvements are contemplated under the Lease;

(k) there are no sums or credits due the Tenant from the Landlord under the Lease;

(l) on this date there exists no factual circumstance or condition which, with notice or
the lapse of time, or both, would give rise to any obligation on the part of the
Landlord, would constitute a default on the part of the Landlord, would constitute
a defense to the enforcement of the Lease by the Landlord or an offset against the
rents or other charges due the Landlord under the Lease, or would constitute the
basis for a claim or cause of action against the Landlord;

(m) to the best of the Tenant’s knowledge, on this date there exists no factual
circumstance or condition which, with notice or the lapse of time, or both, would
constitute a default on the part of the Tenant under the Lease, and Tenant has not
received notice from the Landlord pertaining to a default or alleged default under
the Lease;

(n) the base and additional rental obligation under the Lease in effect is [Annual Base
and Additional Rent under the Lease (ie. $52,000.00)] per annum;

(o) the base and additional rental has been paid current, and no rental has been paid
more than one (1) month in advance;

(p) under the Lease, the Tenant is obligated to pay percentage rent expressed as
[Percentage Rent Rate, if applicable (ie. 6.0%) or state "N/A"] for defined sales in
excess of [Percentage Rent Threshold, if applicable (ie. $400,000.00) or state
"N/A"];

(q) a security deposit in the amount of [Amount of Security Deposit Paid by Tenant to
Landlord, if any (ie. $1,200.00)] was paid by Tenant to Landlord;

(r) to the best of Tenant’s knowledge, the Tenant is not using the Leased Premises in
violation of any applicable laws, rules, ordinances or regulations, including, but
not limited to, any applicable environmental laws, rules or regulations
(collectively “Laws”), there are no regulatory actions or other claims pending or
threatened against the Tenant in connection with any such Laws, and Tenant has
not received any notice from any third party or governmental authority alleging a
violation of any such laws;

(s) there has not been filed by or against the Tenant, nor to the best knowledge and
belief of Tenant, is there threatened against or contemplated by Tenant, a petition
in bankruptcy, voluntary or otherwise, any assignment for the benefit of creditors,
any petition seeking reorganization or arrangement under bankruptcy laws of the
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United States or of any state thereof, or any other action brought under said
bankruptcy laws; and

(t) the Tenant has not assigned or sublet the Leased Premises.

2. Agrees that Lender and its successors and assigns shall not (a) be bound by any
prepayment by Tenant of more than one month’s installment of rent unless such
prepayment is expressly required in the Lease or has been specifically approved in
writing by Lender, or (b) be liable or responsible for any security deposit or other sums
which Tenant may have paid under the Lease unless such deposit or other sums have been
physically delivered to Lender.

The Tenant acknowledges having read this Certificate and understands the certifications and
representations made herein, and hereby executes this Certificate, which shall take effect as a
sealed instrument, intending reliance hereon by Lender, its successors and assigns. The
undersigned signatory represents and warrants that he or she is duly authorized to execute this
Certificate on behalf of the Tenant.

Dated this _____ day of ____________________, 20_____.

Witness [NAME OF TENANT]