GSA1582

Revocable License for Non-Federal Use of Real Property

Agency
GSA
Revision
Rev. 12/2021
Fillable fields
40
Pages
5
Official source
GSA form page
Checked
October 20, 2026
Fill GSA1582 online
Page 1 of form GSA1582

GSA Form 1582: Revocable License for Non-Federal Use of Real Property

GSA Form 1582, Revocable License for Non-Federal Use of Real Property, is a General Services Administration form, Rev. 12/2021, and GSA hosts it in its forms library. GSA's page lists the authority or regulation as the Lease Acquisition Handbook and Outlease Program Handbook. The footer says the previous edition is not usable.

The form says a revocable license affecting the described property, for the purpose designated, is granted to the licensee named on it, subject to Special and General conditions. Page 1 holds items 1 to 9, the signature blocks for GSA as licensor and for the licensee, and a Certificate of Corporate Licensee. Page 2 prints General Conditions A to R. Pages 3 to 5 are Exhibit A, a Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (August 2020).

You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 1582: Revocable License for Non-Federal Use of Real Property, as printed by GSA

What's on GSA Form 1582

Items 1 to 5: license, licensee and period

License number, name and address of the licensee, project designation and address, and the maximum period covered, from and to.

Items 6 to 8: consideration, property and purpose

Consideration in dollars, a description of the property affected as shown on an attached exhibit, and the purpose of the license.

Item 9: special conditions

A space for Special Conditions, and a line for the number of any General Condition deleted before the license was executed.

Signatures and corporate certificate

The GSA licensor and licensee blocks, then the certifier's name, title and signature, the license signer's name and title, and a place for the corporate seal.

Page 2: General Conditions A to R

Compliance, structures, laws and ordinances, sanitary conditions, damage, indemnification, storage, operation, notice, guarantee deposit, bond, expense, future requirements, variations, nondiscrimination, Members of Congress, NDAA subsection 889 and late payments.

Pages 3 to 5: Exhibit A

Definitions, the section 889 prohibition, a review of the Excluded Parties List in the System for Award Management, two representations, and disclosures that follow a will or does answer.

How to complete GSA Form 1582

  1. 1

    Identify the license and licensee

    Enter the license number, the licensee's name and address, the project designation and address, and the from and to dates of the maximum period in items 1 to 5.

  2. 2

    Describe the property and purpose

    Enter the consideration in item 6, describe the property affected in item 7 with the number of the exhibit it is shown on, and state the purpose in item 8.

  3. 3

    List the special conditions

    Write any Special Conditions under item 9, and enter the number of any General Condition deleted before the license is executed.

  4. 4

    Complete Exhibit A

    Check will or will not in (d)(1) and does or does not in (d)(2). The exhibit asks for the disclosures in (e) after a will or does answer, then a name, address, telephone number, signature and date.

  5. 5

    Sign the license

    The GSA licensor block and the licensee block each take a date, signature, name and title. A corporate licensee also completes the Certificate of Corporate Licensee.

Why fill Form GSA1582 on indox

You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.

  • Fill the form right in your browser, no software to install
  • Free to fill and free to download, with no account
  • The official blank straight from the GSA, not a copy someone retyped
  • Works on a phone, tablet or computer

Routing and what the form says

Where it goes

The form prints no filing address. It is signed by GSA as licensor and by the licensee named in item 2.

Authority

GSA's page lists the authority or regulation as the Lease Acquisition Handbook and Outlease Program Handbook, with a current revision date of 12/2021.

Notice and removal

General Condition I says any property of the licensee installed or located on the property shall be removed upon 30 days' written notice from GSA.

Deposits and bonds

Condition J says any guarantee deposit is in the form of a certified check, cashier's check or postal money order payable to GSA. Condition K says any bond is executed with sureties satisfactory to GSA.

Late payments

Condition R says payments more than 120 days delinquent may be treated as a debt owed to the United States Government and referred to the U.S. Department of the Treasury, with interest and penalties under 31 U.S.C. § 3717.

Nondiscrimination

Condition O cites Title VI of the Civil Rights Act of 1964, 42 U.S.C. 2000d, and 41 CFR Subpart 101-6.2, and says a breach of these conditions is sufficient cause for revocation of the license.

Related forms

Who fills out GSA Form 1582?

  • GSA as licensor

    The General Services Administration Licensor block has lines for the date, signature, name and title of the GSA signer.

  • The licensee

    The licensee named in item 2 enters the accepted date and signs the Licensee block. The form says that by accepting the license, the licensee agrees to be bound by its conditions.

  • A corporate licensee's secretary

    The form says that if the licensee is a corporation, the Certificate of Corporate Licensee must be executed. A secretary of the corporation certifies that the license was signed by authority of its governing body.

  • The prospective licensee for Exhibit A

    The prospective licensee or a legally authorized representative signs Exhibit A. The exhibit says the term refers only to the entity that executes the license contract, not its U.S. affiliates, subsidiaries or parent companies.

The form's signature blocks, certificate and Exhibit A show these roles.

Official sources and the blank

Do it all with indox

View all 94 tools

Questions about Form GSA1582

Who issues GSA Form 1582?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA 1582 (REV. 12/2021). GSA hosts it in its forms library, and its page lists the Lease Acquisition Handbook and Outlease Program Handbook as the authority or regulation.

Who signs GSA Form 1582?

GSA signs as licensor and the licensee signs to accept. If the licensee is a corporation, a secretary of the corporation executes the Certificate of Corporate Licensee. Exhibit A is signed by the prospective licensee or a legally authorized representative.

What is Exhibit A?

A Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (August 2020). General Condition Q incorporates subsection 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Public Law 115-232) and refers to this representation.

Can the license be revoked?

The form is titled a revocable license. Condition O says a breach of the nondiscrimination conditions is sufficient cause for revocation, and Condition R says it does not limit the licensor's rights to terminate the license upon nonpayment of rent.

What happens to property on the site?

Condition I says the licensee's property shall be removed upon 30 days' written notice from GSA. Condition G says United States property removed for the license is returned to its original location when the license ends, at the licensee's cost, as directed by GSA.

Does the form list a fee?

No amount is printed. Item 6, Consideration ($), is a blank block, and Conditions J and K refer to any deposit or bond in the amount designated on the license.