Items 1 to 3: permit and permittee
Permit number, name of the permittee agency, and the local representative's name and address.
GSA1583
Permit for Use of Real Property by Federal Agency
GSA Form 1583, Permit for Use of Real Property by Federal Agency, is a General Services Administration form, Rev. 9/1998 (printed REV. 9-98), and GSA hosts it in its forms library. GSA's page lists the authority or regulation as PBS P 7025.2.
The form says permission, revocable at the will of the General Services Administration, is granted to the named permittee to use the property described for the purpose designated, subject to special and general conditions. The front has items 1 to 8: permit number, permittee agency, local representative, project, maximum period, property, purpose and a space for special conditions. The back prints general conditions a to f and two signature columns. It prints no instructions, OMB number or privacy statement.
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Permit number, name of the permittee agency, and the local representative's name and address.
Project designation and address, and the maximum period covered, A. From and B. To.
Description of the property affected, as shown on an attached exhibit, and the purpose of the permit.
The conditions the permittee agrees to by accepting the permit, starting with a space headed I. Special Conditions.
Printed on the back. They cover cost to GSA, upkeep, limits on use, utilities and services, additions or alterations, and vacating the premises.
Two blocks, each with date, signature, name of signer and title.
Enter the permit number in item 1.
Enter the permittee agency in item 2 and the local representative's name and address in item 3.
Enter the project designation and address in item 4 and the from and to dates in item 5.
Describe the property affected in item 6 with the number of the exhibit it is shown on, and state the purpose in item 7.
List any special conditions under item 8. The general conditions on the back are preprinted.
Complete both signature columns on the back with the date, signature, name of signer and title.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form prints no address. It is a permit between GSA and the permittee agency named in item 2.
GSA's page lists PBS P 7025.2 as the authority or regulation, with a current revision date of 09/1998.
Condition a says use and occupancy shall be without cost or expense to GSA. Condition d says the permittee pays the cost, as determined by the Regional Administrator, of utilities and other services GSA furnishes.
Condition f says the permittee vacates, removes its property and restores the premises on or before expiration or termination, or within the time GSA designates if the permit is revoked.
Item 2 names the federal agency that receives the permit. The form says that by accepting the permit, the permittee agrees to be bound by its conditions.
Item 3 is for the name and address of a local representative.
The form says the permission is revocable at the will of GSA. Condition a places use under the general supervision of the Regional Administrator, General Services Administration, or an authorized representative.
The back has two columns, each with a date (Day, Month, Year), signature, name of signer and title. The form does not label which party signs in each.
The form names a permittee agency and GSA. Its two signature columns are not labeled with a party.
The agency’s own page for Form GSA1583.
The official blank form, to print or fill by hand.
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The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 1583 (REV. 9-98). GSA hosts it in its forms library, and its page lists PBS P 7025.2 as the authority or regulation.
The title says the permit is for use of real property by a federal agency, and item 2 is headed Name of Permittee Agency.
The form says the permission is revocable at the will of the General Services Administration. Condition f says that if it is revoked, the permittee vacates within such time as GSA may designate.
Condition e requires the prior consent of the Regional Administrator, General Services Administration, or an authorized representative before additions or alterations are made.
Condition b says the permittee keeps the property in good repair at its own expense. Condition d says it pays the cost, as determined by the Regional Administrator, of utilities and other services GSA furnishes.