GSA276

Supplemental Lease Agreement

Agency
GSA
Revision
Rev. 7/1967
Fillable fields
15
Pages
1
Official source
GSA form page
Checked
October 20, 2026
Fill GSA276 online
Page 1 of form GSA276

GSA Form 276: Supplemental Lease Agreement

GSA Form 276, Supplemental Lease Agreement, is a General Services Administration form. Its heading names the Public Buildings Service, and its footer reads GSA FORM 276 (REV. 7-67). GSA hosts it in its forms library, and GSA's page lists PBS P 1600.1A as its authority or regulation.

The one-page agreement amends an existing lease. It identifies the supplemental agreement number, the lease number starting GS-, the date and the address of the premises, then names the Lessor and the United States of America, called the Government. The parties write the change and its effective date, and the form states that all other terms and conditions of the lease remain in force and effect. It prints no instructions, no OMB number and no privacy statement.

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Top of page 1 of GSA Form 276: Supplemental Lease Agreement, as printed by GSA

What's on GSA Form 276

Agreement and lease numbers

Supplemental Agreement No., Date and To Lease No., which is printed with the prefix GS-.

Address of premises

The address of the leased premises the agreement applies to.

The parties

The date the agreement is made, the name and address of the Lessor, and the United States of America, hereinafter called the Government.

Whereas and the amendment

A WHEREAS line stating that the parties desire to amend the lease, then a NOW THEREFORE paragraph with the effective date and the text of the change.

Signatures

Signature and title for the Lessor, a witness signature and address, and a signature and official title for the United States of America.

How to complete GSA Form 276

  1. 1

    Enter the numbers and date

    Fill in the supplemental agreement number, the date and the lease number after the printed GS- prefix.

  2. 2

    Identify the premises and Lessor

    Enter the address of premises, then the Lessor's name and address in the opening paragraph.

  3. 3

    Write the amendment

    Complete the WHEREAS line, enter the date the lease is amended effective, and write the change in the space after as follows.

  4. 4

    Sign for the Lessor

    The Lessor's signer signs BY and adds a title. A witness signs under IN PRESENCE OF and adds an address.

  5. 5

    Sign for the Government

    A signer for the United States of America signs BY and adds an official title. The form says the parties subscribed their names as of the date above.

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Where it goes and what the form says

Where it goes

The PDF prints no filing address, routing or instructions. It is signed by the Lessor and by a signer for the United States of America.

Rest of the lease

The form says all other terms and conditions of the lease shall remain in force and effect.

Authority

GSA's page lists PBS P 1600.1A as the authority or regulation and 07/1967 as the current revision date.

Related forms

Who fills out GSA Form 276?

  • The Lessor

    The form names the Lessor and the Lessor's address in its opening paragraph. A person signs BY for the Lessor and gives a title.

  • A witness

    Under IN PRESENCE OF, a witness signs and writes an address beside the signature.

  • The United States of America

    The Government signs BY in the United States of America block, with the signer's official title.

  • Parties to a GS- lease

    The heading asks for the number of the lease being amended, printed with the prefix GS-, under the General Services Administration, Public Buildings Service.

The form is an agreement between two parties and prints these signature lines.

Official sources and the blank

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Questions about Form GSA276

Who issues GSA Form 276?

The form's heading names the General Services Administration, Public Buildings Service. GSA hosts it in its forms library and its page lists PBS P 1600.1A as the authority or regulation.

Who signs GSA Form 276?

The form prints a signature line with a title for the Lessor, a witness line under IN PRESENCE OF with an address, and a signature line with an official title for the United States of America.

Does GSA Form 276 replace the whole lease?

No. The form says the lease is amended as written on the form, and that all other terms and conditions of the lease shall remain in force and effect.

What edition is GSA Form 276?

The footer reads GSA FORM 276 (REV. 7-67), and GSA's page lists 07/1967 as the current revision date.

Does the form have instructions?

No. The one-page PDF prints only the blocks, the agreement text and the signature lines. It has no instructions, filing address or privacy statement.