Items 1 and 2: region and lease
Region number, and the lease number and lease date.
GSA387
Analysis of Values Statement (Leased Space)
GSA Form 387, Analysis of Values Statement (Leased Space), is a one-page General Services Administration form, Rev. 9-88 in its footer. GSA's forms page gives a current revision date of 09/1988 and the authority or regulation PBS P 1600.1A, and GSA hosts it in its forms library.
The form records the region, the lease number and date, the building's name and address, and the amount and location of the space to be leased. Item 6, Computation of Net Annual Rental, has three lines: gross annual rental, the estimated annual cost of services and utilities furnished by the lessor as part of the rental consideration, with a completed GSA Form 1217 attached, and net annual rental cost. Item 7 gives the appraised fair annual rental value of the space, and the form says the net annual rental cost must not exceed it. Item 9 holds three approval signatures.
You can fill it out free in your browser on this page and download the result without an account.

Region number, and the lease number and lease date.
Name of building, building address (No., Street, City, State, ZIP Code), and the amount and location of space within the building to be leased.
A, gross annual rental. B, estimated annual cost of services and utilities furnished by the lessor, with GSA Form 1217 attached. C, net annual rental cost.
The appraised fair annual rental value of the space to be leased.
Space for remarks. Item 6A says to explain fully in Item 8 when the gross annual rental exceeds the amount in Item 7.
Signature, title and date for prepared by, approved by the contracting officer and approved by the division director.
Enter the region number, the lease number and date, and the building's name and address.
In Item 5, enter the amount and location of the space within the building to be leased.
Enter the gross annual rental in 6A, the estimated annual cost of services and utilities in 6B with a completed GSA Form 1217 attached, and the net annual rental cost in 6C.
In Item 7, enter the appraised fair annual rental value of the space. The form says the net annual rental cost in 6C must not exceed this amount.
Item 6A says that if the gross annual rental exceeds the amount in Item 7, explain fully in Item 8 and obtain the Division Director's approval in Item 9.
The preparer signs Item 9(1), and the contracting officer and division director sign the approval lines, each with title and date.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The PDF prints no address and does not say which office receives the statement. Item 9 routes it through the preparer, the contracting officer and the division director.
Item 6B says to attach a completed GSA Form 1217.
GSA's forms page lists PBS P 1600.1A. The PDF prints no instructions, OMB number or privacy statement.
The footer reads GSA Form 387 (Rev. 9-88). GSA's forms page gives the current revision date as 09/1988.
Item 9(1), PREPARED BY, takes the preparer's signature, title and date.
Item 9(2) is the approval line for the contracting officer, with signature, title and date.
Item 9(3) is the division director's approval. Item 6A says to obtain the Division Director's approval in Item 9 when the gross annual rental exceeds the amount shown in Item 7.
Item 6B says to attach a completed GSA Form 1217 for the estimated annual cost of services and utilities furnished by the lessor as part of the rental consideration.
The form does not name an office. Item 9 and the item notes show these roles.
The agency’s own page for Form GSA387.
The official blank form, to print or fill by hand.
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The footer reads GENERAL SERVICES ADMINISTRATION, GSA Form 387 (Rev. 9-88). GSA hosts it in its forms library and lists the authority or regulation PBS P 1600.1A.
Item 6B, the estimated annual cost of services and utilities furnished by the lessor as part of the rental consideration, says to attach a completed GSA Form 1217.
Item 6C, net annual rental cost, says it must not exceed the amount shown in Item 7, the appraised fair annual rental value of the space to be leased.
Item 6A says that if it exceeds the amount shown in Item 7, explain fully in Item 8 and obtain the Division Director's approval in Item 9.
Item 9 has three rows: prepared by, approved by the contracting officer and approved by the division director, each with signature, title and date.