New Retail Branch/ATM Review Form

1. City/Town *This question is required.

2. Address *This question is required.

3. Name of Property Owner/Landlord *This question is required.

4. Size of space (please differentiate between RSF vs. USF): *This question is required.

5. Type of space (i.e. inline, end cap, free standing building, ATM only, etc.):
*This question is required.

6. Transaction Type (direct lease, sublease, sale opportunity):
*This question is required.

7. Asking Rent (including CAM):
*This question is required.

8. Asking Price (if for sale):
*This question is required.

9. Zoning – please indicate current municipal zoning designation. Are retail banks allowed as of right? Are drive up’s allowed as of right?, please provide zoning documentation as backup:

10. Drive-Up potential:
*This question is required.

11. Parking spaces (# of spaces allocated to space, and total # of parking spaces on property):
*This question is required.

12. Access into Property (multiple curb cuts?):
*This question is required.

13. Marketing/signage opportunities (show pictures of sign positions and available square footage of sign positon(s):
*This question is required.

14. Current condition of space:
*This question is required.

15. How will space be delivered to tenant (i.e. as-is, vanilla-white box, etc.)?
*This question is required.

16. Traffic Count:
*This question is required.

17. Age of Building: *This question is required.

18. Age of major mechanical systems (HVAC, electrical):

19. Age of Roof

20. Electrical Amp service to space:

21. Size of HVAC unit dedicated to space:

22. Does space have sprinkler system? (if yes, please provide info on system):

23. Does space have fire alarm system? (if yes, please provide info on system):

24. Note all recent building/site improvements to space:

26. Proximity to other RTC branches (in miles):

27. Contact Information of Landlord/Broker *This question is required.

First Name

Last Name

Email Address

Phone Number

28. Attach all supporting documentation (marketing flyer of space, space plan, site plan, etc)

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MEMBER FDIC

Submittal of this form does not obligate Rockland Trust Company or its affiliates to entertain a lease, sale or disposition of real estate, nor shall any communications discussing a proposed contract, lease, license or other agreement affecting any interest in real estate be binding unless it is approved by, and signed by a duly authorized officer of Rockland Trust Company.