Full Text
Allen County Apartment Survey Allen County Assessor – Stacey O’Day Rousseau Centre, 1 East Main Street Suite 415 Fort Wayne, IN 46802 Ph [PHONE REDACTED] Fax [PHONE REDACTED] Owner: Mailing Address: Contact Number: E-Mail Address: Name of Preparer: Apartment/Complex Name: Property Address: Parcel Number Services & Utilities Included in A/C Gas Electric Rent: Pool Security Heat Parking Washer/Dryer Furnishings Rent Schedules: # Units Bath/Units 2023 Rent 2024 Rent 2025 Rent Efficiency 1 Bedroom 2 Bedroom 2 Bedroom & Den 3 Bedroom 3 Bedroom & Den Other (List) Parking # Spaces Mortgage/Sales Information 1. Is there a current mortgage on the property? No If "Yes", please provide the following data: Name of Mortgagee Loan Amount Payment Interest Rate Term of Mortgage 2. Please provide: Date Purchased: Consideration: Has there been a professional appraisal of the property within the last five years? If yes, the appraiser's estimate of Date of the appraisal:___________ Please continue to page 2 to complete the survey. All information including the accompanying schedules and statements have been examined by me and to the best of my knowledge and belief are true, correct, and complete. Contact Person: Management Firm (if applicable) Address: Phone: Date: 1 ---PAGE BREAK--- Allen County Apartment Survey Allen County Assessor – Stacey O’Day Rousseau Centre, 1 East Main Street Suite 415 Fort Wayne, IN 46802 Ph [PHONE REDACTED] Fax [PHONE REDACTED] Owner: Mailing Address: Contact Number: E-Mail Address: Name of Preparer: Apartment/Complex Name: Property Address: Parcel Number Actual Income & Expenses are required. An itemized computer printout may be attached to this form in lieu of completing the section below. Annual Income: 2023 2024 2025 1. Total Gross Rents @ 100% Occupancy 2. Owner, Janitor, Manager Apartments 3. Other income (Laundry, Pool, etc) 4. Loss Due to Vacancy or Bad Debt 5. Total Actual Income (Lines 1-3 Less Line 4) Expenses: 2023 2024 2025 6. Payroll (Except Manager, Repair) 7. Supplies (Janitor, Bulbs, etc) 8. Electricity & Utilities 9. Heating Fuel (Type of Fuel 10. Management Fees/Wages 11. Administrative Cost (List) 12. Maintenance & Repairs (List) 13. Miscellaneous Expenses (List) 14. Fire Insurance & Extended Coverage 15. Reserves for Replacements (List) 16. Total Expenses (Line 6-15) 17. Real Estate Taxes 18. Building Depreciation 19. Mortgage Interest Payment 20. Capital Expenditures (List) All information including the accompanying schedules and statements have been examined by me and to the best of my knowledge and belief are true, correct, and complete. Contact Person: Management Firm (if applicable) Address: Phone: Date: 2