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Dear Property Owner, Manager, or Lessee, A revaluation of all property is being conducted in your community in order to establish fair and equitable assessments. By completing the enclosed form, you will help reflect economic conditions within your community which will become the basis for utilizing the income approach to value. The information you provide will remain confidential and will be considered, with all other information gathered, in order to establish uniform guidelines to be equitably applied throughout the community. It is, therefore, requested that you complete the enclosed form and return it to the address shown on the cover letter. Please fill out all sections of the form. Your cooperation is appreciated. Assessors' Office. INCOME AND EXPENSE FORM COMMERCIAL/INDUSTRIAL LEASE SUMMARY (APARTMENT, HOTEL AND OTHER INCOME SECTIONS, SEE REVERSE) List tenant business name rather than owner name. i.e. "Joe's Restaurant" rather than Smith Enterprises". If vacant, so state and enter asking rent under and months vacant under (11). Be sure to complete If any portion is owner occupied enter O/OCC under and complete and (11). Enter your identification or unit number/letter. List the area that is leased. If not known, approximate such as "1/4 of first floor". THIS IS VERY IMPORTANT. List type of space from following list. If several types, enter most prevalent first RTL-retail, store, shop; OFC-office; MFG-manufacturing; WHS- warehouse, storage; RDV-R&D; RST-restaurant; SER-service/repair/garage; BNK-bank; OTH-other (specify in comments) Enter floor level. If several, enter most prevalent first. List scheduled rent for that tenant for the year. List Common Area Maintenance (CAM), Real Estate Tax, and other reimbursements paid by tenant. List expenses included in the rent (paid by landlord). Using following codes: E-electric; H-heat; M-maintenance; P-plowing; R-rubbish removal; T-real estate taxes; B-real estate taxes over a base; L-parking lot/grounds maintenance; W-water/sewer; I-Insurance. Enter date lease begins. If month to month, enter M/M. (10) Enter date lease ends prior to options. (11) Enter comments. Be sure to include options, overage clauses, months vacant for the year, real estate tax clauses. COMMENTS TENANT TOTAL LEASE END LEASE START EXPENSES INCLUDED UNIT NO. LEASED AREA (SQ. FT.) TYPE OF SPACE FLOOR LEVEL SCHEDULED ANNUAL RENT CAM, TAX, OTHER REIMBURSEMENT (10) OFFICE USE ONLY (11) Location: ParcelID: LUC: Mailing Address: ---PAGE BREAK--- APARTMENT INCOME ANNUAL EXPENSES INDICATE WITH Expenses Paid / Items Supplied by Owner HOTEL/MOTEL INCOME OTHER INFORMATION M I C R O W A V E D I S H W A S H E R D I S P O S A L F U R N I T U R E R E F R I G E R A T O R E L E C T R I C R U B B I S H A I R C O N D. NO. UNITS OF THIS TYPE NO . OF ROOMS NO . OF BEDROOMS NO . OF BATHS FLOOR LEVEL Please provide any information which may assist in arriving at a fair and equitable appraisal of this property. RENT PER MONTH Complete if construction or major remodeling was performed within past 10 years CONSTRUCTION COSTS * Excluding Bathrooms OTHER INCOME TYPE HIGH LOW SWING RATES ANNUAL OCCUPANCY PERCENT No. UNITS LAUNDRY VENDING PARKING OTHER OTHER OTHER SALES INFORMATION If the property was purchased within the past 10 years, complete the following. COMMENTS ON ANY SPECIAL CONDITIONS LAND ONLY LAND AND BUILDINGS PREPARED BY DATE Phone No. Copyright Patriot Properties, Inc. Items 20 20 MANAGEMENT GENERAL CLEANING UTILITIES OTHER TOTAL FEE COMMISSIONS LEGAL PAYROLL TAX SNOW REMOVAL TRASH WAGES SUPPLIES HEATING ELECTRIC DEPRECIATION REAL ESTATE TAXES INSURANCE OTHER TAX FURN. & FIXT. INTEREST LAND RENT DECORATING REPAIRS AND MAINTENANCE CONTRACT SERVICES WATER AIR COND. ELEVATOR FIXED EXPENSE CONSTRUC- TION S T O V E H E A T BAD DEBT OTHER EXP. VAC RATE OTHER CONSTR. TENANT ALLOW. SEWER OTHER UTILS. BLDG SUPPLIES ACCOUNTING GROSS AREA NET LEASABLE MISC.