MONTANA
Clear Form
IE-SF
Rev 12 15
Square Foot Rental (Office, Retail, Warehouse and Restaurant)
Income and Expense Reporting Form
Property Information
Property Owner ______________________________________________
Geocode _____________________________________
Property Address _____________________________________________
Doing Business As (DBA) or
Building Name _________________________________
Mailing Address ______________________________________________
Income and Expense Data
Rents received as of 12/31/ ____________
Please round to nearest dollar
1. Office rentals ............................................................................................................................................................$ ____________
2. Retail rentals ............................................................................................................................................................$ ____________
3. Industrial/warehouse/garage rentals ........................................................................................................................$ ____________
4. Other rentals (specify) ______________________________________________________________________ $ ____________
5. Parking rental ...........................................................................................................................................................$ ____________
6. Loss due to vacancy and/or collection .....................................................................................................................$ ____________
7. Other income and reimbursements..........................................................................................................................$ ____________
8. Governmental subsidies ..........................................................................................................................................$ ____________
9. Ground rent received ...............................................................................................................................................$ ____________
Expenses
10. Advertising ...............................................................................................................................................................$ ____________
11. Cleaning ...................................................................................................................................................................$ ____________
12. Commissions ...........................................................................................................................................................$ ____________
13. Insurance .................................................................................................................................................................$ ____________
14. Legal and accounting fees .......................................................................................................................................$ ____________
15. Management (cost of administering the leases) ......................................................................................................$ ____________
16. Repairs.....................................................................................................................................................................$ ____________
17. Supplies ...................................................................................................................................................................$ ____________
18. Property taxes ..........................................................................................................................................................$ ____________
19. Utilities .....................................................................................................................................................................$ ____________
20. Other (describe) ___________________________________________________________________________ $ ____________
21. Payroll associated with property (except management) ..........................................................................................$ ____________
22. Snow/trash removal and landscape maintenance ...................................................................................................$ ____________
23. Maintenance (describe) _____________________________________________________________________
________________________________________________________________________________________ $ ____________
24. Reserves for replacement ........................................................................................................................................$ ____________
25. Security ....................................................................................................................................................................$ ____________
26. Ground rent paid ......................................................................................................................................................$ ____________
Signature
_________________________________________________
_________________________
_____________________________
Signature of Owner or Preparer
Date
SSN or FEIN
____________________________________________________________________________
_____________________________
Print Name and Title
Contact Phone Number
____________________________________________________________________________
Email Address
▲
▲
revenue.mt.gov
Toll free 1-866-859-2254 (in Helena, 444-6900)
TDD (406) 444-2830