Form Ie-Mu Multiuse Income And Expense Reporting Form 2015

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Clear Form

MONTANA

IE-MU

Rev 12 15

Multiuse

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. Apartment rentals.....................................................................................................................................................$ ____________

2. Office rentals ............................................................................................................................................................$ ____________

3. Retail rentals ............................................................................................................................................................$ ____________

4. Industrial/warehouse/garage rentals ........................................................................................................................$ ____________

5. Room rentals............................................................................................................................................................$ ____________

6. Other rentals (specify) ______________________________________________________________________ $ ____________

7. Parking rental ...........................................................................................................................................................$ ____________

8. Loss due to vacancy and/or collection .....................................................................................................................$ ____________

9. Other income and reimbursements..........................................................................................................................$ ____________

10. Governmental subsidies ..........................................................................................................................................$ ____________

11. Ground rent received ...............................................................................................................................................$ ____________

Expenses

12. Advertising ...............................................................................................................................................................$ ____________

13. Cleaning ...................................................................................................................................................................$ ____________

14. Commissions ...........................................................................................................................................................$ ____________

15. Insurance .................................................................................................................................................................$ ____________

16. Legal and accounting fees .......................................................................................................................................$ ____________

17. Management (cost of administering the leases) ......................................................................................................$ ____________

18. Repairs.....................................................................................................................................................................$ ____________

19. Supplies ...................................................................................................................................................................$ ____________

20. Property taxes ..........................................................................................................................................................$ ____________

21. Utilities .....................................................................................................................................................................$ ____________

22. Other (describe) ___________________________________________________________________________ $ ____________

23. Payroll associated with property (except management) ..........................................................................................$ ____________

24. Snow/trash removal and landscape maintenance ...................................................................................................$ ____________

25. Maintenance (describe) _____________________________________________________________________

________________________________________________________________________________________ $ ____________

26. Reserves for replacement ........................................................................................................................................$ ____________

27. Security ....................................................................................................................................................................$ ____________

28. Ground rent paid ......................................................................................................................................................$ ____________

Signature

_________________________________________________

_________________________

_____________________________

Signature of Owner or Preparer

Date

SSN or FEIN

____________________________________________________________________________

_____________________________

Print Name and Title

Contact Phone Number

____________________________________________________________________________