Real Property Income And Expense Return Form - Pinellas County Property Appraiser
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PINELLAS COUNTY PROPERTY APPRAISER
PAM DUBOV , CFA, CAE
R 12/12
COMMERCIAL DEPT
PROPERTY APPRAISER
Reset
P. O. BOX 1957
CONFIDENTIAL
CLEARWATER, FL 33757
(For use by the Pinellas County Property Appraiser’s office only)
REAL PROPERTY INCOME AND EXPENSE RETURN
SHEET _____OF_____
PROPERTY NAME AND ADDRESS
MORTGAGE SALES/DATA
1ST MORTGAGE
2nd MORTGAGE
PRINC.
PRINC.
AMT.
_________
AMT.
_________
INTEREST
INTEREST
RATE ________
RATE ________
MTGE
MTGE
TERM _________
TERM _________
PRICE
PAID
_________
DATE _________
ASKING
PRICE $ __________________(IF FOR SALE )
OWNER’S ESTIMATE OF
If the building is LEASED, please complete SECTIONS A & B
MARKET VALUE: $ ____________________
If the building is OWNER OCCUPIED, please complete SECTION B ONLY
INCOME DATA AS OF JANUARY 1, 2016
A
GROSS
LEASEABLE
NUMBER OF
ANNUAL GROSS RENTAL
PROPERTY USE
SQ. FT.
SQ. FT.
UNITS
INCOME IF 100% OCCUPIED
APARTMENTS
HOTELS / MOTELS
RETAIL STORES
OFFICES
MANUFACTURING / INDUSTRIAL
OTHER (SPECIFY)
MOBILE HOMES
OWNER OCCUPIED SPACE
ACTUAL ANNUAL RENTAL INCOME COLLECTED
OTHER INCOME:
REAL ESTATE TA X REIMBURSEMENT
UTILITIES (HVAC, WATER, SEWER) REIMBURSEMENT
COMMON AREA MAINTENANCE
PERSONAL SERVICES (LAUNDRY, VENDING, PHONES, ETC.)
OTHER (PLEASE SPECIFY) _____________________________
EXPENSE DATA AS OF JANUARY 1, 2016
B
REAL ESTATE TAXES
OTHER TAXES AND LICENSING FEES
INSURANCE (AMORTIZE 1 YEAR)
UTILITIES (HVAC, WATER, SEWER)
MANAGEMENT
PAYROLL
ADMINISTRATION (LEASING COMM., ADVER., PROMO., LEGAL, ACCTG., ETC.)
MAINTENANCE AND REPAIRS
SERVICES (TRASH, GROUNDS, POOL, ELEVATOR, ETC.)
FUNDED RESERVES FOR REPLACEMENT
* OTHER (PLEASE SPECIFY) _______________________________
*
NOTE: DO NOT INCLUDE DEBT SERVICE, INTEREST, DEPRECIATION, AND CAPITAL EXPENDITURES (new roof, painting, etc.)
PLEASE COMPLETE ThE LEASE INFORMATION ON ThE REvERSE SIDE OR, SUPPLY
CURRENT RENT/LEASE ROLL FOR YOUR PROPERTY USE.
_____________________________________________
_______________
________________________
SIGNED
DATE
TELEPHONE NUMBER
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