Form Fp-421b Hotel/motel Income & Expense Report Page 4
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53.
(
)
PROPERTY OPERATIONS AND MAINTEANCE
POM
a.
/
$
PAYROLL
SUPPLIES
b.
$
HVAC REPAIRS
c.
$
ROOF REPAIRS
d.
$
OTHER COMMON AREA OR EXTERIOR REPAIRS
e.
(
):
$
OTHER REPAIRS
EXPLAIN
f.
(
):
$
OTHER REPAIRS
EXPLAIN
g.
/
(
/
)
$
JANITORIAL
CLEANING
PAYROLL
CONTRACT
h.
(
):
$
OTHER
EXPLAIN
i.
(
):
$
OTHER
EXPLAIN
j.
(
):
$
OTHER
EXPLAIN
k.
$
0
TOTAL
4.
UTILITY COSTS
a.
(
)
$
ELECTRIC
EXCLUDING HVAC
b.
(
)
$
ELECTRIC
INCLUDING HVAC
c.
(
)
$
PRIMARY HEATING FUEL
TYPE
d.
$
WATER AND SEWER
e.
(
)
$
OTHER FUELS
TYPE
f.
$
0
TOTAL
5.
(
):
OTHER EXPENSES
EXPLAIN
$
6.
(***
***)
TOTAL UNDISTRIBUTED OPERATING EXPENSES
DO NOT INCLUDE REAL ESTATE TAXES
$
0
I.
(
1,
31,
,
FIXED EXPENSES
EXPENSES FROM PREVIOUS CALENDAR YEAR JANUARY
TO DECEMBER
DO NOT INCLUDE PAYROLL TAXES
THEY SHOULD BE INCLUDED IN DEPARTMENTAL AND UNDISTRIBUTED OPERATING EXPENSES.
***
***
DO NOT INCLUDE REAL ESTATE TAXES
1.
(
,
)
$
INSURANCE
ONE YEAR FIRE
CASUALTY
2.
,
: (
)
$
OTHER TAXES
FEES
SPECIFY AS NEEDED BELOW
$
PERSONAL PROPERTY
$
BUSINESS LICENSE
$
PUBLIC SPACE RENTAL
3.
(
)
$
OTHER FIXED EXPENSES
SPECIFY
4.
$
TOTAL FIXED EXPENSES
0
.
J
TOTAL OF UNDISTRIBUTED AND FIXED EXPENSES
$
SECTION H LINE 6 AND SECTION I LINE 4
0
.
K
RESERVES FOR REPLACEMENT OF CAPITAL ITEMS
+
$
IDENTIFY NORMAL ANNUAL RESERVES FOR REPLACEMENT OF CAPITAL ITEMS AND FF
E
?
ARE YOU RESERVING ADDITIONAL MONIES FOR ANY UPCOMING EXTRAORDINARY EXPENDITURE
YES
NO
$
:
AMOUNT BEING RESERVED
PLEASE EXPLAIN
?
,
%
%
IS THIS A PERCENTAGE OF GROSS INCOME
YES
NO
IF YES
INDICATE
.
L
NET OPERATING INCOME
9
6
.
$
SECTION F LINE
LESS SECTION G LINE
AND LESS SECTION J
.
/
M
CAPITAL IMPROVEMENTS
RENOVATIONS
HAVE THERE BEEN ANY CAPITAL IMPROVEMENTS OR CAPITAL RENOVATIONS TO THE PROPERTY DURING THIS REPORT
?
PERIOD
,
$
YES
NO
IF YES
PLEASE PROVIDE TOTAL COST HERE AND ATTACH A DETAILED
.
LIST ON A SEPARATE PAGE
5-
?
ARE THERE ANY ANTICIPATED MAJOR CAPITAL EXPENDITURES EXPECTED IN THE NEXT
YEARS
YES
NO
.
PLEASE EXPLAIN THE EXPENDITURE AND PROVIDE THE ESTIMATED TOTAL COST
$
FP-421B REV 10/2004
***CONFIDENTIAL***
Page 4 of 13
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