Form Fp-422a - Annual Leasing Report (Rent Roll)
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1OFFICE OF TAX AND REVENUE - REAL PROPERTY TAX ADMINISTRATION
Clear Form
941 North Capitol Street, NE, Suite 400, Washington, D.C. 20002
Print Form
ANNUAL LEASING REPORT (RENT ROLL)
Square
Suffix:
Lot(s):
Premise Address:
Filing Date: _______________________
Name of Building:
Owner / Agent's Name:
Phone:
Total Gross Building Area:
Total Net Rentable Area:
Efficiency:
Year Built:
Year Renovated / Value:
Office S/F:
Retail S/F:
Below Grade Leasable:
Storage:
Parking:
# Parking Spaces:
NET RENTABLE AREAS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Tenant's
Current
Tenant
Amortized
Expense
Operating
Tenant
Property
Annual Rate
Gross
Net
Lease
Lease
Lease
Lease
Renewal
Tenant's
Federal Tax
Status &
Floor
Area
Base Rent
Improvements
Concessions
Stop
Expense
Pays Exp.
Tax
of Rent
Potential
Effective
Stating
Term
Expiration Commission
Option
Name
I.D. Number
Use Type
Level
S/F
Per S/F
Per S/F
$
Base-Year
Pass-Thru
Y / N
Pass-Thru
Increase
Rent
Rent / S/F
Date
(years)
Date
Rate
No/ Years
Sample: Breakaway Travel 12-1234567
Office
5th
6,260 $35.00
$21.56
$31,626
1999
$0.00
N
$4.38
3.00%
$246,519
$34.33 6/26/97
10
5/21/07
3.00%
1 / 5
0
$0.00
$0.00
$0.00
$0
V-Office
$0.00
$0.00
$0.00
$0
0
V-Office
0
$0.00
$0
$0.00
$0.00
V-Office
$0
0
$0.00
$0.00
$0.00
V-Office
$0.00
V-Office
0
$0.00
$0
$0.00
0
$0.00
$0
V-Office
$0.00
$0.00
$0.00
$0.00
$0
$0.00
0
V-Office
$0.00
$0.00
$0
$0.00
0
V-Office
$0.00
$0
$0.00
0
$0.00
V-Office
$0.00
$0
$0.00
0
$0.00
V-Office
$0.00
$0
$0.00
0
$0.00
V-Office
$0.00
0
$0.00
$0
$0.00
V-Office
$0.00
$0
$0.00
0
$0.00
V-Office
$0.00
$0.00
$0
$0.00
0
V-Office
$0.00
0
$0.00
$0
$0.00
V-Office
TOTAL S/F
0
TOTAL RENT
$0
VACANT S/F
Vacancy %
COLLECTED:
PREPARER'S AFFIDAVIT:
I certify under penalty of law that the information provided is true, correct and complete to the best of my knowledge and belief.
Making a false statement as to material facts is punishable by criminal penalties, D.C. Code §22-2514.
Name of Preparer
(print or type)
Signature
Date
THIS FORM MUST BE SIGNED AND DATED TO RECEIVE CREDIT FOR FILING
FP-422A (Rev. 01/2002)
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