Form Tc214 - Income And Expense Schedule For Department Stores, Theaters, And Parking Sites - 2008 Page 2

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BOROUGH
BLOCK
LOT
4. INCOME
YEAR 1
YEAR 2
YEAR 3
REPORTING PERIOD - Full years only
Year ending _____/_____/_____
Year ending _____/_____/_____
Year ending _____/_____/_____
GROSS SALES
Merchandise
Food and beverage
Parking
Automotive fuel
Admissions
Other sales
TOTAL GROSS SALES
Returns and refunds
Other adjustments:
ADJUSTED SALES
RENTAL INCOME
Leased departments
Other rentals
OTHER INCOME
TOTAL INCOME
5. EXPENSES
RENTAL EXPENSES
Fixed or minimum rent
Percentage rent
Real estate taxes paid by lessee
Common area maintenance
Other rental expense
TOTAL RENTAL EXPENSES
OTHER EXPENSES:
TOTAL EXPENSES
INSTRUCTIONS FOR FORM TC214: Use this form if you are reporting income derived from operation of a
department store, public parking garage or lot, or theater. Submission of this form is required for public parking lots
and garages, theaters, and retail department stores with more than 10,000 gross square feet of retail floor area.
Attach the completed schedule to an Application for Correction. Report sales and rental income for the past three
calendar or fiscal years. Reporting of expenses other than rent is optional. If there are leased departments or
concessions, report the rent received on this form. If there is other rental income, also attach Form TC201.
Page _____
TC214

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