Apartment Income & Expense Report Form Page 3

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Utilities:
 $  
17. Water & Sewer
‐   
 $  
18. Electricity
‐   
 $  
19. Fuel (Type of fuel:___________)
‐   
Repairs Maintenance and Contract Services
 $  
20. Maintenance Payroll/Supplies
 $  
21. Mechanical (HVAC, Electrical, Plumb)
‐
 $  
22. Roof Repairs
‐
 $  
23. Elevator (Parts, Labor, Contract Services)
‐
 $  
24. Pool (Parts, Labor, Contract Services)
‐
 $  
25. Redecorating Costs (Carpet, Paint, etc.)
‐
 $  
26. Janitorial/Cleaning (Supplies and Contract Services)
‐
 $  
27. Landscaping and Ground Services (Supplies and Contract Services)
‐
 $  
28. Trash
‐
 $  
29. Security
‐
 $  
30. Other Maintenance Contract Services etc. (Must give itemized list)
‐
 $  
Total Operating Expenses sum of Lines 13 Through 30 
‐   
 Fixed Expenses 
 $  
31 Insurance (One Year Fire, Casualty) 
‐   
 $  
32. Miscellaneous Taxes (Non payroll, Non property tax)
‐   
 $  
Total Fixed Expenses sum of Lines 31 and 32
  
‐   
Replacement Reserves 
 $  
33. Annual Replacements Reserves $__________ per Unit #____________
 Total 
‐   
Capital Improvements
 $  
34. Cost of Capital Improvements Incurred last 12 months
‐   
 (for Capital Improvements consideration itemized list required)
35. Cost of Future Capital Improvements
 $  
(for future Capital Improvements consideration plan & itemized list required) 
‐   
Annual Ground Rent
 $  
36. List Annual Ground Rent If Applicable
37 Inception Date of Lease
38. Ending Date of Lease
MORTGAGE/SALES /MANAGEMENT INFORMATION 
1. Is there a current mortgage on the property?
Yes____ 
No____ 
2. If Yes, please provide the following
data: 
Name of Mortgage_____________ 
Mortgage Amount_______ 
Interest Rate________ 
Term of Mortgage_____________ 
3. List the most recent partial or complete interest transfer of the real property of the last 3 years:
Purchase Date: ___________________ 
Purchase Amount:____________________ 
 Percent of Ownership: _____________ 
4. Most Recent Professional Appraisal  Date: _______________   Value: __________________
 Appraisal Firm/Individual: _______________________________________________________ 

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