Form 61a200(D) - Report Of Total Unit Operations Income Statement Page 2
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261A200(D) (11-08)
D1
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
Date of Organization or Purchase ________________________________________________________________________________
Present Owner Purchased Operation, Give Name of Prior Owner
____________________________________________________________________________________________________________
Purchase Price (Including all considerations and debt) ________________________________________________________________
Date Service Began ____________________________________________________________________________________________
____________________________________________________________________________________________________________
Subscribers/Customers _________________________________________________________________________________________
Average Regular Subscriber/Customer Monthly Fee __________________________________________________________________
Revenue and Expense for Five Previous Years
Year Ending December 31,
2007
2006
2005
2004
2003
(1) Gross Revenue
$
$
$
$
$
(2) Operating Expenses
$
$
$
$
$
(3) Operating Lease
Payments
$
$
$
$
$
(4) Depreciation
$
$
$
$
$
(5) Amortization
$
$
$
$
$
(6) Taxes Other
Than Income
$
$
$
$
$
(7) Operating Income
= $
$
$
$
$
(Line 1 Minus Lines 2 Through 6)
(8) Other Income Net
$
$
$
$
$
(9) Interest Income
$
$
$
$
$
(10) Interest Expense
$
$
$
$
$
(11) Federal and
State Income Taxes
$
$
$
$
$
(12) NET INCOME
= $
$
$
$
$
(Line 7 Minus Lines 8 Through 11)
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