Form Fp-42b - Hotel/motel Income And Expense Report - 2003 Page 4
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5f. Other Repairs (explain)
$
g. Janitorial/Cleaning (payroll/contract)
$
h. Other (explain)
$
i. Other (explain)
$
j. Other (explain)
$
4. Utility Costs
a. Electric (excluding HVAC)
$
b. Electric (including HVAC)
$
c. Primary Heating Fuel (type)
$
d. Water and Sewer
$
e. Other Fuels (type)
$
5. Other Expenses
(explain)
6. Total Undistributed Operating Expenses
$
(do not include real estate taxes)
I. Fixed Expenses
Expenses from previous calendar year January 1 to December 31. 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
$
0.00
J. Total of Replacement of Capital Items
$
K. Reserves for Replacement of Capital Items
Identify normal annual reserves for replacement of capital items
$
Are you reserving additional monies for any upcoming extraordinary expenditure?
YES
NO
Amount being reserved $
Please explain
Is this a percentage of gross income?
If YES, indicate %
YES
NO
L. Net Operating Income
Section F, Line 9, Section G, Line 6 and Less Section J
$
M. Capital Improvements/Renovations
Have there been any capital improvements or capital renovations to the
YES
NO
property during this report period? If YES, please provide total cost here
and attach a detailed list on a separate page.
$
Total Capital Cost
$
Are there any anticipated major capital expenditures expected in the next five years?
YES
NO
Please explain the expenditure and provide the estimated total cost.
$
FP-421B REV 02/2002
— CONFIDENTIAL —
Page 4 of 7
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