Montana Form Id-Mh - Mobile Home/rv Park Income And Expense Reporting Form

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MONTANA
Clear Form
Form ID-MH
Rev 09 13
Mobile Home/RV Park
Income and Expense Reporting Form
Property Information
Property Owner ______________________________________________
Geocode _____________________________________
Property Address _____________________________________________
Doing Business As (DBA) or
Building Name _________________________________
Mailing Address ______________________________________________
Income and Expense Data
Rents received as of 12/31/ ____________
Please round to nearest dollar
1. Mobile home spaces ................................................................................................................................................$ ____________
2. RV spaces ................................................................................................................................................................$ ____________
3. Tent sites ..................................................................................................................................................................$ ____________
4. Cabins ......................................................................................................................................................................$ ____________
5. Storage rentals.........................................................................................................................................................$ ____________
6. Boat storage rentals .................................................................................................................................................$ ____________
7. Other rentals ............................................................................................................................................................$ ____________
8. Loss due to vacancy and/or collection .....................................................................................................................$ ____________
9. Other income and reimbursements..........................................................................................................................$ ____________
Expenses
10. Advertising ...............................................................................................................................................................$ ____________
11. Cleaning ...................................................................................................................................................................$ ____________
12. Commissions ...........................................................................................................................................................$ ____________
13. Insurance .................................................................................................................................................................$ ____________
14. Legal and accounting fees .......................................................................................................................................$ ____________
15. Management (cost of administering the leases) ......................................................................................................$ ____________
16. Repairs.....................................................................................................................................................................$ ____________
17. Supplies ...................................................................................................................................................................$ ____________
18. Property taxes ..........................................................................................................................................................$ ____________
19. Utilities .....................................................................................................................................................................$ ____________
20. Other (describe) ___________________________________________________________________________ $ ____________
21. Payroll assoc. with property (except management) .................................................................................................$ ____________
22. Snow/trash removal and landscape maintenance ...................................................................................................$ ____________
23. Maintenance (describe) ____________________________________________________________________
________________________________________________________________________________________ $ ____________
24. Reserves for replacement ........................................................................................................................................$ ____________
25. Security ....................................................................................................................................................................$ ____________
Signature
_________________________________________________
_________________________
_____________________________
Signature of Owner or Preparer
Date
SSN or FEIN
____________________________________________________________________________
_____________________________
Print Name and Title
Contact Phone Number
____________________________________________________________________________
Email Address
revenue.mt.gov
Toll free 1-866-859-2254 (in Helena, 444-6900)
TDD (406) 444-2830

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