Free Marina - Maryland

MARINA QUESTIONNAIRE
INCOME QUESTIONNAIRE FOR 36 MONTHS:
NAME AND LOCATION OF PROPERTY

FROM

2006

TO

2008___

OWNER AND ADDRESS OF RECORD

Name of Body of Water: Cost and Date of Acquisition: Additions since Acquisition:

_________________________________________________________________ _________________________________________________________________ _________________________________________________________________

Check service in rent: Water ( ) Electricity ( ) Small Boat Lift ( ) Other (list) ________ ________________________________________________________________________________________________ Number of Slips Available: Covered __________Uncovered__________ Number of Slips Occupied: Covered __________Uncovered__________ Dry Storage: Covered __________Uncovered__________ Rent Range: $__________to $_________ Boat Ft ( ) Slip Ft ( ) Year ( )

Mo ( )

Day ( )

ANNUAL INCOME:
1. 2. 3. 4. Slip Rental @ 100% Occupancy Other Rentals @ 100% Occupancy Misc. (storage/yard fees, etc.) Loss due to vacancy or delinquency

2008 $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________ $__________

2007 __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________

2006 __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________

EXPENSES:
1. Payroll (except manager, repair) 2. Supplies (janitor, bulbs, etc.) 3. Utilities 4. Management Fees/Wages 5. Common Area Maintenance 6. Administrative Cost (List) 7. Maintenance & Repairs (list) 8. Real Estate Tax 9. Depreciation 10. Mortgage Payment 11. Miscellaneous Expense (list) 12. Fire Insurance & Extended Coverage 13. Reserves for Replacements 14. TOTAL EXPENSES (Lines 1-13) OTHER INCOME: 1. Maintenance & Repairs 2. Gas Sales 3. Hoist, Travel-lift, Ramp 4. Restaurant & Lounge Net Income 5. Retail Sales and Rentals 6. Sales of Supplies & Materials 7. Other (list)

MORTGAGE/SALES INFORMATION:
1. Is there a current mortgage on this property? 2. If Yes, please provide the following data: ________________________________ Name of Mortgagee ___________________ Term of Mortgage 3. Please provide: Yes _________ No _________ ___________________ Mortgage Amount ___________________ Date 1st Payment ________________ Interest Rate ________________ Monthly Payment

Date Purchased______________

Consideration______________

I declare, under the penalties of perjury, that the contents of this form and all the accompanying schedules and statements have been examined by me and are true, correct, and complete to the best of my knowledge, information, and belief. __________________________________ Signature __________________________________ Print/Type Name of Signer ________________________ Title of Signer _______________ Phone Number ______________ Date RP-64 (Rev. 12/05)