Free Campground - Maryland

CAMPGROUND INCOME QUESTIONNAIRE
INCOME QUESTIONNAIRE FOR THE 36 MONTHS FROM ___2006___ TO ___2008___ NAME AND LOCATION OF PROPERTY OWNER AND ADDRESS OF RECORD

TOTAL NUMBER OF SITES__________ TRAILER/RV SITES/TOTAL__________ ELECTRIC______ ELECTRIC/WATER ________ELECTRIC/WATER/SEWER________ RATES: DAILY_______ WEEKLY_______ SEASONAL________ TENT SITES/TOTAL _______ ELECTRIC_______WATER_______ ELECTRIC/WATER________ RATES: DAILY_______ WEEKLY _______ CABINS: NUMBER______ RATES: DAILY _______ WEEKLY ______ SEASONAL_______ OTHER: _________________________________________ 2008 ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ 2007 ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ YES______ NO______ ________________________ INTEREST RATE ________________________ MONTHLY PAYMENT 2006 ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________

BOAT SLIPS: NUMBER _______RATE ________ ANNUAL INCOME: 1. SITE RENTALS@100% OCCUPANCY 2. SPACES FOR OWNER/MANAGER, ETC. 3. OTHER INCOME(FOOD, FIRE WOOD, POOL GAME ROOM, HALL RENTALS, BOAT LAUNCH, ETC.) 4. LOSS DUE TO VACANCY & COLLECTION 5. TOTAL INCOME EXPENSES: 1. PAYROLL 2. SUPPLIES(JANITORIAL, BULBS, ETC.) 3. ELECTRICITY 4. WATER/SEWER/SEPTIC 5. FUEL(TYPE OF FUEL) 6. COMMON AREA MAINTENANCE 7. MAINTENANCE/ REPAIRS 8. ADMINISTRATIVE COST 9. MANAGEMENT FEES 10. ADMINISTRATIVE 11. COST OF GOODS SOLD 12. REAL ESTATE TAXES 13.FIRE INS. AND EXTENDED COVERAGE 14.RESERVE FOR REPLACEMENT 15. OTHER(LIST) 16. TOTAL EXPENSES

MORTGAGE/SALES INFORMATION: 1. IS THERE A CURRENT MORTGAGE ON THE PROPERTY? 2. IF YES, PLEASE PROVIDE THE FOLLOWING DATA: ___________________________________ NAME OF MORTGAGEE _________________________ TERM OF MORTGAGE 3. PLEASE PROVIDE:

_________________________ MORTGAGE AMOUNT ________________________ DATE OF 1ST 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
______________________________

____________________ Title of Signer
_______________________

___________________ Date

Print/Type Name of Signer

Phone Number