Free Mobile Home Park - Maryland

MOBILE HOME PARK INCOME QUESTIONNAIRE FOR THE 36 MONTHS FROM _____2006_____TO _____2008____
NAME AND LOCATION OF PROPERTY OWNER AND ADDRESS OF RECORD

Check Services & Utilities included rent: Water ( ) Septic ( ) Cable TV ( ) Laundry ( ) Yard Maint. ( ) Other (list)_________________________________________________

Off-Road Parking ( )

Patio ( ) Repair Service ( )

Number of spaces available:______________ Number of spaces occupied:_____________________________ Rent Rage: $______________ to $_______________ Per Month Annual_________ Semi-Annual_________ Monthly_________

Lease Term (# of each):

Number of New Tenants this year: ________________ ANNUAL INCOME: 1. Trailer Space - 100% Occupancy 2. Spaces for Owner, Manager, etc. 3. Apartment Rental ­ 100% Occupancy 4. Loss due to vacancy or delinquency 5. Total Income EXPENSES: 1. Payroll (except manager, repair) 2. Supplies (janitor, bulbs, etc.) 3. Electricity 4. Water/Sewer 5. Fuel (Type of fuel__________) 6. Management Fees/Wages 7. Common Area Maintenance 8. Administrative Cost (List) 9. Maintenance & Repairs (List) 10. Real Estate Tax 11. Mortgage Payment 12. Excise Tax 13. TOTAL EXPENSES (Lines 1-12) MORTGAGE/SALES INFORMATION: 1. Is there a current mortgage on this property? 2. If Yes, please provide the following data: 2008 $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ 2007 _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ 2006 _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________ _________

Yes _________ No _________

________________________________
Name of Mortgagee

___________________
Mortgage Amount

________________
Interest Rate

___________________
Term of Mortgage 3. Please provide:

___________________
Date 1st Payment

________________
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-10 (Rev. 12/04rs)