Free Garage and Parking Lot - Maryland

GARAGE AND PARKING LOT
INCOME QUESTIONNAIRE FOR 36 MONTHS: FROM_____2006_____TO_____2008______
NAME AND LOCATION OF PROPERTY OWNER AND ADDRESS OF RECORD

Check Services & Utilities in Rent: Number of Spaces:______________ Parking Rates: Hour Day Week Month

Heat ( ) Elevator (

)

Lighting ( ) Water ( ) Valet ( ) Other (List) ____________________________________ __________________ __________________ __________________

Average Time Parked: Average Parking Charge: Number of Business Days/Year:

______________ ______________ ______________ ______________ 2008 $___________ $___________ $___________ $___________ 2007 ___________ ___________ ___________ ___________ 2006 ___________ ___________ ___________ ___________

ANNUAL INCOME:
1. 2. 3. 4. Monthly Rental Income Weekly Rental Income Daily & Hourly Rental Income Miscellaneous Income (List)

EXPENSES:
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Total Payroll Expenses Supplies (janitor, bulbs, etc.) Utilities Maintenance Miscellaneous Expenses (List) Insurance Licenses and Permits Real Estate Tax Depreciation Parking Tax Mortgage Payment TOTAL EXPENSES (Lines 1 -11) $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ $___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________

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: ___________________ Mortgage Amount ___________________ Date 1st Payment ________________ Interest Rate ________________ Monthly Payment Yes _________ No _________

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 RP-60 (Rev.12/03rs) ________________________ Title of Signer _______________ Phone Number ______________ Date