Statement of Real Estate Rentals

Tax Year

Name *

First

Last

Was this the final year of your rental operation?

Co-owner(s) or partner's name, complete address, and percentage of ownership %

Rental Property Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Number of Units

Gross Rent

Advertising

Insurance

Interest and Bank Charges

Office Expenses

Professional Fees (including accounting & legal)

Management and Administrative Fees

Repairs and Maintenance

Salaries, Wages, and Benefits

Travel Expenses

Utilities Expense

Other Expenses

Notes for Tax Prepares (Optional)

Note- Provide a copy of your last year tax return for depreciated cost of the property.

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Name