Income and Expense Form (Mixed-Use)

Income and Expense Form: Mixed-Use Properties

Town of Lexington - Assessor's Office
Fiscal Year*
Calendar Year*
Parcel ID*
Property Owner*
Property Location*
Class Code*
In lieu of filling out the tables in this form, you may also attach the relevant data here

Cancelof

Commercial Lease: Please provide information on current leases as of January 1st

SResidential Rental Information by Unit Type (Part 1)

Rows	Total Number of Units	Total Number of Rooms	Total Number of Bathrooms	Monthly Rent (per Unit)	Monthly Rent (Total)	Lease or Tenant at Will (TAW)	Includes the following: W: Water/sewer E: Electricity Heat: Oil/Gas/Electric
Studio
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom

Residential Rental Information (Part 2)

Management & Administrative

Rows	Expenses Paid by Landlord	Expenses Paid by Tenant
Management Wages or Fees
Legal & Accounting Wages or Fees
Security Wages
Payroll Taxes
Group Insurance
Telephone
Advertising/Commissions
Other

Maintenance & Cleaning

Repairs & Minor Building Renovations

Utilities Expenses

Additions/Capital Improvements

Other Expenses

Rows	Expenses Paid by Landlord	Expenses Paid by Tenant
Lexington Real Estate Taxes
Reserves held for Replacement
Insurance Premium (for the Buliding)
Other
Other

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Date*

MonthDayYear
Date
Phone Number*
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Email*
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Income and Expense Form: Mixed-Use Properties