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'o�\`� OF�NgSSFs��a <br />cn <br />J <br />oG�rY Of <br />CONFIDENTIAL <br />CITY SAN LEANDRO <br />835 E 14TH ST <br />SAN LEANDRO, CA 94577 <br />RENTAL QUESTIONNAIRE <br />COMMERCIAL -INDUSTRIAL <br />OF cE OF ASS OR IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />UNTY OF ALAME-._ <br />ADMINISTRATION BUILDING, ROOM 145, 1221 OAK STREET <br />OAKLAND, CALIFORNIA 94612-4288 <br />(510) 272-3787 / FAX (510) 272-3803 <br />RON THOMSEN <br />ASSESSOR <br />SUBJECT PROPERTY <br />APN: 77A-649-17-3 <br />USE: IND-HEAVY <br />LOCATION: DAVIS ST, SAN LEANDRO, CA 94577 <br />Our records indicate that you are the owner of the property identified above. Since we must stay abreast of the current real estate market we request that <br />you return this questionnaire within 15 days. If you have this information available on another format you may attach it to this form for convenience. The <br />legal provisions that cover this request are set forth in the cover letter enclosed. should you have any questions please call our office at (510)-272-3787 <br />(8:30-5:00). <br />1. Is this property totally owner -occupied? Yes ❑ No ❑ (if yes, sign enter phone number and date, and return this form. <br />If no, complete the entire form.) <br />2. Is this property partially owner -occupied? Yes ❑ No ❑ (if yes, how many square feet or what percentage ) <br />3. <br />INCOME: Account for all Occupied and Vacant Areas. Attach rent roll if more than five spaces <br />Tenant Or Business Name <br />Address/ <br />Net Rentable <br />Date Lease <br />Term & <br />Net or <br />Monthly Rent <br />Current Rent/ <br />Rent <br />Suite # <br />Sq. Ft. Area <br />Started <br />Options <br />Gross <br />at Lease Start <br />Asking Rent/ <br />$/Sq.Ft <br />ex: <br />ABC Accounting Services <br />#101 <br />1,500 <br />Jan 1999 <br />60mo, 1-3 yr <br />gross <br />$1,500 <br />$1,800 <br />$1.20 <br />a <br />b <br />c <br />d <br />e <br />Total Net Rentable Area <br />Total Monthly Rent and/or Asking Rent <br />$ <br />4. Is there percentage rent included above? No_ Yes_ If yes, amount $ /mo <br />5. Current Annual Vacany Loss $ Current Annual Collection Loss $ <br />6. EXPENSES: For the Period of 20 through 20 <br />TYPE <br />Paid by <br />Owner <br />Amount <br />Paid by <br />Tenant <br />Amount <br />(If Known) <br />Comments <br />Management <br />$ <br />$ <br />Interior Maintenance <br />$ <br />$ <br />Exterior Maintenance <br />$ <br />$ <br />Landscaping <br />$ <br />$ <br />Utilities <br />$ <br />$ <br />Janitorial <br />$ <br />$ <br />Insurance <br />$ <br />$ <br />Real Estate Taxes <br />$ <br />$ <br />Other (specify): <br />Is <br />I <br />Is <br />7. Have there been any structural alterations or tenant improvements? No _ Yes _ (if yes, please continue.) <br />Tenant Name Date Completed Owner's cost $ Tenant's cost $ <br />(If more than one tenant had structural improvements, please indicate on seperate sheet and attach <br />I certify that this information is true and correct to the best of my knowledge: <br />Signature of Owner or Agent Print Name Daytime Telephone Date <br />South County Tall Free No. (800) 660-7725 www.acgov.org/assessor <br />