Apartment Form

Each year BC Assessment provides uniform property assessments as a basis upon which local governments and other taxing authorities set property taxes that support various public services. Completing the tenant schedule below will assist in establishing a fair market value for your property.

Information submitted is confidential and will not be disclosed to anyone not entitled to it under the Assessment Act

If you have any questions or need assistance, please contact us by

Property Information
* fields are mandatory
*Property Address:
*Assessment Roll Number of the property subject to review:
(available near the top of the request letter)

ex. Fraser Valley Maple Ridge (312) 42130390006
*Assessment Area Office:
Contact Name:
Daytime Phone Number:
*E-mail Address:
Suite Rental Inclusions (Indicate with a check mark if included in ALL suite rents below.)
Heat
Electricity
Hot Water
Cable
Parking
Other, please specify:
Parking Rent (Monthly)
Type
Underground
Surface
In Parking Structure
#
Amount per Stall
#
Amount per Stall
#
Amount per Stall
Secured Covered
Secured Open
Unsecured Covered
Unsecured Open
Rental Schedule (Current Year)
Complete the schedule for all units (complete unit area if known) and indicate with an "x" in the "Vacant" column which suites were vacant as of May 1st, 2016. If a suite is occupied by an Owner or Resident Manager(s), indicate with an "x" in the "Owner / Resident Manager" column.
If a suite is occupied by an Owner or resident Manager(s) indicate the suite number(s):
Unit #
Floor #
Type of Unit
Unit Area Sq. Ft.
Owner/ Resident Manager?
Vacant
# of months vacant in the last year
Monthly Rent of Unit (excluding Parking Rent)
Monthly Parking
Total Monthly Rent (including Parking Rent)
Date of last Rent change
Move-In Date
# of Stalls
Amount per Stall
Total Amount
Example:
Please submit another form if you require more space.
Information given below is for: Full Calendar Year of 20 or Full Fiscal Year Ending 20
INCOME FROM PROPERTY
Revenue
No. Item Annual Amount
1.
Suites (unfurnished)
$
2.
Suites (furnished)
a.
Gross Annual Potential Income
 
(Item 1 above + item 2 above)
 
 
 
Vacancy & Collection loses
 
3.
Suites (unfurnished)
4.
Suites (furnished)
b.
Total
 
(Item 3 + item 4)
 
c.
Effective Gross Income
 
(Item a above - item b above)
 
 
 
Gross Services Income
 
5.
Parking
6.
Laundry
7.
Other (Please specify)
 
 
 
d.
Total Gross Services
 
(Item 5 + item 6 + item 7)
 
e.
Total Income
 
(Item c + item d)
 
 
 
Recoveries
 
8.
Heat (gas, oil, propane)
9.
Electricity
10.
Water
11.
Cable Television
12.
Carpet Cleaning
13.
Paint & Repair
14.
Other (Please specify)
 
 
 
 
 
Total Recoveries
(sum of Items 8 to 14)
$
     
Replacements
 
15.
Roof
16.
Refrigerators/ranges
17.
Carpets
18.
Laundry Equipment
19.
Other (Please specify)
 
 
 
ACTUAL EXPENSES
(Please do not include mortgage interest, debt charges or Capital Cost Allowances)
Operating Expense
No. Item Annual Amount
1.
Management Fees
$
2.
Salaries & Benefits
3.
Janitor
4.
Annual Insurance
5.
Heat (gas, oil, propane)
6.
Electricity
7.
Water
8.
Sewer
9.
Garbage/Recycling
10.
Property Taxes
11.
Repairs & Maintenance
12.
Elevator Maintenance
13.
Parking Maintenance
14.
Supplies
15.
Legal & Audit
16.
Licences
17.
Leasing Expenses
18.
Advertising, Signage & Promotion
19.
Cable Television
20.
Security/Alarms
21.
Carpet Cleaning
22.
Paint and Repair
23.
Pool
24.
Snow Removal
25.
Landscaping
26.
Other (Please specify)
 
  $
 
 
Total Operating Expenses
(sum of expense items 1 to 26)
$
Comments:
 
The personal information requested on this form is collected under section 15(2), 16(2), 17(1), 17(2), and/or 24(10) of the Assessment Act and under section 26 of the Freedom of Information and Protection of Privacy Act (FOIPPA) for the purposes set out in the Assessment Act and Regulations, the Assessment Authority Act, and related purposes. If you have questions about the collection, use or disclosure of your personal information, please contact BC Assessment’s Manager, Information Access & Privacy, by mail (400 – 3450 Uptown Blvd., Victoria, BC V8Z 0B9) or telephone (1-866-825-8322).