Retail 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
.
For assistance completing the form, please refer to the Tenancy Schedule Guide.

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:
Owner Occupier:
Tenant Schedule
Tenant Name and Address and/or Unit #
(include vacant and/or owner occupied areas)
Floor #
Type of Space
(retail, office, warehouse, vacant land etc.)
Area
rented (Sq. Ft.)
# of Parking Stalls (included in rent; see below)
Lease Start Date
Lease End Date
Date of Last Rent Increase or Decrease
Monthly Rent
Annual Rental Rate
(Per Sq. Ft.)
Monthly Additional Rent
(e.g., CAM, Property Tax)
Tenant Inducements
Does lease have a % rent clause?
(Check if Yes)
Does lease have an escalation clause?
(Check if Yes)
Please complete the details below.
Lease Type (Absolute Net, Triple Net or Gross Lease)*
New or lease renewal?
Unit is Owner Occupied
Free Rent
(# of months)
Tenant Improvements
(Value and description)
Example:
Parking Rent (Monthly)
Type
Underground
Surface
In Parking Structure
# of Stalls
Amount per Stall
# of Stalls
Amount per Stall
# of Stalls
Amount per Stall
Secured Covered
Secured Open
Unsecured Covered
Unsecured Open
Escalation Clause Details
Tenant
Year
Rent
Year
Rent
Year
Rent
Year
Rent
Year
Rent
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  
a.
Actual Gross Income
$  
       
Breakdown of Gross Income in a above:
   
1.
Building Rents
$  
2.
Parking Rents
 
3.
Percentage Rents
 
4.
Signage Rents
 
5.
Other (Please specify)
   
 
 
 
 
 
 
6.
Vacancy & Collection Loss
$  
       
ACTUAL EXPENSES
(Please do not include mortgage interest, debt charges or Capital Cost Allowances)
Operating Expense
No. Item
Column A
Total Amount Paid (Include Amounts in Column B)
Column B
Amounts recovered
from Tenants
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.
Snow Removal
20.
Security
21.
Other (Please specify)
 
 
 
   
 
Total Operating Expenses
22.
Tenant Improvements
23.
Capital Expenditures
24.
Fixtures & Furniture
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).