)OWNER

OCCUPANT: %

2009INCOME AND EXPENSE STATEMENT OF THE BUILDING(See user guide overleaf)

MM / DD Tel

epho

ne

(

/ INCOME PRODUCED BY IMMOVEABLE PROPERTY YEAR END DATE:

20 20RENTS COLLECTED (EXCLUDING G.S.T. AND Q.S.T.)$ $105

101

103

109

107

111

115

117

120

138

160

162

164

167

169

176

170

185

187

190

Base Rent

Additional Rent

a) percentage of gross sales OR of gross income (check box et write down the amount)

(Comment:

b) as per clauses allowing for the recovery of all or part of the following operating costs

from Tenant

- HVAC and Electricity (energy)

- Maintenance, Repairs and Other (excl. energy, taxes)

- Municipal and School Taxes

- Non-residential-building Surtax or Tax

- Water and Services Taxes

Other Rents collected

OTHER INCOME (EXCLUDING G.S.T. AND Q.S.T.)

Industrial steam Garbage collection (Check box and write down total amount)

Other (laundry, antenna, billboard, specify):

TOTAL INCOME COLLECTED (EXCLUDING G.S.T. AND Q.S.T.)

G.S.T. and Q.S.T. collected on rents and other income

Annual rental value of the apartment provided free of charge to superintendant or manager

Annual rental value of the rental office

ANNUAL SALES Supermarket / Grocery Store, when applicable

- Commercial

- Apartments (excluding garage or parking)

- Office space

- Warehouse, Storage space

- Industry, Manufacturing, "Loft"

- Parking and garage spaces

- Others

Dat

e:

)

Titl

e

OPERATING EXPENSES OF IMMOVEABLE PROPERTY (EXCLUDING G.S.T. AND Q.S.T.)(All amounts billed to owner, recoverable or not, SEE OVERLEAF)

Heating: (Check box )

Electricity

Air conditioning

For lines 230 to 243 write down the amount for each expense entry or the number of the

line where this expense is included. Also, if work was contracted out to a supplier please

check box (contract: X )

Cleaning ( amount included in line _____ )

Repairs and

Maintenance:

Major Repairs (specify) (e.q..: Roof, plumbing overhaul) :

Security ( amount included in line _____ )

Administration ( amount included in line _____ )

If owner administers, please enter on line 243 the estimated value of his/her work

together with related costs

Salaries and Fringe benefits related to property (not included above)

Professional Fees

Rental Commissions and Advertising

Insurance (Fire and General Liability)

Municipal and School Taxes (see overleaf)

Non-residential building Surtax or Tax (see overleaf)

Water and Services Taxes (excluding any business tax)

Bad debts (rentals due but not collected)

Other Operating Expenses

TOTAL OPERATING EXPENSES (EXCLUDIG G.S.T. OR Q.S.T.)

G.S.T. and Q.S.T. paid on operating expenses

$ $common areas only

________ % of total leasable area

common areas only

________ % of total leasable area

common areas only

________ % of total leasable area

221

222

223

225

228

229

230

232

234

236

238

245

240

242

243

244

250

252

254

260

262

264

273

276

270

OR

OR

OR

Gas Oil ElectricityS

igna

ture

:

(contract: )

Snow removal and Lawn care ( amount included in line _____ )

Pool ( amount included in line _____ )

Elevator ( amount included in line _____ )

Normal general maintenance ( amount included in line _____ )

(contract: ) (contract: )

(contract: )

(contract: )

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e (in

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, ple

ase)

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.

(contract: )α(contract: )

PLEASE DO NOT FORGET TO COMPLETE SIGNATURE / COORDINATES BLOCK

R11RD01A (06/09) RD01

USER GUIDE

OPERATING DATA OF THE IMMOVEABLE PROPERTY1 -

The object of the present collection of economic data is essentially the operating data - income, expenses,rents - of the immoveable property and NOT THAT OF ANY COMMERCIAL OPERATION. Save for a few wellidentified exceptions (e.g. percentage rent), the commercial data are not researched by the present collectionof data.

2 - OWNER OCCUPIES ALL OR PART OF THE PROPERTY

a) If the property is TOTALLY or PARTIALLY being used by the owner or/and a legal person under hiscontrol, use the box OWNER OCCUPANT on the top of the RD form to enter the percentage of totalproperty occupied by the owner or the parent entity. * If this percentage is 100 %, just skip theINCOME section. * If percentage of occupation is less than 100 %, the INCOME section shouldbe used to show the rents and other income collected from any tenant OR to write the mention «NOINCOME COLLECTED». * In all cases, however, the OPERATING EXPENSES section must becompleted.

Rectify or supplement any inaccurate or incomplete PRE-PRINTED INFORMATION concerning theb)property found on the forms, by writing directly on these.

3 - INCOME AND EXPENSES EXCLUDING TAXES

In order not to increase unduely the amount of net income produced by the immoveable property, all theamounts entered on the forms MUST BE EXCLUDING G.S.T. and Q.S.T. For greater assurance, separatelines are provided to enter the taxes paid on rents and other income (L.170) and the taxes paid on operatingexpenses (L.270). Depending on your formats (if you send financial statements or worksheets, etc.) andwhenever required, always make sure that the amounts excluding taxes are shown or are easy to compute.

OPERATING EXPENSES VS NET RENTS4 -

a) The supplier bills the Owner, who pays and who in turn recharges the amounts to the Tenant(s) in the formof an additional rent. In such a case, the Owner posts the amount of the expense on the appropriate linein the OPERATING EXPENSE SECTION and then the corresponding amount in the appropriate line ofadditional rent..

Example: The municipal and school taxes (2 000 $) are billed to the Owner, who in turn recharges thesame amount to the tenants. The same amount of 2 000 $ must then be entered on line 260 (expense)and 160 (additional rent). Had the expense been recovered in a 50 % proportion only (according tolease), the amount entered in line 160 would have been only 1 000$.

b) The supplier bills the tenant(s) directly and the Owner is not aware of the expense amounts. In such acase, the Owner writes down «TENANT» on the appropriate line of the OPERATING EXPENSE sectionand there is no additional rent to enter in the INCOME section.

5 - L. 170 G.S.T. AND Q.S.T. COLLECTED

Line 170 must be used to enter the total amount of taxes collected on rents and other income.

6 - MUNICIPAL AND SCHOOL TAXES

The amount of municipal taxes to be entered is generally the total amount payable, shown on your city tax bill,for the whole year LESS the amount of the tax or surtax on non residential property (NRP or INR) often shownin a separate line on the same bill. The school taxes must then be added and the total be entered on line 260.

7 - SURTAX OR TAX ON NON RESIDENTIAL PROPERTY

This surtax or tax on non residential property (NRP or INR), is USUALLY shown on a separate line on the citytax bill.

8 - G.S.T. AND Q.S.T. PAID

Line 270 must be used to enter the total amount of taxes paid on operating expenses.

V11RD01A (06/09)