Office of the City Assessor
900 East Broad Street, Room 802
Richmond, Virginia 23219
Income and Expense Survey for Calendar Year of _____
Information provided is CONFIDENTIAL, in accordance with Virginia Law
Map Reference_______________________________ Property Address_________________________________
Telephone Number__________________ Email Address _______________________________ Date_________
The signature above declares under penalties provided by law, this return (including any accompanying schedules and statements) has been examined and is believed to
be true, correct and complete return. If the return is prepared by any person other than the owner, his / her declaration is based on all the information relating to the
matters required to be reported in the return of which he / she has knowledge.
Business Name: ______________________________________
Which of the following best describes your property? (Check one)
Single Tenant Owner-user and tenant (s)
Owner-user Multi-tenant investment
Other (describe) ________________________
Which of the following reflects the primary use of your property (Check one)
Manufacturing Multi-bay, mixed-use
Other (describe) _________________________
Number of buildings
One Two Three More than three
Gross Building Area (GBA): ______________square feet
Total Office Area: ______________square feet
Total Warehouse Area: ______________square feet
Total Other Area:_______ ______________square feet
Total Rentable Area
: ______________square feet
Parking Available: ______________# of spaces
Typical Lease Structure (Please include a copy of a typical lease)
Total area included in tenant lease(s).
Owner pays all expenses.
Owner pays only a few expenses; tenant (s) pays some expenses directly, such as utilities or interior maintenance.
Tenant pays for all expenses, including real-estate taxes and insurance.
Total Leased Area: