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 preparer 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.
General Description Information
(Please check applicable category and complete the related questions.)
Property is 100% owner-occupied Total Building Area ______________ Sq.Ft.
Property is occupied by owner/tenant Owner-occupied Area ______________ Sq.Ft.
Tenant-occupied Area ______________ Sq.Ft.
Is there a basement _______ Sq.Ft.
Is the basement finished Sq.Ft.
Is the basement leased separate Leased amount $________
Is there storage area ______ Sq.Ft
Status if currently not occupied
Property is: Vacant Available for Sale Asking Price $ ____________
Available for Rent Asking Rent $____________
Number of Total Spaces________ Rent received per/month for leased parking $________
Other Leased space: Cell Tower Date of Lease _______ Lease Amount $________ per/year