Lessor: enter text	Lessee: enter text
Assessor #:	enter text
GEO Code #:	enter text
Legal Description:	enter text
Street Address/Location:	enter text

Date Taken:	choose a date	Taken By: enter text
Taken From:	enter text	Facing: enter text
Remarks:	enter text

LEASE DATA

Confirming Party(ies) (Name):	enter text	Phone #: enter text
Confirmed By:	enter text	Date: enter text
Inspected By:	enter text	Date: choose a date.
Lease Date:	enter text
Terms:	enter text
Type:	enter text
Lease Date:	enter text
Terms:	enter text
Type:	enter text

CURRENT INCOME DATA

Gross Monthly Rent:	$enter text	Monthly Rent (Sq Ft):	$enter text
Gross Annual Rent:	$enter text	Annual Rent (Sq Ft):	$enter text
Other Income Data:	enter text

EXPENSE INFORMATION (Should be based on a minimum of 3 years)

Explain Basis:	enter text
Vacancy:	enter text
Collection Loss:	enter text
Insurance:	enter text
Taxes (type & amt):	enter text
Maintenance:	enter text
Reserves:	enter text
Management:	enter text
Utilities:	enter text
Rubbish Removal:	enter text
Payroll:	enter text
Security:	enter text
Misc (type & amt):	enter text

SITE DATA

Type of Primary Access:	enter text
Zoning:	enter text
Highest and Best Use:	enter text
Present Use:	enter text
Shape of Site:	enter text
Frontage (Type, Name, Amount):	enter text
Water Source:	enter text
If Well, Depth:	enter text	GPM:	enter text
Irrigation (Type, Source):	enter text
Drainage:	enter text
Topography:	enter text
View:	enter text
Soil Types:	enter text
Cover:	enter text
Production (Crop, Amount, Source):	enter text
Carrying Capacity (Amount, Source):	enter text
Utilities (Type, Source, To Property or Distance from Property):	enter text
Existing Encumbrances or SIDS’s:	enter text
Structural Improvements (Type, Age, Size, Additional Information):	enter text
Site Improvements:	enter text
Fencing:	enter text
Additional Remarks:	enter text

NEIGHBORHOOD DATA (Each item must be noted and discussed.)

☐ Residential	☐ Rural Tract	☐ Suburban Tract	☐ Commercial	☐ Industrial

Neighborhood is:	☐ Developed	☐ Growing	☐ Static	☐ Declining

Shopping Area:	enter text	Distance: enter text
Grade School:	enter text	Distance: enter text
High School:	enter text	Distance: enter text
Fire Protection:	enter text
Traffic Count (state source):	enter text
Additional Remarks:	enter text