| Part 1 – Real estate owned at end of period | Part 2 – Rental income | ||||||||
| Column A – List classification of property as indicated below23 | Column B – Amount of incumbrances | Column C – Initial cost to company | Column D – Cost of improvements, etc. | Column E – Amount at which carried at close of period4567 | Column F – Reserve for depreciation | Column G – Rents due and accrued at end of period | Column H – Total rental income applicable to period | Column I – Expended for interest, taxes, repairs and expenses | Column J – Net income applicable to period |
| Total8 | |||||||||
| Rent from properties sold during period | |||||||||
| Total | |||||||||
1 All money columns shall be totaled.
2 Each item of property included in column E in an amount in excess of $100,000 shall be listed separately.
3 In a separate schedule classify by states in which the real estate owned is located the total amounts in support of columns E and F.
4 In a footnote to this schedule, furnish a reconciliation, in the following form, of the total amount at which real estate was carried at the beginning of the period with the total amount shown in column E:
| Balance at beginning of period | $ | ||
| Additions during period: | |||
| Acquisitions through foreclosure | $ | ||
| Other acquisitions | |||
| Improvements, etc | |||
| Other (describe) | |||
| Deductions during period: | |||
| Cost of real estate sold | $ | ||
| Other (describe) | |||
| Balance at close of period | $ |
If additions, except acquisitions through foreclosure, represent other than cash expenditures, explain. If any of the changes during the period result from transactions, directly or indirectly, with affiliates, explain and state the amount of any intercompany gain or loss.
5 If any item of real estate investments has been written down or reserved against pursuant to Section 210.6-03(d), describe the item and explain the basis for the write-down or reserve.
6 State in a footnote to column E the aggregate cost for Federal income tax purposes.
7 The amount of all intercompany profits included in the total of column E shall be stated if material.
8 Summarize the aggregate amounts for each column applicable to Section 210.6-06(1) and 6-06(5)(a).