XXXX XXX XXX XXXXX XXXX Other ways to file Call us toll-free at 1 866 296-MPAC (6722) 1 877 889-MPAC (6722) TTY If you have accessibility needs, please let our representatives know how we can best accommodate you. To file this form electronically visit mpac.ca. Roll Number XXXX XXX XXX XXXXX XXXXFO XX Municipality XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX PAC XXXPC XXX Location & Property Description XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX This information is collected by MPAC under the authority of sections 11, 15, 16 and 16.1 of the Assessment Act, and used for property XXXXXXXXXXXXXXXXXXXXXXXXXXXX valuation and assessment purposes. Section 13 identifies penalties for non-compliance. If you have questions, please contact MPAC. XXXXXXXXXXXXXXXXXXXXXXXXXXXX We respect your privacy Your web access code xxxxxxxx Due Oct. 31, 2014 Are tenants responsible for the following expenses based on a typical lease type? (Y / N) Lease Type Taxes Management Insurance Maintenance HVAC Hydro Water Net XX page xx of xx Municipal Property Assessment Corporation Central Processing Facility (TIP) PO Box 9808 Toronto ON M1S 5T9 Need help? XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX 2014 Industrial Rental Data Request USE THIS FORM TO REPORT ON YOUR RENTAL UNITS AND INCOME Semi-gross Gross Property Summary (as of Sept. 1, 2014) Space Type Office Retail Manuf’ing /other indust. use Storage /Warehousing Is property owner-occupied? [yes] - [no]. If ‘yes’, return signed & uncompleted form with attachments & financial statements. Occupied Area (sq. ft.) Vacant Area (sq. ft.) Asking Rate (per sq. ft. of Vacant Area) Lease Information - except as noted, all information provided should reflect new leases, renewal leases & vacant spaces as of Jan. 1, 2013 Tenant /Trading Name Unit # Floor Level Unit Use (W, R, O, S, M, I) Unit Unit Finished Height (%) (ft.) Lease Dates Negotiated Start End New or Renewal (N / R) Step-Up Y/N rate $ please enter all dates yyyy/mm/dd Lease Leased Annual Current Type Area Gross Rent Base Rent (N, G, S) (sq. ft.) ($ /sq. ft.) ($ /sq. ft.) TMI Rent Free ($ /sq. ft.) (# of Months) Tenant Improvements Tenant Landlord ($ /sq. ft.) ($ /sq. ft.) I certify that this and all attached information is correct _________________________________________ ________________________ _________________ _____________________ _____________ name of contact & position in organization signature business telephone e-mail address date yyyy/mm/dd I-RDR-MPAC-2014