Schedule B, Interests in Real Property (Including Rental Income)

California Form 700 (2016/2017) Fair Political Practices Commission
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Name
Assessor's Parcel Number or Street Address:

City:

Fair Market Value: $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

If applicable, list date in 2016:
Acquired: month/day:  
Disposed: month/day:

Nature of Interest

Ownership/Deed of Trust Easement Leasehold Years Remaining on Leasehold Other, Describe Other

If Rental Property, Gross Income Received

$0-$499 $500-$1,000 $1,001 - $10,000 $10,001 - $100,000 Over $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more.

None

Name of Tenant:

Name of Tenant:

* You are not required to report loans from commercial lending institutions made in the lender’s regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender’s regular course of business must be disclosed as follows:

Name of Lender*:

Address of Lender (Business Address Acceptable):

Business Activity, If any, of lender:

Interest rate (percent): None

Term (Months/Years):

Highest Balance During Reporting Period

$500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 Over $100,000

Guarantor, if applicable Name of Guarantor

Assessor's Parcel Number or Street Address:

City:

Fair Market Value: $2,000 - $10,000  $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

If applicable, list date in 2016:
Acquired: month/day:  
Disposed: month/day:

Nature of Interest

Ownership/Deed of Trust Easement Leasehold, Years Remaining on Leasehold

Other, Describe Other

 

If Rental Property, Gross Income Received

$0-$499 $500-$1,000 $1,001 - $10,000 $10,001-$100,000 Over $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more.

None

Name of Tenant:

Name of Tenant:

* You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows:

Name of Lender*:

Address of Lender (Business Address Acceptable):

Business Activity, If any, of lender:

Interest rate (percent): None

Term (Months/Years):

Highest Balance During Reporting Period

$500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 Over $100,000

Guarantor, if applicable, Name of Guarantor

Comments:

[End of Schedule B - Interests in Real Property (Including Rental Income)]