Sample Rental Questionnaire Template Page 3

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Yes  No 
_________________________________________________________________
If yes, provide details of property:
____________________________________________________________________________________________
Yes  No 
Was the property empty for 62 days in the income year?
If yes, please complete the following section so we can determine the amount of allowable deductions.
Mixed Use Holiday Home – Information Required
The number of days the property was empty during the income year
_________
The number of days the asset was used by family or associated persons* during the income year
OR where income from any person received was less than 80% of market rate
_________
* Associated persons include close relatives, or if owned by an entity, persons associated with the entity owning the property
If there is more than one tenant who used the property through the year, please attach details.

Name of tenant:
__________________________________
Relationship to owner (if any):
__________________________________
Amount of rent they paid:
$________________
Dates rented (From: To)
___________________________________________________________
Expenses incurred in respect of the property (the list below is not exhaustive – details of all expenses will be
required):
Cost of advertising for tenants
$________________
Cost of repairing damages caused by tenants
$________________
Number of days spent in the property while repairing damages caused by tenants
_________________
Mortgage interest
$________________
Rates
$________________
Insurance
$________________
Repairs/maintenance for general wear and tear
$________________
Other (please give details) :
____________________________________________________________
Client Questionnaire Rental
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