Form M-R - Wisconsin Manufacturing Real Estate Return - 2013 Page 12
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Page
Name
SCHEDULE R-5 – REAL ESTATE LEASE
State Identification Number
R
Local Parcel Number
AND/OR
WHAT TO REPORT:
EXAMPLES:
Identify market rentals. Real estate
leases between related parties are
Examples of related rentals would be: intrafamily leases; corporate or business leases
usually not market rentals.
between corporate officers, stockholders or owners of the enterprise.
Note: Make additional copies of this page if more than 2 tenants.
CURRENT LEASE INFORMATION
Tenant #1
Sq. Ft. Leased:
Name:
Length of lease:
Address:
Inception date:
Annual rent:
Gross
Net
1. Are there leasehold improvements (building components or land improvements)
Yes
No
on this parcel NOT owned by you?
2. Is the owner related to the tenant?
Yes
No
3. Nature of the relationship:
CURRENT LEASE INFORMATION
Tenant #2
Sq. Ft. Leased:
Name:
Length of lease:
Address:
Inception date:
Annual rent:
Gross
Net
1. Are there leasehold improvements (building components or land improvements)
Yes
No
on this parcel NOT owned by you?
2. Is the owner related to the tenant?
Yes
No
3. Nature of the relationship:
SCHEDULE R-6 – WASTE TREATMENT
1. Has there been a change in the status of waste treatment on this piece of Real Estate
during 2012? (Examples: New additional buildings or structures, areas of land used
Yes
No
for waste treatment changed; no longer being used for Waste Treatment; crops on
vacant land being sold; etc.)
2. If Yes, explain change that occurred in 2012.
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