FAIR RETURN RENT INCREASE APPLICATION FOR CITY OF CARSON MOBILEHOME PARKS

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FAIR RETURN RENT INCREASE APPLICATION FOR CITY OF CARSON MOBILEHOME PARKS Park Name: Park Address: Park Owner(s): Address: E-mail Address: Park Representative(s): Address: E-mail Address: Park Attorney(s): Address: E-mail Address: # of Spaces in Park: # of Spaces Affected by Proposed Increase: Year Park Opened: Please indicate the number of spaces in your park occupied by: Triple-Wides Double-Wides Single-Wides Travel Trailers Briefly describe the park. Include services that are provided within the current rent at no additional charge to the park residents, such as utilities, including trash, sewer, and cable TV. (Attach additional pages if more space is needed.) Briefly explain the reason(s) for requesting a rent increase. (Attach additional pages if needed.) (page 1 of )

MOBILEHOME PARK SPACE RENTALS Directions: List monthly space rent collected for the entire park and each space for the past three calendar years. If a space rent was raised during a calendar year, list the highest rent paid for that space during that calendar year. Use additional pages as needed. (space #) Rent in Rent in Rent in Current Requested Percent Requested 20 20 20 Rent $ Amount Increase New Rent Increase (page of )

MOBILEHOME PARK SPACE RENTALS (cont.) Note: (space #) (This page may be reproduced as needed.) Rent in Rent in Rent in Current Requested Percent Requested 20 20 20 Rent $ Amount Increase New Rent Increase (page of )

OPERATING INCOME AND EXPENSE SHEET FOR THE YEAR 20 OPERATING INCOME:* SPACE RENT INCOME: (excluding capital improvement income) (includes manager space rent, if any) MISCELLANEOUS INCOME: LAUNDRY ROOM INCOME: CABLE TV INCOME: GUEST FEES: RV STORAGE INCOME: INSURANCE RECOVERY: VENDING MACHINES: REC. ROOM INCOME: LATE/RETURN CHECKS: EMPLOYEE RENT: OPERATING EXPENSES:** ADMINISTRATION: ACCOUNTING: INSURANCE: LEGAL: LICENSE/FEES/DUES: OFFICE EXPENSES: TELEPHONE EXPENSES: ON-SITE SALARIES/TAXES MANAGEMENT FEES: MONTHLY SPACE BILLING: DEBT SERVICE INTEREST: RENT/LEASE ON LAND: PROPERTY TAXES: UTILITIES: (owner paid & common area) OTHER INCOME: (list) WATER: ELECTRICITY: NATURAL GAS: TRASH COLLECTION: MAINTENANCE: CARPENTRY: *List all park-related income. If tenants are billed by the park for utilities, any surplus income left after the utility bills are paid are not to be listed above as income. **List all regular operating expenses only. Do not include capital improvement expenses. Do not list tenant reimbursed utility expenses as defined in the Calif. Civil Code: Chapter 2.5, Sec. 798.41 ELECTRIC: LANDSCAPING: PLUMBING: POOL MAINT./SUPL.: STREET MAINT.: STREET SWEEPING: SECURITY: OTHER MAINT.: TOTAL INCOME: TOTAL EXPENSES: (page of )

ELECTRICITY: (please check one) Residents pay directly to utility company. (proceed to the natural gas section, below) UTILITY COSTS Residents are billed by the park based on their meter reading. (proceed to A, below) Cost of the utility is included in the rent. (proceed to B, below) A. Fill in the amounts paid and collected the past 3 calendar years for electricity. 20 20 20 1. Amount collected from park residents: 2. Amount billed by utility company: 3. Difference: (1. minus 2.) B. Enter the amount paid by 20 20 20 owner to the utility the past 3 calendar years: NATURAL GAS: (please check one) Residents pay directly to the utility company. (proceed to the water section, below) Residents are billed by the park based on their meter reading. (proceed to C, below) Cost of the utility is included in the rent. (proceed to D, below) C. Fill in the amounts paid and collected the past 3 calendar years for natural gas. 20 20 20 1. Amount collected from park residents 2. Amount billed by utility company 3. Difference (1. minus 2.) D. Enter the amount paid by 20 20 20 owner to the utility the past 3 calendar years: WATER: (please check one) Residents pay directly to the utility company. (proceed no further on this page) Residents are billed by the park based on their meter reading. (proceed to E, below) Cost of the utility is included in the rent. (proceed to F, below) E. Fill in the amounts paid and collected the past 3 calendar years for water. 20 20 20 1. Amount collected from park residents 2. Amount billed by utility company 3. Difference (1. minus 2.) F. Enter the amount paid by 20 20 20 owner to the utility the past 3 calendar years: (page of )

INFORMATION PURSUANT TO MOBILEHOME SPACE RENT CONTROL GUIDELINES Please provide the below information required by Section IV of the Guidelines for Implementation of the Mobilehome Space Rent Control Ordinance (City Council Resolution Nos. 98-010 and 06-149). Date You Purchased the Park: Down Payment Made Upon Purchase: Purchase Price: Total Amount of Equity in the Park to Date: If the park was purchased after August 20, 1979, briefly provide the rents charged and net operating income of the park (gross income less allowable operating expenses less debt service) prior to the purchase. Additionally, attach an appraisal of the park at the time of purchase. If this does not apply, write N/A below. (Attach additional pages if needed.) Briefly list any refinancing of the park since the date of purchase. If you have refinanced, describe whether the proceeds of refinancing were used to improve the park or for other purposes. (Attach additional pages if needed.) Briefly describe all capital improvements that you have made to the park. Include the cost of those improvements and indicate whether the cost was recovered by a capital improvement rent increase. (Attach additional pages if needed.) Briefly list the overall rate of return (ratio of the net operating income to purchase price) currently being earned by comparable mobile home parks in jurisdictions with and without rent control. (Attach additional pages if needed.) Briefly explain the overall rate of return currently being earned by your park. (If necessary, you may make adjustments to the purchase price as a result of purchase after the adoption of rent control.) (page of )

Provide any other relevant information you wish the Board to consider. You may provide other measures of rate of return being earned on your park and other comparable parks. (Attach additional pages if needed.) (page _of )

OWNER'S AFFIDAVIT State of California County of Los Angeles City of Carson I (We,) (please type or print name(s) clearly) being duly sworn, depose and say that I (we) am (are): the (owner(s) or the authorized representative(s) of the owner(s)) of said park involved in this fair rent increase request and that the foregoing statements or answers contained herein and the information submitted herewith are in all aspects true and correct to the best of my (our) knowledge and belief. Signed: Signed: Mailing Address: Mailing Address: City, State, Zip: City, State, Zip: A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles Subscribed and sworn to (or affirmed) before me on this day of, 20, by, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Notary Public TM:tm MRRB/FORMS/FAIR RETURN RENT-APPLIC (page of )