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Property Supplemental Income Form
Income or Loss From Rental Real Estate and Royalties
A
Did you make any payments in 2020 that would require you to file Form(s) 1099? (see instructions)
Yes
No
B
If “Yes,” did you or will you file required Forms 1099?
Yes
No
1a
Physical address of each property (street, city, state, ZIP code)
A
B
C
1b
Type of Property (from list below)
A
B
C
2
For each rental real estate property listed above, report the number of fair rental and personal use days.
Fair Rental Days
Personal Use Days
A
B
C
Type of Property:
1 Single Family Residence
3 Vacation/Short-Term Rental
5 Land
7 Self-Rental
2 Multi-Family Residence
4 Commercial
6 Royalties
Other
Income:
Properties:
A
B
C
3
Rents received
3
4
Royalties received
4
Expenses:
5
Advertising
5
6
Auto and travel (see instructions)
6
7
Cleaning and maintenance
7
8
Commissions
8
9
Insurance
9
10
Legal and other professional fees
10
11
Management fees
11
12
Mortgage interest paid to banks, etc. (see instructions)
12
13
Other interest
13
14
Repairs
14
15
Supplies
15
16
Taxes
16
17
Utilities
17
18
Depreciation expense or depletion
18
19
Other
19
20
Total expenses. Add lines 5 through 19
20
Signature of Taxpayer:
Signature of Spouse: