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f D►:1111:11 Keel <br />FORM OF RESIDUAL RECEIPTS REPORT <br />Community Development Agency of the City of Santa Ana <br />Residual Receipts Report <br />for the Year Ending, <br />Date Prepared <br />Please complete the following information and execute the certification at the bottom of this form. <br />Annual Project Revenue <br />Please report Annual Project Revenue for the year ending on the following lines: <br />Rent Payments (including Section 8 tenant assistance payments, if any) (1) $ <br />Interest Income (do not include interest income from replacement and operating <br />reserves nor interest income on tenant security deposits) (2) $ <br />Additional Income (for example, vending machine income, tenant forfeited <br />deposits, laundry income not paid to the residents' association) <br />Total Annual Project Revenue (Add lines 1, 2, and 3) <br />Operating Expenses' <br />Please report Operating Expenses incurred for the year ending <br />on the following lines: <br />Operating and Maintenance Expenses <br />Utilities <br />Property Management Expenses and On -Site Staff Payroll <br />Administrative Expenses <br />Property Taxes <br />Insurance <br />(4) $ <br />(6) <br />(7) <br />m <br />(8) $ <br />(9) $ <br />(10) $ <br />City Council 16 — 164 12/7/2021 <br />