Schedule B, Interests in Real Property

California Form 700 (2012-2013) Fair Political Practices Commission
FPPC Toll-Free Helpline: 1 (866) ASK-FPPC - (866) 275-3772

Name:

Assessor's Parcel Number or Street Address:

City

Fair Market Value: $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

If applicable, list date in 2012: Acquired: month/day:   Disposed: month/day:

Nature of Interest

Ownership/Deed of Trust Easement Leasehold Years Remaining on Leasehold Other, Describe Other:

If Rental Property, Gross Income Received

$0-$499 $500-$1,000 $1,001 - $10,000 $10,001 - $100,000 Over $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more.

None

Name of Tenant:

Name of Tenant:

* You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows:

Name of Lender*:

Address of Lender (Business Address Acceptable):

Business Activity, If any, of lender:

Interest rate (percent): None

Term (Months/Years):

Highest Balance During Reporting Period

$500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 Over $100,000

Guarantor, if applicable Name of Guarantor:


Assessor's Parcel Number or Street Address:

City:

Fair Market Value: $2,000 - $10,000  $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

If applicable, list date in 2012: Acquired: month/day:   Disposed: month/day:

Nature of Interest

Ownership/Deed of Trust Easement Leasehold, Years Remaining on Leasehold:

Other, Describe Other:

 

If Rental Property, Gross Income Received

$0-$499 $500-$1,000 $1,001 - $10,000 $10,001-$100,000 Over $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more.

None

Name of Tenant:

Name of Tenant:

* You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows:

Name of Lender*:

Address of Lender (Business Address Acceptable):

Business Activity, If any, of lender:

Interest rate (percent): None

Term (Months/Years):

Highest Balance During Reporting Period

$500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 Over $100,000

Guarantor, if applicable, Name of Guarantor:


Comments:

[End of Schedule B - Interests in Real Property (Including Rental Income)]