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<br />EXHIBIT G <br /> <br />FORM OF RESIDUAL RECEIPTS REPORT <br />Community Development Agency of the City of Santa Ana <br /> <br /> <br /> <br /> <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 /> <br />Annual Project Revenue <br /> <br />Please report Annual Project Revenue for the year ending on the following lines: <br /> <br />Rent Payments (including Section 8 tenant assistance payments, if any) (1) $. _ <br /> <br />Interest Income (do not include interest income from replacement and operating <br />reserves nor interest income on tenant security deposits) (2) $ _ <br /> <br />Additional Income (for example, vending machine income, tenant forfeited <br />deposits, laundry income not paid to the residents' association) <br /> <br />Total Annual Project Revenue (Add lines 1, 2, and 3) <br /> <br />(3) $. _ <br /> <br />(4) $ _ <br /> <br />Operating Expenses 1 <br /> <br />Please report Operating Expenses incurred for the year ending _ <br />on the following lines: <br /> <br />Operating and Maintenance Expenses (5) $. _ <br /> <br /> <br />Utilities <br /> <br />Property Management Expenses and On-Site Staff Payroll <br />Administrative Expenses <br />Property Taxes <br />Insurance <br />(6) $ _ <br /> <br />(7) $ _ <br /> <br />(8) $ _ <br /> <br />(9) $ _ <br /> <br />(10) $ _ <br />EXHIBIT 3 <br />3-109