RENT PAYMENT REVIEW
Tax year:
Paying entity:
Property/equipment identifier:
Lease and amendment references:
Named lessor:
Actual remittance recipient:
Owner/agent/manager relationship and evidence:
W-9/source reference:

MONTHLY SCHEDULE
Month | agreed rent | payment date/reference | amount paid | difference/reason
January:
February:
March:
April:
May:
June:
July:
August:
September:
October:
November:
December:

OTHER CHARGES
Deposits and later application/return:
Advance payments:
Common-area/tax/utility charges:
Equipment/operator allocation:
Credits/refunds and original year:

YEAR-END BRIDGE
Total lease-related cash paid:
Approved rent for box 1:
Manager/agent payments separately classified:
Other supported treatment:
Unresolved:

Reviewer/date:
Prepared return matches recipient and box 1 total: