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Association Name: # of units:

COMPLETE ALL SECTIONS OF THIS FORM AS APPLICABLE & ATTACH THE MOST RECENT FINANCIAL / BANK STATEMENTS. ANY NECESSARY REVISIONS TO THE STUDY DUE TO INCORRECT ENTRIES OR OMISSIONS MAY RESULT IN ADDITIONAL CHARGES. CALL (800) 485-8056 IF THERE ARE ANY QUESTIONS

Fiscal year study is for: to

Calculation of beginning reserve balance to be used in study:

Financial Information Sheet
  1. Balance per most current financial / bank statements: date:
  2. add: Budgeted reserve contributions for the rest of the fiscal year:
  3. subtract: subtract: Estimated reserve expenditures for the rest of the fiscal year:
    (describe)
    (describe)
    (describe)
  4. Beginning reserve balance to be used in the study (a + b - c): date: (If not indicated on this form, the start date of the Reserve Study will be assumed to be the beginning of the upcoming fiscal year)
  5. Interest on reserve funds: if it goes to operating fund, check here (it will not be included in calculations). If it stays in reserve fund, list average annual rate (will assume 1% if not listed):
  6. Budgeted monthly total assessment / "dues" (from all homeowners):
  7. Portion of monthly total assessment / "dues" transferred to reserves:
  8. Recent reserve expenditures: if an update, provide information on a copy of last Component Inventory & submit with this form - otherwise, describe below
    Roof (all? partial?): date:
    Fumigation (all? partial?): date: Other: date:
  9. Component threshold (costs below this not included in study - will assume $500 threshold if not filled in):
  10. Vendor list: provide info with respect to the installation/maintenance of reserve components (if available)
    Service Company Contact Phone #
    Roof
    Landscaper
    Elevator
    Other:
  11. Miscellaneous information:
To the best of my knowledge, the information provided above is true and correct:
Signed: Phone: Date: