Financial Information for Revenue Producing Uses

OMB Control Number 1024-0233

Expiration Date: XX/XX/2017

FINANCIAL INFORMATION FOR REVENUE-PRODUCING USES

1. START UP COSTS

Working Capital: $__________

Utility Hookups: $__________

Improvements: $__________

FF&E: $__________

Marketing: $__________

Legal: $__________

Total Start Up Costs: $_________________

Explain the basis of all estimates. The estimates must credibly demonstrate your understanding of the

start-up costs associated with this lease opportunity.

2. STABILIZED OPERATING PROFORMA

Revenue: _________________

Expenses: _________________

General/Admin.: _________________

Operations: _________________

Building Maintenance: _________________

Grounds Upkeep: _________________

HVAC: _________________

Utilities: _________________

Security: _________________

Other: _________________

Other: _________________

Other: _________________

Total Expenses: _________________

Net Income After

Expenses: _________________

Annual Cost of

Debt and Equity: _________________

Rent to NPS: _________________

Net Cash flow: _________________

Explain the basis of all estimates. These estimates must credibly demonstrate that your net revenue will

be sufficient to permit payment of the proposed rent and otherwise demonstrate that your proposal is

financially viable.

Paperwork Reduction Act Statement. We collect this information under the authority of Title IV of the National Parks Omnibus Management Act of 1998 (Pub. L. 105-391). We use this information to evaluate proposals received in response to leasing opportunities. Your response is required to obtain or retain a benefit. We estimate that it will take you 1 hour to complete this form. This estimate includes time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form.

You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer, National Park Service, 1849 C Street, NW, (2601), Washington, DC 20240. We may not collect or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number.