Lounges Income and Expense Information Income year: Section 1 General Information – Municipality Contact name Roll number Phone number Civic address Cell number Property name Email Section 2 Property Characteristic Information – Please indicate if your property has the following amenities. Seating Capacity Annual Revenue restaurant $ dining room $ beverage room $ lounge $ licensed patio $ banquet $ meeting rooms $ convention facilities $ video lottery terminals (no. VLT’s) $ owner/manager suite (no. bedrooms) $ ATM $ vendor $ hotel/motel rooms $ Section 3 Hotel/Motel Room Information – Single double suite/theme room Number of room Average room rate $ $ $ Occupancy %
Lounges Income and Expense Information Income year: Section 1 – General Information Municipality Roll number Civic address Property name Contact name Phone number Cell number Email Section 2 – Property Characteristic Information Please indicate if your property has the following amenities. Seating Capacity Annual Revenue restaurant $ dining room $ beverage room $ lounge $ licensed patio $ banquet $ meeting rooms $ convention facilities $ video lottery terminals (no. VLT’s) $ owner/manager suite (no. bedrooms) $ ATM $ vendor $ hotel/motel rooms $ Section 3 – Hotel/Motel Room Information Single double suite/theme room Number of room Average room rate $ $ $ Occupancy %
2017_may_lounge.docx