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20 ___

NAME OF UTILITY

PHONE

Annual

INCOME STATEMENT

Amount

23

Unmetered Water Revenue

24

Fire Protection Revenue

25

Irrigation Revenue

26

Metered Water Revenue

27

Total Operating Revenue

28

Operating Expenses

29

Depreciation Expense (Composite Rate _______)

30

Amortization and Property Losses

31

Property Taxes

32

Taxes Other Than Income Taxes

33

Total Operating Revenue Deduction Before Taxes

34

California Corp. Franchise Tax

35

Federal Corporate Income Tax

36

Total Operating Revenue Deduction After Taxes

37

Net Operating Income (Loss) - California Water Operations

38

Other Operating and Nonoper. Income and Exp. - Net (Exclude Interest Expense)

39

Income Available for Fixed Charges

40

Interest Expense

41

Net Income (Loss) Before Dividends

42

Preferred Stock Dividends

43

Net Income (Loss) Available for Common Stock

OTHER DATA

44

Refunds of Advances for Construction

45

Total Payroll Charged to Operating Expenses

46

Purchased Water

47

Power

48

Class A Water Companies Only:

a.

Pre-TRA 1986 Contributions in Aid of Construction

b.

Pre-TRA 1986 Advances for Construction

c.

Post TRA 1986 Contributions in Aid of Construction

d.

Post TRA 1986 Advances for Construction

Annual

Active Service Connections

(Exc. Fire Protect.)_______

Jan. 1

Dec. 31

Average

49

Metered Service Connections

50

Flat Rate Service Connections

51

Total Active Service Connections