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Form Approved |
| The public report burden for this information collection is estimated to average 380 hours annually. |
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OMB No. 2125-0032 |
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STATE: |
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| LOCAL HIGHWAY FINANCE REPORT |
YEAR ENDING (mm/yy): |
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| NOTE: This collection of information is required by 23 U.S.C. 104 (b) and 105 (b); and 23 C.F.R. 1.5 and 420.105(b). Public reporting burden is estimated to average 380 hours per response. The Guide data is used by FHWA in administering the Federal-Aid Highway Program; in assessing highway policies, programs and performance of the Nation’s highway transportation system; in identifying future highway system investment needs; and in making policy and program recommendations. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 2125-0032, which expires on XX/XX/XXXX. |
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| This Information From The Records Of: |
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Prepared By: |
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| I. DISPOSITION OF HIGHWAY-USER REVENUES AVAILABLE FOR LOCAL GOVERNMENT EXPENDITURE |
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A. Local |
B. Local |
C. Receipts from |
D. Receipts from |
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Motor-Fuel |
Motor-Vehicle |
State Highway- |
Federal Highway |
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Taxes |
Taxes |
User Taxes |
Administration |
| 1. Total receipts available |
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| 2. Minus amount used for collection expenses |
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| 3. Minus amount used for nonhighway purposes |
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| 4. Minus amount used for mass transit |
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| 5. Remainder used for highway purposes |
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| II. RECEIPTS FOR ROAD AND STREET PURPOSES |
III. EXPENDITURES FOR ROAD AND STREET PURPOSES |
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| ITEM |
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AMOUNT |
ITEM |
AMOUNT |
| A. Receipts from local sources: |
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A. Local highway expenditures: |
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| 1. Local highway-user taxes |
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1. Capital outlay (from page 2) |
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| a. Motor Fuel (from Item I.A.5.) |
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2. Maintenance: |
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| b. Motor Vehicle (from Item I.B.5.) |
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3. Road and street services: |
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| c. Total (a.+b.) |
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a. Traffic control operations |
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| 2. General fund appropriations |
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b. Snow and ice removal |
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| 3. Other local imposts (from page 2) |
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c. Other |
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| 4. Miscellaneous local receipts (from page 2) |
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d. Total (a. through c.) |
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| 5. Transfers from toll facilities |
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4. General administration & miscellaneous |
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| 6. Proceeds of sale of bonds and notes: |
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5. Highway law enforcement and safety |
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| a. Bonds - Original Issues |
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6. Total (1 through 5) |
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| b. Bonds - Refunding Issues |
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B. Debt service on local obligations: |
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| c. Notes |
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1. Bonds: |
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| d. Total (a. + b. + c.) |
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a. Interest |
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| 7. Total (1 through 6) |
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b. Redemption |
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| B. Private Contributions |
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c. Total (a. + b.) |
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| C. Receipts from State government |
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2. Notes: |
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| (from page 2) |
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a. Interest |
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| D. Receipts from Federal Government |
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b. Redemption |
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| (from page 2) |
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c. Total (a. + b.) |
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| E. Total receipts (A.7 + B + C + D) |
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3. Total (1.c + 2.c) |
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C. Payments to State for highways |
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D. Payments to toll facilities |
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E. Total expenditures (A.6 + B.3 + C + D) |
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| IV. LOCAL HIGHWAY DEBT STATUS |
| (Show all entries at par) |
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Opening Debt |
Amount Issued |
Redemptions |
Closing Debt |
| A. Bonds (Total) |
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| 1. Bonds (Refunding Portion) |
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| B. Notes (Total) |
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| Notes and Comments: |
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| FORM FHWA-536 (Rev.06/2000) |
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PREVIOUS EDITIONS OBSOLETE |
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Excel |
(Next Page) |
| page 1 |
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STATE: |
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0 |
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| LOCAL HIGHWAY FINANCE REPORT |
YEAR ENDING (mm/yy): |
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0 |
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| II. RECEIPTS FOR ROAD AND STREET PURPOSES - DETAIL |
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| ITEM |
AMOUNT |
ITEM |
AMOUNT |
| A.3. Other local imposts: |
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A.4. Miscellaneous local receipts: |
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| a. Property Taxes and Assesments |
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a. Interest on investments |
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| b. Other local imposts: |
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b. (Specify) |
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| 1. Sales Taxes |
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c. (Specify) |
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| 2. (Specify) |
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d. (Specify) |
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| 3. (Specify) |
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e. (Specify) |
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| 4. (Specify) |
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f. (Specify) |
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| 5. (Specify) |
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g. (Specify) |
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| 6. Total (1. through 5.) |
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h. (Specify) |
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| c. Total (a. + b.) |
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i. Total (a. through h.) |
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| (Carry forward to page 1) |
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(Carry forward to page 1) |
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| ITEM |
AMOUNT |
ITEM |
AMOUNT |
| C. Receipts from State Government |
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D. Receipts from Federal Government |
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| 1. Highway-user taxes (from Item I.C.5.) |
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1. FHWA (from Item I.D.5.) |
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| 2. State general funds |
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2. Other Federal agencies: |
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| 3. Other State funds: |
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a. Forest Service |
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| a. State bond proceeds |
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b. FEMA |
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| b. (Specify) |
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c. HUD |
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| c. (Specify) |
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d. (Specify) |
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| d. (Specify) |
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e. (Specify) |
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| e. (Specify) |
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f. (Specify) |
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| f. Total (a. through e.) |
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g. Total (a. through f.) |
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| 4. Total (1. + 2. + 3.f) |
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3. Total (1. + 2.g) |
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| (Carry forward to page 1) |
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(Carry forward to page 1) |
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| III. EXPENDITURES FOR ROAD AND STREET PURPOSES - DETAIL |
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ON NATIONAL |
OFF NATIONAL |
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HIGHWAY |
HIGHWAY |
TOTAL |
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SYSTEM |
SYSTEM |
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(a) |
(b) |
(c) |
| A.1. Capital outlay: |
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| a. Right-Of-Way Costs |
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| b. Engineering Costs |
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| c. Construction: |
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| (1). New Facilities |
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| (2). Capacity Improvements |
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| (3). System Preservation |
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| (4). System Enhancement And Operation |
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| (5). Total Construction (1)+(2)+(3)+(4) |
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| d. Total Capital Outlay (Lines 1.a. + 1.b. + 1.c.4) |
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(Carry forward to page 1) |
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| Notes and Comments: |
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| FORM FHWA-536 |
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| page 2 |