HomeMy WebLinkAbout1963For Dcpaqment of Audit and Control Usc Onl
REPORT YEAR
COUNTY CODE
CLASS CODE
TOWN NUMBER
DISTRICT NUMBER
STATE OF
NEW YORK
ANNUAL REPORT
OF THE
FIRE DISTRICT TREASURER
NAME OF DISTRICT
· ow~ o. TOWNS oF
couvr~ oF
the
~or ~e
YEAR ENDING DECEMBER 31, 196~-3
This Report must be filed on or before March first
The fisad year is from ,leaum7 Ih'st to December lMrty-~L, St
General Municipal Law ~ Sections 30-31
Town Law--Section 181(3)
9-63-4500 (3D-2J 3)
DIVISION OF MUNICIPAL AFFAIRS
DEPARTMENT OF AUDIT AND CONTROL
ALBANY, NEW YORK
RECEIPTS A_ND BEGINNING BALANCES
GF-~ 1~ (Column 18-1)
Real Property T~es~ ~($~ow taxes from each tow. in whlcb fire district is located)
Town of y..~.~Ao6~ ..........
Town of ..........
Town of ..........
Town of ..........
Tot~ Re~ Property T~es .................................................................................... (1)
O~er Receipts:
Federal Aid for Civil Defense ......................................
Fire Protection ~d O&er Se~ices Provided Out-
side · e Dis~ict: (list each District ~om whom
contract payments are received)
Dis~ict ..........
District ..........
Ail O~er: Interest on~e~osits ~.~$.~
Total Other Reeelpts .............................................................................................. (7)
Notes Issued (Budget, Tax Antlcipa~on, Revenue Anticipation) ......................................... (9)
Tr~sfer ~om C~ital F~d ....................................................
Total T r~sfers ........................................................................................................ (12)
Total Receipts, General Fund ..................................................................................................
Balance at Be~nn~g of Ye~, Gener~ Fund .~.]...d~ .............................................. (13)
TotM Receipts and Balance, General Fund ............................................................................ (14)
CAPITAL FUND (Column 18-2)
Bonds Issued .............................................................................................................................. (8)
Premium and Accrued Interest on Bonds ................................................................................ (8)
Capital Notes Issued .................................................................................................................. (9)
Bond Anticipation Notes Issued ..: ........................................................................................... (9)
Interest and Profit on Deposits and Investments .................................................................. (7)
Transfer from General Fund ..................................................
Transfer from ..........
Total Transfers ........................................................................................................ (12)
Total Receipts, Capital Fund .................................................................................................. $
Balance at Beginning of Year, Capital Fund .......................................................................... (13)
Total Receipts and Balance, Capital Fund ............................................................................ (14) S-
RESERVE FUND (Column 18-3)
(Insert Title)
Interest and Profit on Deposits and Investments .................................................................. (7)
Transfer from General Fund ..................................................
Transfer from Reserve Fund ..................................................
Transfer from ..........
Total Transfers ........................................................................................................ (12)
Total Receipts, Reserve Fund ................................................................................................
Balance at Beginning of Year, Reserve Fund ........................................................................ (13)
Total Receipts and Balance, Reserve Fund .......................................................................... (14)
TRUST AND AGENCY FUNDS
New York State Income Taxes Withheld .................................................................................. $
United States Income Taxes Withheld ......................................................................................
Social Security Taxes ................................................................................................................
Foreign and Alien Fire Insurance Taxes ................................................................................
Other: (specify)
Total Receipts, Trust and Agency Funds ................................................................................
Balance at Beginning of Year, Trust and Agency Funds ......................................................
Total Receipts and Balance, Trust and Agency Funds ........................................................ $
2
· PAYMENTS AND ENDING BALANCES
GENERAL FUND (Colmnn 18-1)
Current Expenses:
Personal Services ................................. ~ ........... $ /-~-~ D0~
Hydrant Rental ................................................................
Payment to Fire Department or Company for Services
Provided Outside the District: (specify)
Payment to Outside Agency for Services Within
the District: (specify agency)
Other Exoenses- ~/~ ~ Ds~ ~t. ~ .... ~.M,~ ..........
..........
Total Current Expenses ..........................................................................................(1) $
Purchase of Apparatus and Equipment .................................................................................... (2)
Debt Service:
Redemption of Bonds .......................................... (3) $ ~ ~ ~/~-~-a
Redemption of Notes .......................................... (3)
Interest on Bonds and Notes .............................. (4) ,.~ 7,~..?~
Total Debt Service ....................................................................................................
Transfer to Capital Fund ........................................................ $
Transfer to Reserve Fund ......................................................
Transfer to ..........
Total Transfers .......................................................................................................... (7)
Total Payments, General Fund .................................................................................................. $
Balance at End of Year, General Fund .~.~.~,3.]./.J.~/'.,.~ ....................................................... (8)
Total Payments and Balance, General Fund .......................................................................... (9) $
CAPITAL FUND (Column 18-2)
Purchase of Apparatus and Equipment .................................................................................... (2) $
Construction of Buildings ......................................................................................................... (2)
Redemption of Bond Anticipation Notes .................................................................................. (~)
Interest on Bond Anticipation Notes ........................................................................................ (4)
Transfer to General Fund ....................................................... $
Transfer to ..........
Total Transfers ........................................................................................................ (7)
Total Payments, Capital Fund .................................................................................................. $
Balance at End of Year~ Capital Fund .................................................................................... (8)
Total Payments and Balance, Capital Fund ........................................................................... (9) $
RESERVE FUND (Column 18-3)
(Insert Title)
Purchase of Apparatus and Equipment .................................................................................... (2) $
Construction of Buildings .......................................................................................................... (2)
Transfer to Reserve Fund ...................................................... $
Transfer to ..........
Total Transfers .......................................................................................................... (7) $
Other Payments: (specify)
Total Payments, Reserve Fund .................................................................................................. $
Balance at End of Year, Reserve Fund .................................................................................... (8)
Total Payments and Balance, Reserve Fund .......................................................................... (9) $
TRUST AND AGENCY FUNDS
New York State Income Taxes Withheld ................................................................................... $
United States Income Taxes Withheld .....................................................................................
Social Security Taxes ................................................................................................................
Foreign and Alien Fire Insurance Taxes ................................................................................
Other: (specify)
Total Payments, Trust and Agency Funds .............................................................................. $
Balance at End of Year, Trust and Agency Funds ................................................................
Total Payments and Balance, Trust and Agency Funds ........................................................ $
· RECONCILIATION OF CASH AND BANK BALANCES
Cash Balances by Fund at End of Year:
General Fund (from page 3) ...................................................................................................................................... $
Capital Fund (from page 3) ........................................................................................................................................
Reserve Fund (from page 3) ....................................................................................................................................
Trust and Agency Fund (from page 3) ....................................................................................................................
Total - All Funds ........................................................................................................................................ $:
Bank Balanees at End of Year:
Bank Outstanding
Name and Location of Bank Balance Checks
$ $
Net Bank
Balance
Totals ............................................................ $
Cash on Hand ........................................................................................................................................
Total Bank Balances and Cash on Hand .......................................................................................... $
FUND
Description of lnvestment
Purchase Price
DETAILED STATEMENT OF INDEBTEDNR,~q
Outstanding Issued Redeemed Outstanding
NOTES Beginning During Total During End
of Year Year Year of year
Tax or Revenue Anticipation
Budget
Capital
Bond Anticipation
Total - Notes
BONDS Year Outstanding Issued Redeemed Outstanding
(Show each issw~ separately by of Interest Beginning During During End
Title and pttrpose) Issue Rate of Year Year year of Year
Total-Bonds XXXX XX~ $ ]~, ~OO. O0 $ $ g~DO. ad [$ ~ ODD. ~
COMPUTATION OF REAL PROPERTY TAXES
Assessed Valuation Tax Rate Amount of Tax
TOWN of Fire District per $1,000 (Assessed Val~tion
within Town of Assessed Valuation multiplied by Tax Rate)
9o' . oo * . o?
District Total $ XXXXXXX $
NOTE: Amount of tax shown lot each town in last column should agree with corresponding tax receipts shown at top o/page 2.
REC~IVABI.,ES CLAIMS PAYABLE
Amount Duc District at End of Year 3._<~.,~--~. Amount of Unpaid Claims of District at End of Year
THE DISTRICT IS GOVERNED BY: (Check one) CHAIRMAN OF~kJE BOARD:
~eparate Board o f Fire District Commissinners Address ~ ~ ~..~'~
, ~.~-~,e.a,, /~ ~'~a-~*~ do hereby certlfy that l am the Treasurer of
' (Please Print ot Type) '
Fire District located in the Town or Towns of:
, of
payments of such Fire District for the fisc~ ye~ ende~ecem~r~ 31,
Dated ~ /7 /~
/
,196__.
, and that the foregoing statement of the receipts and
196..5-, is true to the best of my knowledge, information and belief.