HomeMy WebLinkAbout1964For Department of Audit and Control Use Only
REPORT yEAR
COUNTY CODE
CLASS CODE
TOWN NUMBER
DISTRICT NUMBER
STATE OF
NEW YORK
ANNUAL REPORT
OF THE
FIRE DISTRICT TREASURER
in the
TOWN OR TOWNS OF
COUNTY OF
for the
YEAR ENDING DECEMBER 31, 196~-
This Report must be filed on or before March first
The fiscal year is from January first to December thirty.first
General Municipal Law--Sections 30-31
Town Law -- Section 181 (3)
9~4-5000(4D-175)
DIVISION OF MUNICIPAL AFFAIRS
DEPARTMENT OF AUDIT AND CONTROL
ALBANY, NEW YORK
RECEIPTS AND BEGINNING BALANCES
GENERAL FUND (Colnmn 18-1)
Real Property T~xes: (Show taxes from each town in which/ire district is located)
Town of
Town of ..........
Town of ..........
Total Real Property Taxes .................................................................................... (1)
Other Receipts:
State Aid for Loss in Railroad Tax Revenue ..................... $_
Federal Aid for Civil Defense ...........................................
Fire Protection and Other Services Provided Out-
side the District: (list each District /rom whom
contract payments are received)
District ..........
District ..........
All Other: Interest on Deposits ..................................
Rentals ........................................................
Total Other Receipts ..................................................................................................... (7)
Notes Issued (Budget, Tax Anticipation, Revenue Anticipation) ............................................ (9)
Transfer from Capital Fund ....................................................
Transfer from ..........
Total Transfers ........................................................................................................ (12)
Total Receipts, General Fund ..................................................................................................
Balance at Beginning of Year, General Fund ........................................................................ (13)
Total 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)
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 ~ncome Taxes Withheld ......................................................................................
Social Security Taxes ................................................................................................................
Foreign and Alien Fire Insurance Taxes ................................................................................
Other: (speci[y)
Total Receipts, Trust and Agency Funds ................................................................................
Balance at Beginning of Year, Trust and Agency Funds ......................................................
Total Receipts and Balance, Trust and Agency Funds ........................................................
PAYMENTS AND ENDING BALANCES
GENERAL FUND (Column 18-4)
Current Expenses:
Personal Services ..........................................................
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 Expenses:
7,6,¢,
7 _¢- _e
Total Current Expenses ..........................................................................................(I)
Purchase of Apparatus and Equipment .................................................................................... (2)
Debt Service:
Redemption of Bonds .......................................... (3) $
Redemption of Notes .......................................... (3)
Interest on Bonds and Notes .............................. (4) ~3, ~ 0
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 .................................................................................... (8)
Total Payments and Balance, General Fund .......................................................................... (9)
7~0~ ~D
CAPITAL IqJND (Column 18-5)
Purchase of Apparatus and Equipment .................................................................................... (2) $
Construction and Purchase of Buildings ...................................................................................... (2)
Redemption of Bond Anticipation Notes .................................................................................. (3)
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)
C.,~_ ~/' .7'~t~ L RESERVE FUND (Column 18-6)
(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
Cask Balances'by Fund at End of Year:
General Fund (from page J) ...................................................................... : ...............................................................
Capital Fund (from page 3) ........................................................................................................................................
Reserve Fund (from page 3) ....................................................................................................................................
Trust and Agency Fund (from page 3) .................................................................................................................... --
Total - Al1 Funds ........................................................................................................................................ $----~2~-]~'.~"~
Bank Balances at End of Year:
Name and Location of Bank
Bank Outstanding Net Bank
Balance Checks Balance
Totals ............................................................ S ~ gq' 4q * g~, / 0 $
Cash on Hand ........................................................................................................................................
Total Bank Balances and Cash on H~d .......................................................................................... $
I
FUND ] Description of Investment [ Purchase Price
DETAILED STATEMENT OF INDEBTEDNF_2~
NOTES
Tax or Revenue Anticipation
Outstanding
Beginning
of year
During
Year
Total
Redeemed
During
yeax
Budget
Capital
I$
Bond Anticipation
Outstanding
Beginning
of year
Total - Notes
BONDS
(Show each issue separately by
Title and Purpose)
Issued
During
Year
I
I
Year
of Interest
Rate
XXXX ] XXXX
Total- Bonds $ ti I$
COMPUTATION OF REAL ~ROIqgRTY TAXF.8
Outstanding
End
of Year
Redeemed Outstanding
During End
Year of year
1
TOWN
~.~ O tI T' I.~ O L _Fi
District Total
Assessed Valuation
of Fire District
within Town
)
Tax Rate
per $1,000
of Assessed Valuation
Is
I
Amount of Tax
(Assessed Valuation
multiplied by Tax Rate)
g
xxxxx××
NOTE: Amount o/tax shown/or each town in last column should agree with comesponding tax receipts shown at top o/ page 2.
RECEIVABLES
Amount Due District at End of Year $.
THE DISTRICT IS GOVERNED BY: (Check one)
[] Town Board
~ Separate Board of Fire District Commissioners
CLAIMS PAYABLE
Amount of Unpaid Claims of District at End of Year
CHAIRMAN OF THE BOARD:
/
CERIII~ICATE OF IqRE DISTRICT TREASURER
I, fl, ~, ~ ~0
(Please Print or T~e) ' - '
Fire District located in the To~ or Towns of: ~ O ~ ~ O ~ D
, Co~w of x~ ~ ~ ~ ~ ~ ~ , and that ~e foregoing statement of the receipts and
payments of such Fire District for the fiscM ye~ ended Decem~r 31, 196~, is tree to the best of my knowledge, information and belief.
ti?7/