HomeMy WebLinkAbout1967For Department of Audit and Control Use 0~1
REPORT YEAR
COUNTY CODE
CLASS CODE
TOWN NUMBER
DISTRICT NUMBER
STATE OF NEW YORK
ANNUAL REPORT
OF THE
FIRE DISTRICT TREASURER
TOWN OR TOWNS OF
hthe
for rite
YEAR ENDING DECEMBER 31, 196'~
Tlds Report must be filed on or before March first
The frsad yeoris from 3*anuar~ first /o December fbirf~-first
General Municilml Law m Sections 30-31
Town Law ~ Section 181(3)
DIVISION OF MUNICIPAL AFFAIRS
· DEPARTMENT OF AUDIT AND CONTROL
ALBANY, NEW YORK
I~26~6~M
~IPTS AND BEGINNING BALAN~-~ ~
~ ~ (Colunm 1B-l)
Real Property Taxes: (Show taxes [rom each tows in which fire district is located)
Town of ..........
Town of ..........
Town of ..........
Town of ..........
Fru r T es ....................................................................................
Other Receipts:
State Aid for Loss ia 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)
Distxict ..........
District ..........
All Other: Interest on Deposits ..................................
Rentals ........................................................
Refund Of Expenses ..................................
Total Other Receipts ....................................... iiii~ii~ .................................................... (7)
Notes Issued (Budget, Tax Anticipation, Revenue Anticipation) . ........................................... (9)
Transfer from Capital Fund ....................................................
Transfer from ..........
Total Truasfers ........................................................................................................ (12)
Total Receipts, General Fund ..................................................................................................
Balance at Beginning of Year, General Fund ........................................................................
Total Receipts and Balance, General Fund (14)
CAPITAL ]~LIND (Colum~
Bonds Issued .............................................................................................................................. (8)
Premium and Accrued Interest on Bonds ................................................................................ (8)
Capital Notes Issued .................................................................................................................. (9)
Bond Anticipation Noteg Issued ' (9)
Interest and Profit on Deposits and Investments .................................................................. (7)
Transfer from General Fund ............................................ :..... $.
TrunsIer from ..........
Total Transfers ........................................................................................................ (12)
Total Receipts, Capital Fund ............................... : ..................................................................
Balance at Beginning of Year, Capital Fund .......................................................................... (13)
Total Receipts and Balance, Capital Fund ............................................................................ (14)
(Insert Title)
RESERVE FUND (Column 18-3)
Interest and Profit on Deposits and Investments ....... : .......................................................... (7)
Transfer f~om General Fund .................................................. $ '~ 7 tgtA. OO
Transfer from Reserve Fu~d ..................................................
Trua sfer from ..........
Total Transfers ........................................................................................................ (12)
Total Receipts, Reserve Fund ............................................................................... ; .................
Balance at Beginning of Yea~, Reserve Fund ...................... ~ ................................................. (13)
Total Receipts sad Balance, Reserve Fund ..........................................................................
TRUST AND AGENCY FUNDS
New Yurk Stare Income Taxes Withheld ..................................................................................
United States Income Taxes ~ithheld ......................................................................................
Social Security Taxes ................................................................................................................
Foreign and Alien Fire Insurance Taxes ................................................................................
Other:. (speci[y)
Total Receipts, Trust and Agency Funds ............................................................................. ;..
Balance at Beginning of Yeas, Trust and Agency Funds ......................................................
Total Receipt~ and Balance, Trust and Agency Funds ........................................................
NOTE: I[ more than one reserve /und has been established, attach a sheet showing the transactions o! each additional reserve.
PAYMENTS AND ENDING BALANCES
G~ I]'UND (Column 18-4)
Personal Services ..........................................................
Hydrant Rental ................................................................
Payment to Fire Department or Company for Services
Provided Outside the Dis~zict: (speci/y)
Payment to Outside Agency far Services Within
the District: (speci/y agency)
Other Expenses: ..........
Total Current Expenses .......................................................................................... (I)
Parchase of Apparatus and Equipment .................................................................................... (2)
Debt Service:
Redemption of Bonds .......................................... (3) $. ~.2o~ trr~
Redemption of Notes .................. ~ ....................... (3)
Interest on Bonds and Notes .............................. (4)
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 Bhlance, General Fund .........................
CAPIT~ 1~ (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, Cap[tal Fund ..................................................................................................
Balance at End of Year, Capital Fund .................................................................................... (8)
Total Payments and Balance, Capital Fund ........................................................................... (9)
(insert Title)
R~.SERVI~ ~ (Column 18-6)
Purchase of Apparatus and Equipment .................................................................................... (2) l[
Construction of Buildings .......................................................................................................... (2)
Transfer to Reserve Fund ......................................................
Transfer to ..........
Totui Transfers .......................................................................................................... (7) $
Other Payments: (speci/y)
Total Payments, Reserve Fund ..................................................................................................
Balance at End of Year, Reserve Fund ................................................................................. (8) ..'~.
Total Payments and Balance, Reserve Fund ..........................................................................~ (9) ~
TRUST AND AGENCY FUNDS
New Yo~k State Income Taxes Withheld
United States Income Taxes Withheld .................................... ~ ........................... : ....................
Social Security Taxes ................................................................................................................
Foreign and Alien Fire Insurance Taxes ................................................................................
Other: (speci/y)
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) ........................................................................................................................................
ese.e F.cd (from pagc 3) .................................................................................................................................... -'.
T~ust snd Agency ]Fund (from page ~) .................................................................................................................... Tot~- All F~ds .................................................................
Bank Balances at End of Yea~
Bank Outstanding Net B~k
Name and Location of Ba~ B~ce Checks Balance
Petty Cash
Cash on Hand .......................................
Total Bank Balances and Cash on Hand
FUND Descrip6on of lave s~ment Purchase Price
DETAILED STATEMENT OF INDEBTEDNESS
I Isgued Redeemed Outstanding
Outstanding
NOTES Beginning During Total During End
of year year Year of year
Tax oG Revenue Anticipation $ $ S $ $ :
Budget
Bond Anticipation
Total - Notes $ $ $ $ ]$
BONDS Year Outstanding Issued Redeemed Outstanding
(Show each issue separately by of Interest Beginning During During End
Title and P~pose) Issue RaGe of year Year Year of .... Year
.ff/'~E //o~.~ leiS'(.,, ~.75':s /;~.~-o~ s~;,~,,~_,~ s /6~s-oo,~
Total - Bonds X~X XX~ $ $ $ ] $
COMPUTATION OF REAL PROPERTY TAXES
Assessed Valuation Tax Rate Amomat of Tax
TO~fN of Fire Disuict peg $1,000 (Assessed Valuation
within Town of Assessed Valuation multiplied by T. ax Rate)
District Total $ XXXXXXX
NOTE: Amount of tax shown/or each town in last column should agree wltb corresponding tax receipts shown at top of page 2,
RECEIVABLES
Amount Due District at End of Year $ ~
THE DISTRICT IS GOVERNED BY: (Check one)
[] Town Board
~eparate Board of Fire District Commissioners
CLAIMS PAYABLE
Amount of Unpaid Claims of District at End of Year $.
CHAIRMAN OF THE BOARD:
CERTIFICATE OF FIRE DISTRICT TREASURER
I, ~S~f~ 8 ~4' SS O , do hereby certify thatI am~he Treasurer of ~ S-~~/'g~t~
(Please Print or T~e)
_, Co~* of ~ ~ ~ff~ , and that ~e foresolns statement of ~e receipt~ and
payments of ~uch Fire District for the fiscal ~e~ ended Decem~r 51, 1%--, is tree to :he best of my knowledge, information and ~elief.