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OMB No. 2125-0032 |
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05-Feb-21 |
STATE |
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| STATE TRANSPORTATION SINKING FUND |
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| AND DEBT SERVICE TRANSACTIONS |
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 80 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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Total |
Name of Fund or Bond Issue |
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All |
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Issues |
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and Funds |
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| 1. Balance, January 1 (cash and investments)..................................... |
0 |
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| 2. Income During Year: |
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| A. Income from Current State Revenues: |
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| (1) Highway-User Revenues...................................... |
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| (2) Tolls on State Roads, Bridges, etc........................... |
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| (3) Other (Specify) _______________________ |
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| (4) Total, Item A............................................................. |
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| B. Funds from Other Governments: |
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| (1) Federal funds........................................................ |
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| (2) Local Governments.............................................. |
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| (3) Total, Item B.......................................................... |
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| C. Proceeds of Sale of Bonds: |
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| (1) Principal Applied to Debt Service |
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| (a) Proceeds of Refunding Issues................................................... |
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| (b) Proceeds of New Issues................................................... |
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| (2) Premium (plus) or Discount (minus) on Sales......... |
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| (3) Accrued Interest on Sales.................................................... |
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| (4) Total, Item C............................................................. |
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| D. Net Earnings of Sinking Fund or Investments............... |
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| E. Total Income (A to D)....................................................... |
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| 3. Disbursements During Year: |
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| A. Bond Administrative and Finance Charges.................... |
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| B. Interest Payments.............................................................. |
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| C. Redemption Payments: |
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| (1) Principal...................................................................... |
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| (2) Premium (plus) or Discount (minus)..................... |
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| (3) Total, Item C............................................................. |
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| D. Transfers to Other Funds (Specify): |
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| (1) ___________________________________ |
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| (2) ___________________________________ |
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| (3) ___________________________________ |
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| E. Total Disbursements (A to D)....................................................... |
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| 4. Balance, December 31 (cash and investments)..................................... |
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| FORM FHWA-543 (Rev. 12/2000) |
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Excel |