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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 average380 hours per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. 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. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Highway Administration, 1200 New Jersey Avenue, SE, Washington, DC 20590. |
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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 |