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OMB No. 2125-0032 |
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24-Jan-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, 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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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 |