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MS-6c

PROPOSED BUDGET OF THE CITY

OF:_______________________________________________________

Appropriations and Estimates of Revenue for the Ensuing Year January 1, _______to December 31, _______ or Fiscal Year From ______________________to_____________________

RSA 21-J:34, VI, (b) The governing body of a city shall file the budget within 20 days of the adoption of any budget resolution.

Finance Director or City Manager

Please sign in ink.

Under penalties of perjury, I declare that I have examined the information contained in this form and to the best of my belief it is true, correct and complete.

_____________________________________________________________________________________________________

FOR DRA USE ONLY

NH DEPARTMENT OF REVENUE ADMINISTRATION MUNICIPAL SERVICES DIVISION P.O. BOX 487, CONCORD, NH 03302-0487 (603)271-3397

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MS-6c

Budget - City of ______________________________________ FY _________

Acct. #

PURPOSE OF APPROPRIATIONS (RSA 32:3,V)

Resol. #

Appropriations Prior Year As Approved by DRA

t d

Proposed Appropriations Ensuing FY

GENERAL GOVERNMENT

4130-4139 Executive 4140-4149 Election,Reg.& Vital Statistics 4150-4151 Financial Administration 4152 4153 Revaluation of Property Legal Expense

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x

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4155-4159 Personnel Administration 4191-4193 Planning & Zoning 4194 4195 4196 4197 4199 General Government Buildings Cemeteries Insurance Advertising & Regional Assoc. Other General Government

PUBLIC SAFETY

4210-4214 Police 4215-4219 Ambulance 4220-4229 Fire 4240-4249 Building Inspection 4290-4298 Emergency Management 4299 Other (Incl. Communications)

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x

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AIRPORT/AVIATION CENTER

4301-4309 Airport Operations

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x x

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HIGHWAYS & STREETS

4311 4312 4313 4316 4319 Administration Highways & Streets Bridges Street Lighting Other

SANITATION

4321 4323 4324 4325 Administration Solid Waste Collection Solid Waste Disposal Solid Waste Clean-up

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x

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4326-4329 Sewage Coll. & Disposal & Other

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Budget - City of ______________________________________ FY _________

Acct. #

PURPOSE OF APPROPRIATIONS (RSA 32:3,V)

Resol. #

Appropriations Prior Year As Approved by DRA

Proposed Appropriations Ensuing FY

WATER DISTRIBUTION & TREATMENT

4331 4332 Administration Water Services

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4335-4339 Water Treatment, Conserv.& Other

ELECTRIC

4351-4352 Admin. and Generation 4353 4354 4359 Purchase Costs Electric Equipment Maintenance Other Electric Costs

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HEALTH

4411 4414 Administration Pest Control

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4415-4419 Health Agencies & Hosp. & Other

WELFARE

4441-4442 Administration & Direct Assist. 4444 Intergovernmental Welfare Pymnts

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4445-4449 Vendor Payments & Other

CULTURE & RECREATION

4520-4529 Parks & Recreation 4550-4559 Library 4583 4589 Patriotic Purposes Other Culture & Recreation

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CONSERVATION

4611-4612 Admin.& Purch. of Nat. Resources 4619 4631-4632 4651-4659 Other Conservation REDEVELOPMENT & HOUSING ECONOMIC DEVELOPMENT

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DEBT SERVICE

4711 4721 4723 Princ.- Long Term Bonds & Notes Interest-Long Term Bonds & Notes Int. on Tax Anticipation Notes

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4790-4799 Other Debt Service

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MS-6c

Budget - City of ______________________________________ FY _________

Acct. #

PURPOSE OF APPROPRIATIONS (RSA 32:3,V)

Resol. #

Appropriations Prior Year As Approved by DRA

Proposed Appropriations Ensuing FY

CAPITAL OUTLAY

4901 4902 4903 4909 Land Machinery, Vehicles & Equipment Buildings Improvements Other Than Bldgs.

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OPERATING TRANSFERS OUT

4912 4913 4914 To Special Revenue Fund To Capital Projects Fund To Enterprise Fund SewerWaterElectricAirport4915 4916 4917 4918 4919 To Capital Reserve Fund To Exp.Tr.Fund-except #4917 To Health Maint. Trust Funds To Nonexpendable Trust Funds To Fiduciary Funds

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Total Proposed Appropriations

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Budget - City of ______________________________________ FY _________

Acct. #

SOURCE OF REVENUE

Resol. #

MS-4 Estimated Revenues Prior Year

Estimated Revenues Ensuing Year

TAXES

3120 3180 3185 3186 3189 3190 Land Use Change Taxes - General Fund Resident Taxes Timber Taxes Payment in Lieu of Taxes Other Taxes Interest & Penalties on Delinquent Taxes Inventory Penalties 3187 Excavation Tax ($.02 cents per cu yd)

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LICENSES, PERMITS & FEES

3210 3220 3230 3290 3311-3319 Business Licenses & Permits Motor Vehicle Permit Fees Building Permits Other Licenses, Permits & Fees

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FROM FEDERAL GOVERNMENT FROM STATE

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3351 3352 3353 3354 3355 3356 3357 3359 3379

Shared Revenues Meals & Rooms Tax Distribution Highway Block Grant Water Pollution Grant Housing & Community Development State & Federal Forest Land Reimbursement Flood Control Reimbursement Other (Including Railroad Tax)

FROM OTHER GOVERNMENTS CHARGES FOR SERVICES

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3401-3406 Income from Departments 3409 Other Charges

MISCELLANEOUS REVENUES

3501 3502 Sale of Municipal Property Interest on Investments

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3503-3509 Other

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Budget - City of ______________________________________ FY _________

Acct. #

SOURCE OF REVENUE

Resol. #

MS-4 Estimated Revenues Prior Year

Estimated Revenues Ensuing Year

INTERFUND OPERATING TRANSFERS IN

3912 3913 3914 From Special Revenue Funds From Capital Projects Funds From Enterprise Funds Sewer - (Offset) Water - (Offset) Electric - (Offset) Airport - (Offset) 3915 3916 3917 From Capital Reserve Funds From Trust & Fiduciary Funds Transfers from Conservation Funds

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OTHER FINANCING SOURCES

3934 Proc. from Long Term Bonds & Notes Amount VOTED From F/B ("Surplus") Fund Balance ("Surplus") to Reduce Taxes

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TOTAL ESTIMATED REVENUE & CREDITS **PROPOSED BUDGET SUMMARY**

Ensuing Year

TOTAL Appropriations Proposed Less: Amount of Estimated Revenues & Credits (from above) Estimated Amount of Taxes to be Raised For Municipal Budget

MS-6c Rev. 08/09

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