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Toll Facility Receipts and Disbursements

Guide to Reporting Highway Statistics | Form 1 | Form 2

As this form is optional, the public report burden for this information collection is included with FHWA-531, FHWA-532, and FHWA-534. Form Approved OMB No. 2125-0032

U.S. Department of Transportation
Federal Highway Administration

TOLL FACILITY INCOME AND EXPENDITURES

State:
Year Ending (mm/yy):
Name of Facility:
Item Total All Funds (A) (B) (C) (D) (E) (F)
I. Opening Balance              
II. Income              
A. Tolls              
B. Concessions & Rentals              
C. State Highway-User Revenue              
D. Other State Funds              
E. Funds from Federal Highway Admin.              
F. Other Federal funds              
G. Local government funds              
H. Bond Sales (net)              
I. Investment Income (All)              
J. Miscellaneous Income              
K. Total Income              
III. Expenditures              
A. Right of Way              
B. Engineering              
C. Construction              
D. Maintenance              
E. Operations              
F. Administration              
G. Law enforce & safety              
H. Bond administration              
I. Bond interest              
J. Bond redemption (net)              
K. Transfer to State Highway Fund              
L. Transfer to local governments              
M. Transfer to mass transit              
N. Transfer to other (specify)              
O. Total Expenditures              
IV. Closing Balance              
V. Debt Status Outstanding, Beginning of Year Amount Issued During Year (Par) Redemption During Year (Par) Outstanding, End of Year
A. Total Debt                
1. Refunding Issues                

 

Optional Form FHWA-539 (6-2000) PREVIOUS EDITIONS OBSOLETE