U.S. Department of Transportation
Federal Highway Administration
1200 New Jersey Avenue, SE
Washington, DC 20590
202-366-4000
Guide to Reporting Highway Statistics | Form 1 | Form 2
| The public report burden for this information collection is estimated to average 380 hours annually. | Form Approved OMB No. 2125-0032 | |||
| LOCAL HIGHWAY FINANCE REPORT | STATE: | |||
| YEAR ENDING (mm/yy): | ||||
| This Information From The Records Of: | Prepared By: | |||
| I. DISPOSITION OF HIGHWAY-USER REVENUES AVAILABLE FOR LOCAL GOVERNMENT EXPENDITURE | ||||
|---|---|---|---|---|
| ITEM | A. Local Motor-Fuel Taxes |
B. Local Motor-Vehicle Taxes |
C. Receipts from State Highway- User Taxes |
D. Receipts from Federal Highway Administration |
| 1. Total receipts available | ||||
| 2. Minus amount used for collection expenses | ||||
| 3. Minus amount used for nonhighway purposes | ||||
| 4. Minus amount used for mass transit | ||||
| 5. Remainder used for highway purposes | ||||
| II. RECEIPTS FOR ROAD AND STREET PURPOSES | III. EXPENDITURES FOR ROAD AND STREET PURPOSES | |||
| ITEM | AMOUNT | ITEM | AMOUNT | |
| A. Receipts from local sources: | A. Local highway expenditures: | |||
| 1. Local highway-user taxes | 1. Capital outlay (from page 2) | |||
| a. Motor Fuel (from Item I.A.5.) | 2. Maintenance: | |||
| b. Motor Vehicle (from Item I.B.5.) | 3. Road and street services: | |||
| c. Total (a.+b.) | a. Traffic control operations | |||
| 2. General fund appropriations | b. Snow and ice removal | |||
| 3. Other local imposts (from page 2) | c. Other | |||
| 4. Miscellaneous local receipts (from page 2) | d. Total (a. through c.) | |||
| 5. Transfers from toll facilities | 4. General administration & miscellaneous | |||
| 6. Proceeds of sale of bonds and notes: | 5. Highway law enforcement and safety | |||
| a. Bonds - Original Issues | 6. Total (1 through 5) | |||
| b. Bonds - Refunding Issues | B. Debt service on local obligations: | |||
| c. Notes | 1. Bonds: | |||
| d. Total (a. + b. + c.) | a. Interest | |||
| 7. Total (1 through 6) | b. Redemption | |||
| B. Private Contributions | c. Total (a. + b.) | |||
| C. Receipts from State government | 2. Notes: | |||
| (from page 2) | a. Interest | |||
| D. Receipts from Federal Government | b. Redemption | |||
| (from page 2) | c. Total (a. + b.) | |||
| E. Total receipts (A.7 + B + C + D) | 3. Total (1.c + 2.c) | |||
| C. Payments to State for highways | ||||
| D. Payments to toll facilities | ||||
| E. Total expenditures (A.6 + B.3 + C + D) | ||||
| IV. LOCAL HIGHWAY DEBT STATUS (Show all entries at par) |
||||
| Opening Debt | Amount Issued | Redemptions | Closing Debt | |
| A. Bonds (Total) | ||||
| 1. Bonds (Refunding Portion) | ||||
| B. Notes (Total) | ||||
| Notes and Comments: | ||||
Form FHWA-536 (Rev.06/2000) PREVIOUS EDITIONS OBSOLETE