F-42 Annual Survey of Local Government Finances - School Buil

F-42 (2004)

OMB No. 0607-0585: Approval Expires 03/31/2005
In correspondence pertaining to this report, please refer to the
Census File Number above your address.

F-42

FORM
(7-21-2004)

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2004
ANNUAL SURVEY
OF LOCAL
GOVERNMENT
FINANCES
SCHOOL BUILDING
AGENCIES
RETURN TO

▼

U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001
Data supplied by
Name

Title

Area code

Telephone
Number
(Please correct any error in name, address, and ZIP Code)

CENSUS USE ONLY

BEG

REV

EXP

REP

DIFF

V98

END

IMPORTANT
Please provide data for your fiscal year that ended between July 1, 2003 and June 30, 2004. Mark (X) in the appropriate box to
indicate the ending date of your government’s fiscal year (12-month accounting period) and report data for this period only.
Use the fiscal year called for by this instruction even though a more recent one may be available.
2003
July
August
September

2004
October
November
December

January
February
March

April
May
June

This form has been approved by the Office of Management and Budget (OMB) and has been given the number 0607-0585. Please note that we have
displayed this number in the upper right hand corner of this form. Display of this number confirms that we have approval from OMB to conduct this survey. If
this number were not displayed, we could not request your participation in this survey.
Please note that this is a national form that applies to governments with wide differences in the size of their service areas, the amount of the population
served, and the extent and complexity of their financial accounts. We estimate public reporting burden for this collection of information to vary from .75 to 2.0
hours per response, with an average of 1.0 hours per response, including time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions for reducing this burden, to: Paperwork Project 0607-0585, U.S. Census Bureau, 4700 Silver Hill Road,
Stop 1500, Washington, D.C. 20233-1500. You may e-mail comments to [email protected]; use "Paperwork Project 0607-0585" as the subject.

NOTE — PLEASE EXCLUDE ALL TRANSACTIONS OF OPERATING SCHOOL DISTRICTS. Report in whole dollars.

Part I

REVENUES — Amounts received during fiscal year

A. Lease payments and any other amounts received from school districts (including "joint schools") and from any
other local governments or local government agencies

Name of paying district or other unit

Amount — Omit cents
$

1.

Amount — Omit cents

.00

2.

.00

3.

.00
D21

Total — Sum of items A1 through A3

USCENSUSBUREAU
F-42, Page 1, Pantone 476 Brown 100 and 10% Tone

$

.00

PLEASE RETAIN A COPY OF THE COMPLETED QUESTIONNAIRE FOR YOUR FILES

Part I

REVENUES — Amounts received during fiscal year — Continued

Amount — Omit cents
C21

$

B. Received from the State government

.00

U2Ø

.00

C. Interest earnings — Interest received on all deposits and investment holdings
U99

D. Other revenue — Do not report borrowings here, report at part IIIB. — Specify

.00

Part II

EXPENDITURES — Total amounts for the fiscal year
Amount — Omit cents

Item
A. Payments to contractors for construction — Exclude interest capitalized as a cost of construction. Report
in item C.

F12

B. Purchase of land, equipment, and existing structures — Include amounts for replacements as well as for
additional equipment; also include capital lease payments.

G12

.00

$$

.00
I89

.00

C. Interest paid on debt — Include capitalized interest paid on construction loans.
M12

.00

D. Intergovernmental payments to school districts.
E. Other current expenditure – Exclude any school district outlays for instruction
or related activities.

Amount — Omit cents
ZØØ

.00

$

1. Salaries and wages paid to employees of your agency
2. Other — Specify

.00
E12

Total — Sum of items E1 and E2

Part III

.00

$

INDEBTEDNESS
Amount — Omit cents

Item

19H

A. Long-term debt outstanding at beginning of fiscal year (bonds and other obligations with an original term of more
than one year)

$

.00

24F

B. Long-term debt issued during fiscal year, including all refunding issues

.00
34F

C. Long-term debt retired during fiscal year, including all debt refunded

.00
44F

D. Long-term debt outstanding at close of fiscal year — A plus B minus C

.00
61V

E. Short-term debt (interest-bearing notes, loans, etc., with an original term of one year or less)
1. Outstanding at beginning of fiscal year

.00
64V

2. Outstanding at close of fiscal year

Part IV

.00

CASH AND INVESTMENTS HELD AT END OF FISCAL YEAR
Amount at end of fiscal year — Omit cents
Held in sinking funds
(specifically to redeem
long-term debt)
(a)

Type of asset

Cash and investments — Cash on hand, demand and
time or savings deposits, certificates of deposit, and the like;
obligations of U.S. Treasury (including short-term notes) and
Federal Financing Bank; and all other State and local
government securities and non-government stocks, bonds,
and commercial instruments. Report all investments at book
value.
Page 2

F-42, Page 2, 100 and 10% 476 Brown

WØ1

$

Held in bond funds
(unexpended proceeds of
bond issues)
(b)
W31

.00 $

Held in all other funds
(c)
W61

.00 $

.00
FORM F-42 (7-21-2004)