F-29 Survey of Local Government Finances - Multi-function Spe

F-29 (2007)

OMB No. 0607-0585: Approval Expires 06/30/2008

(9-11-2007)

2007 CENSUS OF GOVERNMENTS
Survey of Local Government Finances

▼

▼

Multi - Function Special Agencies

U.S. DEPARTMENT OF COMMERCE

In correspondence pertaining to this report, please refer to the ID printed above your address

Economics and Statistics Administration
U.S. CENSUS BUREAU

RETURN TO:
U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001

If you have any questions,
please call 1-888-590-2748
weekdays, 7:00 a.m. to
5:00 p.m. EST.
Questions can also be
emailed to:
[email protected]

Please correct any errors in name, address, or ZIP Code.

GENERAL INSTRUCTIONS
Before filling out this form, please read carefully each part and all related definitions and instructions.
Note especially:
1. Please report amounts, covering all funds and accounts of your agency except for any employee-retirement
funds administered by your agency. Include bond redemption and interest funds, and construction or
development funds, as well as current funds. Exclude refunds and transfers between funds or accounts of your
agency.
2. As this form is used for various kinds of agencies, some of the items may not apply to your agency.
However, read carefully the definition of each item to determine whether it applies to any of your agency’s
transactions.
3. Do not delay reporting to await finally audited figures, if substantially accurate figures can be supplied on a
preliminary basis.
4. You may report on either a cash or accrual basis.
5. Use a black or blue ball point pen.

ENDING DATE OF FISCAL YEAR

Part 1

Mark (X) in the appropriate box below to indicate the ending date of your agency’s fiscal year
(12-month accounting period) and report data for this period only.
Use this fiscal year even though a more recent one may be available.
2006

2007

July

October

January

April

August

November

February

May

September

December

March

June

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Page 2

Part 2

TAX REVENUES

Report collections during the fiscal year indicated in Part 1 from all taxes imposed by your agency.

Include
• Taxes collected for your agency by another government.
• Current and delinquent amounts, penalties, and interest.

▼

Exclude receipts from service charges, special assessments, interest earnings,
fines, and any other sources that are not taxes or licenses.
Property Taxes
1.

Property taxes - All taxes on property, real or personal. . . . . . . . . . . . . .

,

$
T01

,

.00

Include levies for debt service, pension funds, and other funds or purposes.
Exclude taxes not measured by value.
Other Taxes
2.

Other taxes - specify:

Part 3

,

$

. . . . . . . . T99

,

.00.00

INTERGOVERNMENTAL REVENUES

Report all amounts received by your agency from other governments during the fiscal year indicated in
Part 1 .
Include grants, shares of taxes imposed by other governments, payments in lieu of taxes, and
reimbursements for services performed for other governments.
Exclude loans, taxes imposed by your agency which were collected for it by another government
(reported in Part 2 ), and receipts from utility sales to other governments (report in Part 4 ).
Specify and report
revenue by purpose:

From the State Include any amounts financed
wholly or in part from Federal grants
to the State (i.e., pass-throughs).

(e.g., water supply, streets
and highways, sewerage,
transit, health and hospitals,
etc).

From other local
governments

A.

$
D_ _

B.

$
D_ _

C.

$
D_ _

D.

$
D_ _

From the Federal
government directly

Exclude collection fees.

,

,

.00

,

,

.00

,

,

.00

,

,

.00

$
C_ _

$
C_ _

$
C_ _

$
C_ _

,

,

.00

,

,

.00

,

,

.00

,

,

.00

▲

$

,

,

.00

$

,

,

.00

$

,

,

.00

$

,

,

.00

B_ _

B_ _

B_ _

B_ _

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Page 3

Part 4

REVENUES - OTHER THAN TAX AND INTERGOVERNMENTAL REVENUES

Report other revenues received by your agency during the fiscal year indicated in Part 1

.

Include revenues of all funds.
Exclude refunds and transfers between funds and accounts of your agency.
1.

Current charges - Gross receipts from fees, sales, rentals, tolls, maintenance assessments and other
charges for commodities or services.
Include utility services, including sales to the Federal, State, or local governments.
Exclude grants and other amounts received from the Federal, State, or other local
governments (reported in Part 3 ).
Specify and report revenue by type of current charges:
(e.g., water supply, sewerage, solid waste, electric supply, parks
and recreation, natural resources, airports, etc).

Current Charges

A.

$

,

,

.00

$

,

,

.00

$

,

,

.00

$

,

,

.00

A_ _

B.
A_ _

C.
A_ _

D.
A_ _

2.

▼

Special assessments - Compulsory contributions and reimbursements
from owners of property benefited by improvements (streets, sewers,
sidewalks, water extensions, etc.), as well as for servicing special
assessment debt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Exclude proceeds from sales of special assessment bonds (report in
Part 10 ) and maintenance assessments (reported in item 1 above).

Other Revenues
$

,

,

.00.00

$

,

,

.00.00

$

,

,

.00.00

$

,

,

.00.00

$

,

,

.00.00

7.

Private donations - Gifts of cash or securities from private individuals
$
or corporations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . U50

,

,

.00.00

8.

Miscellaneous other revenue - Revenue not reported in items
$
1 through 7, or Parts 2 - 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . U99
Include insurance claims, recoveries of prior year expenditures,
dividends, and recorded profits from sale of investments.

,

,

.00.00

U01

3.

Receipts from sale of property and other capital assets . . . . . . . . . . . U11
Include property sold to other governments.
Exclude tax sales (reported in Part 2 ).

4.

Interest earnings - Interest received on all deposits and investment
holdings of your agency, excluding earnings of any employee pension
fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Include interest on construction funds.

5.

6.

U20

Fines and forfeits - Receipts from penalties imposed for violations of
law and civil penalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

U30

Royalties - Compensation or portion of proceeds from extraction of
natural resources, such as oil, gas, and mineral rights. . . . . . . . . . . . . . .

U41

Exclude proceeds from borrowing, receipts from sale of security
holdings, transfers between funds or accounts of your agency,
employee contributions to, and interest earnings of, any employee pension fund.

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Page 4

Part 5

Total Revenues

TOTAL REVENUES
(sum of

Parts 2 - 4

) . . . . . . . . . . . . . . . . . . . . . . . . . . REV

$

,

,

.00
.00

▼
Part 6

INTERGOVERNMENTAL EXPENDITURES

Report all payments made to other governments for services or programs performed on a
reimbursement or cost-sharing basis.

Function - specify:
Type of recipient government (e.g., water supply, sewerage,
electricity, fire protection,
airports, natural resources,
housing and community
development, solid waste, etc).

specify:
(e.g., municipality, school district,
county, State, etc).

Amount

A.

___

B.

___

C.

___

D.

___

$

,

,

.00.00

$

,

,

.00.00

$

,

,

.00.00

$

,

,

.00.00

Check here if your agency made no payments to other governments during the fiscal year
indicated in Part 1 .

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Part 7

DIRECT EXPENDITURES BY PURPOSE AND TYPE

Types of Expenditures
1. Report amounts expended during the fiscal year indicated in Part 1 .
Include expenditures of all funds other than employee-retirement funds administered by your agency.
Exclude:
•
Transfers between funds or accounts of your government
•
Payments made to other governments (reported in Part 6 )

Current Operation

▼
Purpose - Specify
(e.g., water, sewer,
natural resources, solid
waste, highways,
electric generation,
parks and recreation,
airports, etc.)

Direct expenditures for
employee compensation
and for supplies,
materials, operating
leases, and contractual
services.

Capital Outlays

Include gross salaries and
wages before deductions.

Purchase of
equipment, land and
existing structures

Exclude capital outlays and
depreciation/amortization

A.

$
E__

B.

$
E__

C.

$
E__

D.

$
E__

E.

$
E__

,

,

.00

,

,

.00

,

,

.00

,

,

.00

,

,

.00

Construction

$
F__

$
F__

$
F__

$
F__

$
F__

Include capital leases

,

,

.00

,

,

.00

,

,

.00

,

,

.00

,

,

.00

$

,

,

.00

$

,

,

.00

$

,

,

.00

$

,

,

.00

$

,

,

.00

G__

G__

G__

G__

G__

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Part 7

DIRECT EXPENDITURES BY PURPOSE AND TYPE - Continued

Interest on Debt
2.

Report the total amount of interest paid on debt, long-term and short-term,
of your agency.
Include capitalized interest paid on construction loans.
Exclude debt retirement (report in Part 10 ).

▼
Interest Expenditure

A. Interest on water supply system debt. . . . . . . . . . . . . . . . . . . . . . . . .

I91

B. Interest on electric power system debt. . . . . . . . . . . . . . . . . . . . . . . .

I92

C. Interest on gas supply system debt. . . . . . . . . . . . . . . . . . . . . . . . . .

I93

D. Interest on transit or bus system debt. . . . . . . . . . . . . . . . . . . . . . . . .

I94

E. Interest on all other debt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I89

$

,

,

.00.00

$

,

,

.00.00

$

,

,

.00.00

$

,

,

.00.00

$

,

,

.00.00

Total Expenditures

Part 8

TOTAL EXPENDITURES (sum of Parts 6 - 7 ). . .

Part 9

PERSONNEL EXPENDITURES

Report total expenditures for salaries and wages reported in Part 7
including any paid to employees of your agency working on
construction projects. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

▲

$
EXP

,

,

.00
.00

Personnel Expenditures
$
Z00

,

,

.00.00

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Page 7

Part 10

INDEBTEDNESS

Long-term Debt
Bonds, mortgages, etc., with an original term of more than one year, including revenue bonds and
special assessment bonds as well as general obligation bonds.
Include debt refunded.
Exclude:
•
Capital leases (reported in Part 7 )
•
Amounts for compensated absences
1.

Long-term Debt
for Public Purposes

What is your agency’s debt for all public purposes?
$

,

,

.00

$

,

,

.00

39U

$

,

,

.00

49U

$

,

,

.00

19U

A.

Outstanding at beginning of fiscal year . . . . . . . . . . . . . . . . . . . . +

B.

Issued during fiscal year (include all refunding issues) . . . . . . . . . . +

C.

Retired during fiscal year (include debt refunded) . . . . . . . . . . . . .

D.

Outstanding total at end of fiscal year (item 1.A + 1.B - 1.C) . . . . . =

29U

2.

▲

-

What is your agency’s debt for privately owned housing,
industrial, or business purposes? This category is applicable
only to those agencies authorized to issue debt of this type (e.g.,
industrial development revenue bonds, pollution control
revenue bonds, etc.)

Long-term Debt
for Private Purposes
$

,

,

.00

$

,

,

.00

34T

$

,

,

.00

44T

$

,

,

.00

19T

A.

Outstanding at beginning of fiscal year . . . . . . . . . . . . . . . . . . . . . +

B.

Issued during fiscal year (include all refunding issues) . . . . . . . . . . . +

C.

Retired during fiscal year (include debt refunded) . . . . . . . . . . . . . .

D.

Outstanding total at end of fiscal year (item 2.A + 2.B - 2.C) . . . . . =

24T

-

Short-term (interest-bearing) Debt
Tax-anticipation notes, bond-anticipation notes, interest-bearing warrants, and other obligations
with an original term of one year or less.
Exclude accounts payable, other non-interest-bearing obligations,
and current portion of long-term debt (reported as longterm debt above).
3.

Amount outstanding at beginning of fiscal year . . . . . . . . . . . . . . . . . . 61V

4.

Amount outstanding at end of fiscal year . . . . . . . . . . . . . . . . . . . . . . . 64V

▲

Short-term Debt
$

,

,

.00

$

,

,

.00

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Part 11

CASH AND INVESTMENTS HELD AT END OF FISCAL YEAR

▼

Report cash and investments held at the end of the fiscal year indicated in Part 1 , including:
•
The total amount of cash and cash equivalents on hand and on deposit
•
Investments in Federal government, Federal agency, State and local government and
non-governmental securities
Report all investments at market value.
Exclude accounts receivable, value of real property, and all non-security assets.

Amount at end
of fiscal year

1.

Reserves held for redemption of long-term debt (e.g., sinking
$
or debt service funds). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .W01
.
Include any mortgages and notes receivable held as offsets
to housing and industrial financing loans

,

,

.00

2.

Unexpended proceeds from sale of bond issues held pending
$
disbursement (e.g., bond funds). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .W31

,

,

.00

3.

All other cash and investments - checking/savings accounts, CD’s, stocks,
$
bonds, mutual funds, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .W61
Exclude employee retirement funds.

,

,

.00

Part 12

REMARKS

Part 13

CERTIFICATION

This report is substantially accurate and has been prepared in accordance with the instructions.
Name of person completing report - Please print

Title of person completing report - Please print

Date form was completed

Telephone Number
Area Code

▲

Number

Ext.

Email Address - Please print

Thank you for your report. Please return to:

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

▲

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 size of their service areas, the amount of
population served, and the extent and complexity of their financial accounts. We estimate public reporting burden for this collection of
information to vary from 2.0 to 8.0 hours per response, with an average of 3.0 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, 4600 Silver Hill Road, AMSD-3K138, Washington, D.C. 20233. You may e-mail
comments to [email protected]; use "Paperwork Project 0607-0585" as the subject.

Census Use Only
F-29 (9-11-2007)

29200708

BEG

REV

EXP

REP

DIFF

V98

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