Payment in Lieu of Taxes Form

Payments in Lieu of Taxes (PILT Act)

ENCLOSURE 3

Statement of Federal Land Payments, (43 CFR 44)

OMB NO. 1093-0005

During The Period October 1, 2014 through September 30, 2015

EXPIRES: 12/31/2015

FEDERAL AGENCY MAKING PAYMENT AND TYPE OF PAYMENT

SECURE

FS

MMS/BLM

BLM SEC 3

BLM SEC 15

BLM

BLM

FERC

FW REFUGE

ALABAMA COUNTIES

FS TIMBER

SCHOOLS

BANKHEAD

MINERAL

TAYLOR

TAYLOR

BANKHEAD

SALE OF

POWER

REVENUE

REC FOR

TITLE I*

TITLE III

JONES

LEASING*

GRAZING

GRAZING

JONES

MATERIALS

SALES*

SHARING

TOTAL

REC ADJ

ACCEPT

AUTAUGA COUNTY

BALDWIN COUNTY

BARBOUR COUNTY

BIBB COUNTY

CALHOUN COUNTY

CHAMBERS COUNTY

CHEROKEE COUNTY

CHILTON COUNTY

CHOCTAW COUNTY

CLARKE COUNTY

CLAY COUNTY

CLEBURNE COUNTY

COFFEE COUNTY

COLBERT COUNTY

CONECUH COUNTY

COOSA COUNTY

COVINGTON COUNTY

CRENSHAW COUNTY

CULLMAN COUNTY

DALE COUNTY

DALLAS COUNTY

DE KALB COUNTY

ELMORE COUNTY

ESCAMBIA COUNTY

ETOWAH COUNTY

FAYETTE COUNTY

FRANKLIN COUNTY

GREENE COUNTY

HALE COUNTY

HENRY COUNTY

HOUSTON COUNTY

JACKSON COUNTY

JEFFERSON COUNTY

LAMAR COUNTY

LAUDERDALE COUNTY

LAWRENCE COUNTY

LEE COUNTY

LOWNDES COUNTY

MACON COUNTY

MARENGO COUNTY

MARSHALL COUNTY

MOBILE COUNTY

MONROE COUNTY

MONTGOMERY COUNTY

PERRY COUNTY

PICKENS COUNTY

PIKE COUNTY

RANDOLPH COUNTY

RUSSELL COUNTY

SHELBY COUNTY

ST CLAIR COUNTY

SUMTER COUNTY

TALLADEGA COUNTY

TALLAPOOSA COUNTY

TUSCALOOSA COUNTY

WASHINGTON COUNTY

WILCOX COUNTY

WINSTON COUNTY

TOTAL

NOTE: AMOUNTS SHOWN ON THIS TABLE REPRESENT PAYMENTS MADE TO STATE OR LOCAL GOVERNMENTS DURING THE

TIME PERIOD OF OCTOBER 2014 THROUGH SEPTEMBER 2015. PAYMENTS MADE DIRECTLY TO THE STATE

GOVERNMENT ARE MARKED WITH AN (*) , PAYMENTS MADE DIRECTLY TO LOCAL GOVERNMENT UNITS ARE NOT

MARKED.

PLEASE BE SURE THAT PAYMENTS MARKED WITH AN (*) WERE ACTUALLY DISTRIBUTED BY THE STATE TO LOCAL

GOVERNMENTS AND WERE DISTRIBUTED OR RECEIVED BY THE LOCAL GOVERNMENT DURING THE OCTOBER 2014

THROUGH SEPTEMBER 2015 TIME PERIOD.

IF ANY PAYMENTS MADE TO THE STATE WERE NOT DISTRIBUTED TO LOCAL GOVERNMENTS AT ALL OR

WERE NOT DISTRIBUTED TO LOCAL GOVERNMENTS DURING THE OCTOBER 2014 THROUGH SEPTEMBER 2015

TIME PERIOD THEN THEY SHOULD NOT BE INCLUDED IN THE REPORT THAT WE ARE REQUESTING. PLEASE CHECK

WITH YOUR STATE TREASURER’S OFFICE TO DETERMINE IF STATE RECEIVED PAYMENTS WERE DISTRIBUTED AND

WHEN.

Paperwork Reduction Act Statement The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.) requires us to inform you that this information is being used to compute payments due units of general local government under the PILT Act (31 U.S.C. 6901-6907). Response to this request is required to obtain a benefit. The public reporting burden for this collection of information is estimated to average 46 hours per response, including the time required for gathering the data needed and completing and reviewing the collection of information form. Send comments on the burden estimate or on any other aspect of this information collection, including suggestions for reducing this burden, to Department of the Interior, Office of Budget, MS 7413 MIB, 1849 C St. NW, Washington, DC 20240. Under the Paperwork Reduction Act, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.