Form Pf-1-02 - Survey Of County Board Finances - Department Of Audit Page 3

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PART 3 – DEBT OUTSTANDING, ISSUED AND RETIRED
FmHA
State Land
All
Total
(SLIB)
Other
Outstanding at beginning of fiscal year
$________ $_________
$_______
$_________
Total issued during fiscal year
(add)
$________
$_________
$_______
$_________
Total retired during fiscal year
(less)
$________
$_________
$_______ $_________
Outstanding at end of fiscal year
$________
$_________
$_______ $_________
Part 4 – CASH AND INVESTMENTS HELD AT END OF FISCAL YEAR
Report separately for each of the types of funds listed below, the total amount of cash on hand and on deposit and investments in
Federal government, Federal agency, State and local government and non-governmental securities this should include the amounts
in B, C, D & E below. Report all investments at book value. Include in the sinking fund total any mortgages and notes receivable
held as offsets to housing and industrial financing loans. Exclude accounts receivable, value of real property and all non-security
assets.
A. Cash and Investments
Cash
CD
Other
Total
General fund
$
$
$
$
Special revenue fund
Fiduciary (trust and agency) funds
Special assessment funds
Enterprise funds
Retirement
Other
Total Cash and Investments
$
$
$
$
B. Non spendable Fund Balance – Cannot be spent
because it is not in spendable form or legally/contractually
required to remain intact.
a.
$
b.
$
c.
$
C. Restricted Fund Balance – Constraints externally imposed or constrained by enabling
legislation which has legal enforceability.
a.
$
b.
$
c.
$
D. Committed Fund Balance – Amounts only allowed for a specific purpose pursuant to
constraints of formal action by highest level of entity authority. Such purpose cannot be
changed except by the same type of action (i.e., legislation, resolution and ordinance.)
a.
$
b.
$
c.
$
E.
Assigned Fund Balance – Amounts constrained by government’s intent to be used for
specific purpose, but not restricted
or committed.
a.
$
b.
$
c.
$
For year ended 2016
Page 3
PF-1-02

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