Form 1428 - Application For State Treasurer'S Approval To Issue Long-Term Securities Page 3

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1428, Page 3
TAX INFORMATION
Fiscal Year
Date Taxes Due
Date Taxes Delinquent
Maximum authorized statutory, constitutional or charter tax levy
mills
Maximum estimated annual millage requirement for this issue
mills
Date of first levy for this issue (if tax supported)
Tax Collection History for Last Four Completed Fiscal Years
Fiscal Year Ending
Tax Levy
Collections to Date Delinquent
Percentage
20
$
$
%
20
$
$
%
20
$
$
%
20
$
$
%
Municipal Millage Rates
Operating
Debt
Other
for 20 _____
Yes
No
This municipality is in compliance with the provisions of Article IX, Section 6, of the Michigan Constitution of 1963
SEV INFORMATION
Current Year
Breakdown of Current Year's
State Equalized Valuation
$
STATE
Prior Year
Industrial
EQUALIZED
%
$
VALUATION
Prior Year
Commercial
%
$
Current Year
Utility
%
$
TAXABLE
Prior Year
Agricultural
%
$
VALUE
Prior Year
Residential
%
$
Census
Other
%
Current
Census
POPULATION
100%
TOTAL
2000
Census
1990
SEV PER CAPITA
Current Year
$
DEBT INFORMATION
You must attach the following lists unless the Department of Treasury waives the requirement for this detail:
1.
All outstanding securities or debt with no full faith and credit pledge. Include title and date of issue and the amount outstanding.
2.
All outstanding securities or debt with either a limited or unlimited full faith and credit pledge. Include title, date and type of issue, the amount outstanding, and the amount
supported by taxes.
3.
All outstanding securities or debt with either a limited or unlimited full faith and credit pledge that has been issued by an overlapping municipality. Include the name of the
issuing municipality, the amount outstanding, the share applicable to your municipality, the net tax supported amount outstanding and the share applicable to your
municipality.
4.
All projects currently being planned for future indebtedness. Include an estimate of the amount of indebtedness to be incurred.
REPAYMENT SCHEDULE
Attach a schedule of revenues available for repayment of the proposed and outstanding securities and indicate coverage. Include operation and
maintenance expenses and reserve requirements (when applicable) in addition to principal and interest requirements. Begin with one year of actual
revenues and expenses. Revenue supported securities need only project for a 7 to 10 year period. In lieu of this schedule, voted general obligation
securities may submit a principal and interest schedule.

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