2012

DUE DATE: December 31. 2012Mail one copy to the State Auditor's Office

IMPORTANT

Please furnish data for your government's fiscal year that ended onJune 30, 2012.

This report will be used by the Office of the State Auditor, theOklahoma Municipal League, pubic interest groups, and State andFederal agencies. The information will also be furnished to theCensus Bureau.

Forassistance in completing this report, please call the Off ice of theState Auditor at (405) 521-3495. When completed please return theform to the Office of the State Auditor and inspector.

\ Office of the Auditor and InspectorRFTIIRM \ State of OklahomaTO ) 230° Nortn "-'"coin Blvd." / Room 100 State Capitol

/ Oklahoma City, OK 73105

FORM SA&I 2644OFFICE OF THE STATE AUDITOR AND INSPECTOR

STATE OF OKLAHOMAGARY JONES, AUDITOR AND INSPECTOR

ANNUAL SURVEY OF CITY AND TOWN FINANCES

TOWN OF SMITH VILLAGE

BARBARA SPEAKS, CLERK

1507 ADELINE AVE.

DEL CITY, OK 73115

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

3Q| TAX REVENUESReport all funds of your government, including public trusts; water districts; joint airport boards; parking distr cts; rural water, sewer, gasand solid waste management districts (with ex offido boards); separate road districts; sewer districts;utilities authorities; and zoning districts.

Transfers — Exclude transfers and amounts drawn from sale or purchase of investments.

I em

A. Tax revenues

1 . Property taxes, penalties and interest - Report all municipal property taxes, including property taxescollected by the county and paid to your municipality for the retirement of G.O. bonds.

2. Municipal sales tax - If your municipality imposes a local sa es tax, report the amount of this tax actuallyreceived from the State, which collects this tax for cities and towns.

3. Franchise taxes -Taxes imposed by your city or town on the receipts of a utility, such as gas, electric,telephone, cable, etc.

4. Business and occupation licensing and permits - Licenses and inspection charges on occupationsand businesses. Includes building permits, plumbing and e ectrical permits, dog tags, taxi and bicyclelicense, vending machine licenses, beer and liquor licenses, etc.

5. Other licensing and permits

6. Other

TOTAL 1AX REVENUES jfc.

B. Intergovernmental revenues

1 . Liquor tax from State

2. Gas tax, tags, vehicle fees from State

3. Other State grants and reimbursements (Identify)

4. Reimbursements from other local governments

5. Federal grantsa.

b.

6. Utility grants (type of utility)a.

b.

TOTAL INTERGOVERNMEN

C. Other revenues

1. Trash collection charges

2. Sewer fees

3. Water utility charges

4. Electric utility charges

5. Gas utility charges

6. Miscellaneous commercial activity

7. All other charges for services

8. Interest earnings

9. Fines and forfeits (City or town share only)

10. Other miscellaneous revenues

TOTAL OTHER REVENUES >•

General Fund Amount(Omit cents)

01

09

15

1,987T28

T29

1,000

TS9

$ 2,987

C30

88

581C89

D89

65B89

CAA

$ 734

A81

A80

m

m

M,

A89

25U30

IJ99

336

$ 361

Other Funds Amount(Omit cents)

01

09

15

28

T29

99

$

BW

AA

$AS1

A80

A91

A92

A93

A03

A89

U20

U30

U99

$

|̂ |m EXPENDITURES — CURRENT AND CAPITAL

Current expenditures are for salaries and wages and day-to-day opera ions.

Capital expenditures are for purchase of equipment, and, buildings, and for construction.

Expenditures

1. Financial — genera administration

2. Streets and alleys

3. Police

4. Fire

5. Trash collection

6. Sewer

7. Water utility

8. Electric utility

9. Gas utility

10. Debt service

11. Miscellaneous commercial activity

12. All other expenditur s

TOTAL~*

Amount (Omit cents)

Current

(a)E23

E44

E62

624

E81

E80

E91

E92

E93

E23

E03

4603E89

$ 4603

Report salaries and wages for all employees, full- and part-time. Include salaries paid by any utilityowned and operated by your government. Report salaries and wages before deductions forincome taxes, social security or retirement coverage.

Also include

Item

1. Water utility

2. Electric utility

3. Gas utility

4. All other debt

5. Industrial revenueand pollutioncontrol debt

industrial revenue or pollution control bonds

Capital

(b)G23

F44

G62

G24

F81

F80

F91

F92

F93

F03

F89

V98

$

Amount (Omit cents)

Z00

$

if issued by your cty or town.

Amoun (Omit cents)

Outstandingdebt, beginning

of year

(a)19U

19U

19U

19U

Debt during th

Issued(b)

29U

29U

29U

29U

s fiscal year

Retired(c)

39U

39U

39U

39U

34T

Outstanding at end fiscal year interefr

Revenue bonds G.O. bonds(d) (e)

49U 41 U 91

49U 41 U 92

49U 41U 93

49U 41 U 89

44T

1 ASSETS

Total cash and investments of municipal funds at the end of the fiscal year.

st paid thissal year

(f)

Amount (Omit cents)

W61$ 13971

Remarks

,tSUI DATA SUPPLIED BY:

Signature of official

/

Date

9'*4~t}.•Printed name of official

Jerry W. Putnam

Email

Page 2

Title

Auditor

Area code Number

Telephone 4Q5 348-3800

Extension

FORM SA&I 2644 (revised 1/ 2: 8/21 idh