2012 DUE DATE: December 31. 2012 Mail one copy to the State Auditor's Office IMPORTANT Please furnish data for your government's fiscal year that ended on June 30, 2012. This report will be used by the Office of the State Auditor, the Oklahoma Municipal League, pubic interest groups, and State and Federal agencies. The information will also be furnished to the CensusBureau. Forassistance in completing this report, please call the Off ice of the State Auditor at (405) 521-3495. When completed please return the form to the Office of the State Auditor and inspector. \ Office of the Auditor and Inspector RFTIIRM \ State of Oklahoma TO ) 230 ° Nortn "-'"coin Blvd. " / Room 100 State Capitol / Oklahoma City, OK 73105 FORM SA&I 2644 OFFICE OF THE STATE AUDITOR AND INSPECTOR STATE OF OKLAHOMA GARY 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 REVENUES Report all funds of your government, including public trusts; water districts; joint airport boards; parking distr cts; rural water, sewer, gas and 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 propertytaxes, including property taxes collected 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 estax, report the amount of this tax actually received 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 occupations and businesses. Includes building permits, plumbing and e ectrical permits, dog tags, taxi and bicycle license, vending machine licenses, beer and liquor licenses, etc. 5. Other licensing and permits 6. Other TOTAL 1 AX 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 grants a. 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 1,987 T28 T29 1,000 TS9 $ 2,987 C30 88 581 C89 D89 65 B89 CAA $ 734 A81 A80 m m M, A89 25 U30 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 $