(Set forth in the following form, the figures showing whether the self-liquidating utility(s) have supported themselves during fiscal year 2008

Utility (Insert Applicable Utility)

  1. Total Cash Receipts from Fees, Rents or other Charges for Year (509 1-00)
  2. Operating and Maintenance Cost (509 2-00)
  3. Debt Service per Sewer Accounts (a) Interest (b) Notes (c) Serial Bonds (d) Sinking Fund Requirement 4. Debt Service per Current Budget (N.J.S.A. 40A:2-52) (509 3-00) (509 4-00) (509 5-00) (509 6-00)
  4. Interest on
  5. Refunding Bonds
  6. Refunding Bonds
  7. Anticipated Deficit in Dedicated
  8. Assessment Budget (509 9-00)\n(510 0-00) $0.00
  9. Total Debt Service
  10. Total Deductions(Line 2 plus Line 6) (510 1-00)\n(510 2-00) $0.00
  11. Excess in Revenues(Line 1 minus Line 7) (510 2-00) $0.00
  12. Deficit in Revenues (Line 7 minus Line 1) (510 3-00) $0.00
  13. Total Debt Service (Line 6) (510 4-00) $0.00
  14. Deficit(smaller of Line 9 or Line 10) to Page 5 (510 5-00)
  15. If Excess in Revenues (Line 8) all Utility Debt is Deductible
  16. Utility (Insert Applicable Utility)
  17. Total Cash Receipts from Fees, Rents or other Charges for Year (509 1-00) 0
  18. Operating and Maintenance Cost (509 2-00) 0.00
  19. Debt Service per Water Accounts
  20. Interest (509 3-00) 0.00
  21. Notes
  22. Serial Bonds (509 4-00) 0.00
  23. Sinking Fund Requirement (509 5-00) 0.00
  24. Debt Service per Current Budget (N.J.S.A. 40A:2-52)
  25. Interest on
  26. Refunding Bonds (509 7-00)
  27. Refunding Bonds (509 8-00)
  28. Assessment Budget (509 9-00)
  29. Anticipated Deficit in Dedicated
  30. Total Debt Service (510 0-00)
  31. Total Deductions(Line 13 plus Line 17) (510 1-00)
  32. Excess in Revenues(Line 12 minus Line 18) (510 2-00)
  33. Deficit in Revenues (Line 18 minus Line 12) (510 3-00)
  34. Total Debt Service (Line 17) (510 4-00)
  35. Deficit(smaller of Line 20 or Line 21) to Page 5 (510 5-00)

If Excess in Revenues (Line 19)all ___ Utility Debt is Deductible (If Municipality has other utilities or enterprises, additional pages are to be added to this statement.)