BUDGET OF THE TOWN OF: Appropriations and Estimates of Revenue for the Ensuing Year January 1, to December 31, or Fiscal Year From to IMPORTANT:

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1 BUDGET OF THE TOWN OF: Appropriations and Estimates of Revenue for the Ensuing Year January 1, to December 31, or Fiscal Year From to IMPORTANT: Please read RSA 32:5 applicable to all municipalities. 1. Use this form to list the operating budget and all special and individual warrant articles in the appropriate recommended and not recommended area. All proposed appropriations must be on this form. 2. Hold at least one public hearing on this budget. 3. When completed, a copy of the budget must be posted with the warrant. Another copy must be placed on file with the town clerk, and a copy sent to the Department of Revenue Administration at the address below within 20 days after the meeting. This form was posted with the warrant on (Date): GOVERNING BODY (SELECTMEN) Please sign in ink. THIS BUDGET SHALL BE POSTED WITH THE TOWN WARRANT FOR DRA USE ONLY NH DEPARTMENT OF REVENUE ADMINISTRATION MUNICIPAL SERVICES DIVISION P.O. BOX 487, CONCORD, NH (603)

2 OP Bud. Appropriations Actual Appropriations Appropriations PURPOSE OF APPROPRIATIONS Warr. Prior Year As Expenditures Ensuing FY Ensuing FY Acct. # (RSA 32:3,V) Art.# Approved by DRA Prior Year (RECOMMENDED) (NOT RECOMMENDED) GENERAL GOVERNMENT xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx Executive Election,Reg.& Vital Statistics Financial Administration Revaluation of Property Legal Expense Personnel Administration Planning & Zoning General Government Buildings Cemeteries Insurance Advertising & Regional Assoc Other General Government PUBLIC SAFETY xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx Police Ambulance Fire Building Inspection Emergency Management Other (Incl. Communications) AIRPORT/AVIATION CENTER xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx Airport Operations 4311 Administration HIGHWAYS & STREETS xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx 4312 Highways & Streets Bridges 4316 Street Lighting Other SANITATION xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx 4321 Administration 4323 Solid Waste Collection 4324 Solid Waste Disposal Solid Waste Clean-up Sewage Coll. & Disposal & Other 2

3 OP Bud. Appropriations Actual Appropriations Appropriations PURPOSE OF APPROPRIATIONS Warr. Prior Year As Expenditures Ensuing FY Ensuing FY Acct. # (RSA 32:3,V) Art.# Approved by DRA Prior Year (RECOMMENDED) (NOT RECOMMENDED) WATER DISTRIBUTION & TREATMENT xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx 4331 Administration 4332 Water Services Water Treatment, Conserv.& Other Admin. and Generation 4353 Purchase Costs 4354 Electric Equipment Maintenance 4359 Other Electric Costs ELECTRIC xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx HEALTH xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx 4411 Administration Pest Control Health Agencies & Hosp. & Other WELFARE xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx Administration & Direct Assist Intergovernmental Welfare Pymnts Vendor Payments & Other CULTURE & RECREATION xxxxxxxxx xxxxxxxxx xxxxxxxxx Parks & Recreation Library 4583 Patriotic Purposes Other Culture & Recreation CONSERVATION xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx Admin.& Purch. of Nat. Resources Other Conservation REDEVELOPMENT & HOUSING ECONOMIC DEVELOPMENT 4711 Princ.- Long Term Bonds & Notes 4721 Interest-Long Term Bonds & Notes DEBT SERVICE xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx 4723 Int. on Tax Anticipation Notes Other Debt Service 3

4 OP Bud. Appropriations Actual Appropriations Appropriations PURPOSE OF APPROPRIATIONS Warr. Prior Year As Expenditures Ensuing FY Ensuing FY Acct. # (RSA 32:3,V) Art.# Approved by DRA Prior Year (RECOMMENDED) (NOT RECOMMENDED) CAPITAL OUTLAY xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx 4901 Land 4902 Machinery, Vehicles & Equipment 4903 Buildings 4909 Improvements Other Than Bldgs. OPERATING TRANSFERS OUT xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxx 4912 To Special Revenue Fund 4913 To Capital Projects Fund 4914 To Enterprise Fund Sewer- Water- Electric- Airport To Capital Reserve Fund* 4916 To Exp.Tr.Fund-except #4917* 4917 To Health Maint. Trust Funds* 4918 To Nonexpendable Trust Funds 4919 To Fiduciary Funds OPERATING BUDGET TOTAL * Use special warrant article section on next page. 4

5 Budget - Town of FY **SPECIAL WARRANT ARTICLES** Special warrant articles are defined in RSA 32:3,VI, as appropriations: 1) in petitioned warrant articles; 2) appropriations raised by bonds or notes; 3) appropriation to a separate fund created pursuant to law, such as capital reserv e funds or trust funds; 4) an appropriation designated on the w arrant as a special article or as a nonlapsing or nontransferable article Appropriations Actual Appropriations PURPOSE OF APPROPRIATIONS Warr. Prior Year As Expenditures Ensuing FY Acct. # (RSA 32:3,V) Art.# Approved by DRA Prior Year (RECOMMENDED) 4290 Local Emergency Action Grant 8 $4, Disaster Damage 9 $70, Fire Engine 11 $400, Genesis Behavorial Health 15 $2, Central Street Bridge Constr. 8 $150,000 $150,000 $ Town Bridge Repair or Replace 10 $10,000 $10,000 $0 SPECIAL ARTICLES RECOMMENDED xxxxxxxxx xxxxxxxxx $477, **INDIVIDUAL WARRANT ARTICLES** "Individual" warrant articles are not necessarily the same as "special w arrant articles". Individual warrant articles might be negotiated cost items for labor agreements or items of a one time nature y ou wish to address individually Appropriations Actual Appropriations PURPOSE OF APPROPRIATIONS Warr. Prior Year As Expenditures Ensuing FY Acct. # (RSA 32:3,V) Art.# Approved by DRA Prior Year (RECOMMENDED) 4902 Highway 6-wheel Dump Truck 10 $27, Fire Dept. Fire & Rescue Equip 12 $54, Refurbish Body & Pump 17E4 13 $20, Refrb Body & Pump,Tires 17E3 14 $11, Police Cruiser 8 $27, $24, Ballistic Shield 9 $4, $3, Transfer Station Baler 11 $11, $11, Air Compressor Systems & Equip 12 $151, $ Air Packs & Masks 13 $42, $40, Lead Biphasic Defibrillator 14 $15, $11, IV Pump & CPAP 15 $5, $2, Ambulance Lap Top Computer 16 $4, $1, INDIVIDUAL ARTICLES RECOMMENDED xxxxxxxxx xxxxxxxxx $112,

6 7 Appropriations Ensuing FY (NOT RECOMMENDED) xxxxxxxxx 7 Appropriations Ensuing FY (NOT RECOMMENDED) xxxxxxxxx 5

7 Actual Estimated Warr. Estimated Revenues Revenues Revenues Acct. # SOURCE OF REVENUE Art.# Prior Year Prior Year Ensuing Year TAXES xxxxxxxxx xxxxxxxxx xxxxxxxxx 3120 Land Use Change Taxes - General Fund Resident Taxes 3185 Timber Taxes Payment in Lieu of Taxes Other Taxes 3190 Interest & Penalties on Delinquent Taxes Inventory Penalties 3187 Excavation Tax ($.02 cents per cu yd) LICENSES, PERMITS & FEES xxxxxxxxx xxxxxxxxx xxxxxxxxx 3210 Business Licenses & Permits Motor Vehicle Permit Fees Building Permits Other Licenses, Permits & Fees FROM FEDERAL GOVERNMENT FROM STATE xxxxxxxxx xxxxxxxxx xxxxxxxxx 3351 Shared Revenues Meals & Rooms Tax Distribution Highway Block Grant Water Pollution Grant 3355 Housing & Community Development 3356 State & Federal Forest Land Reimbursement Flood Control Reimbursement Other (Including Railroad Tax) FROM OTHER GOVERNMENTS CHARGES FOR SERVICES xxxxxxxxx xxxxxxxxx xxxxxxxxx Income from Departments Other Charges MISCELLANEOUS REVENUES xxxxxxxxx xxxxxxxxx xxxxxxxxx 3501 Sale of Municipal Property Interest on Investments Other

8 Actual Estimated Warr. Estimated Revenues Revenues Revenues Acct. # SOURCE OF REVENUE Art.# Prior Year Prior Year Ensuing Year INTERFUND OPERATING TRANSFERS IN xxxxxxxxx xxxxxxxxx xxxxxxxxx 3912 From Special Revenue Funds From Capital Projects Funds 3914 From Enterprise Funds Sewer - (Offset) Water - (Offset) Electric - (Offset) Airport - (Offset) 3915 From Capital Reserve Funds From Trust & Fiduciary Funds 3917 Transfers from Conservation Funds OTHER FINANCING SOURCES xxxxxxxxx xxxxxxxxx xxxxxxxxx 3934 Proc. from Long Term Bonds & Notes Amount VOTED From F/B ("Surplus") Fund Balance ("Surplus") to Reduce Taxes TOTAL ESTIMATED REVENUE & CREDITS **BUDGET SUMMARY** Prior Year Ensuing Year Operating Budget Appropriations Recommended (from page 4) Special Warrant Articles Recommended (from page 5) Individual Warrant Articles Recommended (from page 5) TOTAL Appropriations Recommended Less: Amount of Estimated Revenues & Credits (from above) Estimated Amount of Taxes to be Raised

9 INSTRUCTIONS FOR FORM BUDGET OF THE TOWN Pages 2-4 Operating Budget Use these pages for the proposed operating budget. RSA 32:5 requires this budget be prepared on a "gross" basis, showing all revenues and appropriations. Complete column 4, entitled "Appropriations Prior Year As Approved by DRA". In column 5 enter the prior year's actual expenditures. If the fiscal year is July-June, enter the actual expenditures for the most recently completed fiscal year. In column 6, enter the selectman's recommended budget for the coming year and use column 7 for those appropriations not recommended. Use page 5 for proposed appropriations other than the operating budget. RSA 32 requires all appropriations be posted. Page 5 Special Warrant Articles This means the operating budget and all special and individual warrant articles must be posted. Special warrant articles are defined in RSA 32:3, VI, as: 1) petitioned warrant articles; 2) an article whose appropriation is raised by bonds or notes; 3) an article which calls for an appropriation to a separate fund created pursuant to law, such as capital reserve funds or turst funds; and 4) any article designated on the warrant as a nonlapsing or nontransferable article. Be sure to list the account number and warrant article number. Add additional pages if necessary. Page 5 Individual Warrant Articles Pages 6-7 Revenues "Individual" warrant articles are not necessarily the same as "special warrant articles". Examples of individual warrant articles could be ratification of negotiated cost items for labor agreements, leases, or items of a one time nature. Be sure to list the account number and warrant article number. Insert last year's estimated and actual revenue in columns 4 & 5. Enter this year's estimate of revenue in the "Estimated Revenue", column 6. The "Warr. Art. #", column 3, is for any related warrant article. Be sure to complete the "Budget Summary" section. Posting & Report Distribution A hearing must be held on the budget and a signed copy of this budget must be posted with the warrant. Within 20 days after the meeting, send a signed copy to the Commissioner of Revenue Administration at the address below. Default Budget RSA 32:5, VII (b) If you have adopted SB2, you will also need to complete and post a default budget form showing how the default budget was calculated. This task may be delegated to the budget committee if so voted under RSA 40:14-b. This form is available on our website: NH DEPARTMENT OF REVENUE ADMINISTRATION MUNICIPAL SERVICES DIVISION P.O. BOX 487, CONCORD, NH (603)