Fillable Printable Detailed Capital Budget Form
Fillable Printable Detailed Capital Budget Form
Detailed Capital Budget Form
CAPITAL BUDGET
FY2011 - FY2015
CAPITAL EXPENDITURE/ITEM REQUEST FORM
PLEASE PREPARE AND SUBMIT TWO (2) COPIES TO THE TOWN ADMINISTRATOR'S OFFICE
1.
2.
3.
4.
5.
6.
7. Cost:
8.
How will expenditure be funded?
9.
10.
Will the expenditure produce new revenue?
11.
If yes, please identify how and how much revenue:
12.What will be the additional annual operating cost?
13.
Will this expenditure remove property from the tax list?
If yes, please provide cost/benefit analysis:
14.
Please be sure to provide backup information.
Backup information attached
Division:
Department:
Fiscal Year:
Priority #:
Item/Expenditure:
Location:
Description of Project/Equipment/Item/Expenditure:
Need for Project/Equipment/Item/Expenditure:
Design of Plan
Estimated Completion/Receipt Date:
Estimated Start/Purchase Date:
TOTAL
Equipment
Inspection
Construction
Land Acquisition
Town Funds
State FundsFederal Funds
Please identify specific funds (Grants, Taxation, Rates, etc)
No
Yes
or will submit by:
1st Year
2nd Year
3rd Year
4th & Future Year
Why
YesNo
Submitted by:
Title:
CAPITAL BUDGET FY2011 - FY2015
REQUEST SUMMARY SHEET BY PRIORITY
(See Page 7 of summary sheet for priorities 5-8 for each year)
FY2011
Priority #
Item/Expenditure/Project Title
Cost
1
2
Department:Division:
3
4
CAPITAL BUDGET FY2011 - FY2015
REQUEST SUMMARY SHEET BY PRIORITY
FY2012
Priority #
Item/Expenditure/Project Title
Cost
1
2
3
4
CAPITAL BUDGET FY2011 - FY2015
REQUEST SUMMARY SHEET BY PRIORITY
FY2013
Priority #
Item/Expenditure/Project Title
Cost
1
2
3
4
CAPITAL BUDGET FY2011 - FY2015
REQUEST SUMMARY SHEET BY PRIORITY
FY2014
Priority #
Item/Expenditure/Project Title
Cost
1
2
3
4
CAPITAL BUDGET FY2011 - FY2015
REQUEST SUMMARY SHEET BY PRIORITY
FY2015
Priority #
Item/Expenditure/Project Title
Cost
1
2
3
4
CAPITAL BUDGET FY2011 - FY2015
REQUEST SUMMARY SHEET BY PRIORITY
FY2011
Priority #
Item/Expenditure/Project Title
Cost
5
6
7
8
PRIORITY 5 THROUGH 8
FY2012
Priority #
Item/Expenditure/Project Title
Cost
5
6
7
8
FY2013
Priority #
Item/Expenditure/Project Title
Cost
5
6
7
8
FY2014
Priority #
Item/Expenditure/Project Title
Cost
5
6
7
8
FY2015
Priority #
Item/Expenditure/Project Title
Cost
5
6
7
8
