the municipal secretary desktop reference manual - Southwestern ...

FORM TITLE: Actual Use Report of State Funds
OFFICIAL NUMBER: MS-965
DUE DATE: January 31st of each year
WHERE TO SEND COMPLETED FORM: District PennDOT Municipal Services office
NUMBER OF COPIES REQUIRED: FOUR (One original and three copies)
FOR ASSISTANCE: Municipal Services Representative in your District PennDOT office
FAILURE TO SUBMIT FORM RESULTS IN: Withholding of Liquid Fuels funding
PRIOR TO COMPLETING, ASSEMBLE THE FOLLOWING INFORMATION:
Prior year's ledger
Prior year's MS-965
Current year's budget
Notice of pending Liquid Fuels allocation (usually mailed in November)
In addition, you will need to know the amount of the bond for the Treasurer for the
coming year
HELPFUL HINTS:
The Record of Checks portion of the form can be completed as the checks are
written during the year.
Some municipalities pay for everything out of their General Fund, then reimburse
the General Fund for large line-item expenses out of the Liquid Fuels Fund, such as
their street lighting or their entire Road Department payroll. Suggested by
PennDOT auditors, this simplifies preparation for the PennDOT audit and the
preparation of this particular form.
Local Municipal Service Representatives can now provide the forms on a floppy
disk.
This form may now be completed on-line as well as hard-copy.
For information on e-filing, or help with the MS-965, contact your Municipal
Services Representative (page III-23).
V-17
Revised May 2006