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["FINANCIAL HARDSHIP WORKSHEET"]
["CURRENT FINANCIAL CONDITION OF DISTRICT TO SUPPORT FINANCIAL HARDSHIP REQUEST"]
["DISTRICT",null,"COUNTY",null,null,"DATE"]
[]
[null,"CAPITAL PROJECT FUND   _________________"]
[null,"Column 1","Column 2","Column 3","Column 4","Column 5"]
["Statement of revenues, expenditures and changes in fund balance for fund  __________","Amounts from District's Audited Financial Statement                 June 30, ________","Subsequent        Events as of  __________","Total from          Column 1 and Column 2","Adjustments per OPSC Review","Financial Balances per OPSC"]
["Revenues (Actual):"]
["Developer Fees",0,0,{"$f":"SUM(B9:C9)","v":0},0,{"$f":"D9+E9","v":0}]
["Federal Funds",0,0,{"$f":"SUM(B10:C10)","v":0},0,{"$f":"E10+D10","v":0}]
["Redevelopment Funds",0,0,0,0,0]
["Surplus Property Sales",0,0,0,0,0]
["General Obligation Bonds",0,0,0,0,0]
["Earnings on Investments",0,0,0,0,0]
["Other Local Revenues",0,0,0,0,0]
["Other - ",0,0,0,0,0]
["(1) Total Revenues",{"$f":"SUM(B9:B16)","v":0},{"$f":"SUM(C9:C16)","v":0},{"$f":"SUM(D9:D16)","v":0},{"$f":"SUM(E9:E16)","v":0},{"$f":"SUM(F9:F16)","v":0}]
["Expenditures (Actual):"]
["Services & Operating",0,0,{"$f":"SUM(B19:C19)","v":0},0,{"$f":"D19+E19","v":0}]
["Capital Outlay",0,0,0,0,{"$f":"E20+D20","v":0}]
["Debt Services",0,0,0,0,{"$f":"E21+D21","v":0}]
["Construction Costs for Schools",0,0,0,0,{"$f":"E22+D22","v":0}]
["Other - ",0,0,0,0,{"$f":"E23+D23","v":0}]
["Other - ",0,0,0,0,{"$f":"E24+D24","v":0}]
["(2) Total Expenditures",{"$f":"SUM(B19:B24)","v":0},{"$f":"SUM(C19:C24)","v":0},{"$f":"SUM(D19:D24)","v":0},{"$f":"SUM(E19:E24)","v":0},{"$f":"SUM(F19:F24)","v":0}]
["(3) Excess of Revenues over/(under) expenditures  (Line 1 - Line 2)",{"$f":"B17-B25","v":0},{"$f":"C17-C25","v":0},{"$f":"D17-D25","v":0},{"$f":"E17-E25","v":0},{"$f":"SUM(B26 +C26+E26)","v":0}]
["Other Financing Sources (uses)"]
["Operating Transfers In",0,0,{"$f":"C28+B28","v":0},0,{"$f":"E28+D28","v":0}]
["Operating Transfers Out",0,0,{"$f":"C29+B29","v":0},0,{"$f":"E29+D29","v":0}]
["Other Sources (list out)",0,0,{"$f":"C30+B30","v":0},0,{"$f":"D30+E30","v":0}]
["(4) Total Other Financing Sources/(Uses)",{"$f":"SUM(B28:B30)","v":0},{"$f":"SUM(C28:C30)","v":0},{"$f":"SUM(D28:D30)","v":0},{"$f":"SUM(E28:E30)","v":0},{"$f":"SUM(F28:F30)","v":0}]
["(5) Excess of Revenues and other Financing Sources over/(under) Expenditures and other uses (Line 3 + Line 4)",{"$f":"+B26+B31","v":0},{"$f":"+C26+C31","v":0},{"$f":"+D26+D31","v":0},{"$f":"+E26+E31","v":0},{"$f":"F26+F31","v":0}]
["(6) Fund Balance - July 1 (Beginning of Year)",0,null,{"$f":"B33","v":0},null,{"$f":"D33","v":0}]
["a. Equity transfer",0,0,{"$f":"C34+B34","v":0},0,{"$f":"D34+E34","v":0}]
["b. Reserved for encumbrances",0,0,{"$f":"C35+B35","v":0},0,{"$f":"D35+E35","v":0}]
["(7) Adjusted Fund Balance - July 1                  (Beginning year) (Line 6+a+b)",{"$f":"B33+B34+B35","v":0},{"$f":"C33+C34+C35","v":0},{"$f":"D33+D34+D35","v":0},{"$f":"E33+E34+E35","v":0},{"$f":"F33+F34+F35","v":0}]
["(8) Final Fund Balance - June 30 (End of Year) (Line 5 + Line 7)",{"$f":"B32+B36","v":0},{"$f":"C32+C36","v":0},{"$f":"D32+D36","v":0},{"$f":"E32+E36","v":0},{"$f":"F32+F36","v":0}]
["Bonds authorized $0.00",null,null,null,0]
["sold  $0.00",null,null,null,0,{"$f":"E38+E39","v":0}]
[" (9) Adjusted Fund Balance per Review",{"$f":"SUM(B37:B39)","v":0},{"$f":"SUM(C37:C39)","v":0},{"$f":"SUM(D37:D39)","v":0},{"$f":"SUM(E37:E39)","v":0},{"$f":"SUM(F37:F39)","v":0}]
["I certify, as the District Representative, that the amounts represented above, and all supporting documentation, are true and"]
["correct, and the amount reflected in Column 5 is available for contribution."]
["SIGNATURE OF DISTRICT REPRESENTATIVE",null,null,null," DATE"]
[]
["v"]