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									                                                                                                       2011 CAFR Information




Form Name            Long Term Liabilities Checklist

Due Date             September 23, 2011

Agency               #N/A


                  1 Have details been provided on retroactive restatement of prior year
                    balance?

                  2 Have details been provided on Other Long Term Obligations?

                  3 Does the sum of Revenue Bonds Payable, Mortgage Bonds Payable and
                    Notes/Loans Payable at June 30th equal the sum of all principal
                    payments from the debt service schedules?

                  4 Does the sum of Revenue Bonds Payable, Mortgage Bonds Payable and
                    Notes/Loans Payable amounts due within one year equal the sum of all
                    2011 principal payments from the debt service schedules?

                  5 Have the worksheets for Significant Commitments-General and Significant Commitment - Specific
                    been completed?




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                                                                                                                                                                  2011 CAFR Information




Form Name                           Long Term Liabilities

Due Date                            September 23, 2011

Applicable                          All organizations not receiving a financial statement audit from an independent CPA firm. Organizations receiving
Organizations                       independent audits could utilize this form to submit information, to SAO, supplemental to that included in their
                                    audited financial statements. Training related to this form is available online through the Carl Vinson Institute of
                                    Government and can be accessed by following the link below:
                                    http://www.cviog.uga.edu/endofyear


Submission                          E-MAIL the completed form to: SAO_Reporting@sao.ga.gov DO NOT SUBMIT PAPER COPY.
Requirements                        Please make sure file is named as follows - XXX_Form11_Long-Term Liabilities.xls (where XXX is the
                                    organization's entity code number) .

Purpose of Form                     Generally accepted accounting principles (GAAP) specify requirements for reporting financial statement balances
                                    and note disclosures for the State's long-term liabilities. The required disclosures should provide information
                                    separately for each major class of long-term liabilities such as revenue/mortgage bonds payable, notes/loans payable,
                                    and compensated absences payable. Do not report Capital Lease payables on this form. Information for capital
                                    leases will be reported on the form "Lease Agreement Data".

References                          Per GASB Codification Section 2300.114, information presented about long-term liabilities should include:
GASB/GAAP/APM
                                      ► Beginning and ending year balances (beginning balances will be provided by SAO)
                                      ► Increases (additions) and decreases (reductions) separately presented
                                      ► The portions of each item that are due within one year of the statement date

                                    Per GASB Codification Section C60, compensated absence is defined as:
                                     ► absences for which employees will be paid such as vacation, sick and other leave benefits

SAO Contact                         Sharon Hill
                                    shill@sao.ga.gov
                                    404-657-6242

General                             Definition of Compensated Absence -
Information
                                    Vacation leave (annual leave) and other compensated absences with similar characteristics should be accrued as a
                                    liability as benefits are earned by the employees, if the leave is attributable to past service and it is probable that the
                                    employer will compensate the employees for the benefits through paid time off or some other means, such as cash
                                    payments at termination or retirement. Compensated absences should not be accrued for vacation leave which is
                                    expected to lapse. Sick leave and other similar compensated absences should be accrued only to the extent that it is
                                    probable that the employer will compensate the employees for the benefits through cash payments conditioned on
                                    the employees' termination or retirement.


Instructions
  Section A.                        Select the entity code number from the drop-down menu (organization name should be automatically populated),
                                    enter preparer's name and preparer's telephone number at the top of the form.

    Section B.                      If any of the tabs in this workbook are not applicable to your organization, please indicate by selecting 'Not
                                    Applicable' from the drop down box on the worksheet tab and/or by selecting the 'Not Applicable' selection from the
                                    drop down box corresponding the tab name on the new 'Not Applicable' form . Either way of communication to let
                                    SAO know this form is Not Applicable to the organization is accepted.
    Section C.
    Line 1                          Compensated absences information should be provided by Non-PeopleSoft HCM (Human Capital Management
                                    system) organizations in the "Long Term Liability" form. Additions and reductions should be reported separately in
                                    the designated columns. The reductions column should include all payments made to employees upon retirement or
                                    termination. Balances should include applicable FICA and Health Insurance amounts. Amounts due within one year
                                    are calculated by taking the average of the current year and two previous years (3 year average) actual expenditures.
                                    Compensated absences information for PeopleSoft organizations will be obtained by the SAO directly from the
                                    system.

    Line 2                          Long-term liabilities information should be provided by all organizations in the "Long Term Liabilities" form.
                                    Additions and reductions must be reported separately in the designated columns. Amounts due within one year of
                                    the fiscal year end should be reported separately in the designated column.

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                                                                                                                                                            2011 CAFR Information




Form Name                           Long Term Liabilities

Due Date                            September 23, 2011

                                              Examples of long-term liabilities include bonds, mortgage payable, loans payable, notes payable, etc.

    Section D.                      If there is any activity in the rows for Revenue Bonds Payable, Mortgage Bonds Payable or Notes/Loans Payable -
                                    you must complete a Debt Service Schedule tab for each individual debt issuance.




                           SIGNIFICANT COMMITMENTS - GENERAL & SPECIFIC

                                    GAAP requires that material commitments, such as construction contracts, be disclosed. Commitments are defined
                                    as "existing arrangements to enter into future transactions or events, such as long-term contractual obligations with
                                    suppliers for future purchases at specified prices and sometimes at specified quantities". The most common
                                    disclosures of this type are as follows:

                                            • Construction contracts outstanding;
                                            • Loan guarantees,
                                            • Commitments and subsidies;
                                            • Leases;
                                            • Installment purchases;
                                            • Long-term debt (bonds and notes; and encumbrances).
                                    Significant long-term commitments not recognized in the financial statements must be disclosed.
                                    While encumbrances are typically recognized in the financial statements (budgetary basis of accounting), they are
                                    removed under GAAP and significant encumbrances must be disclosed in the notes to the financial statements.

                                    NOTE: Complete the following Significant Commitments worksheets only for each material contractual or
                                    construction commitment not recorded in general ledger payables outstanding at the end of the fiscal year. Do not
                                    include contracts for GSFIC-funded projects.

    Section E.                      Significant Commitments - General
                                    In the space provided, describe commitments that your organization has entered into as of the fiscal year end.
                                         1.) For any commitments included in the construction commitments area, complete an individual "Significant
                                         Commitments - Specific" worksheet for each construction contract.
                                         2.) In considering items to include as Other Commitments, examine outstanding encumbrances for any
                                         significant long-term commitments and examine other contractual agreements for amounts not reported on the
                                         general ledger.

    Section F.                      Significant Commitments - Specific
                                    Provide the information indicated for each construction contract.




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                                                                                                                                                       2011 CAFR Information




Long Term Liabilities

    A.      Entity Code:
            Entity Name:                                          #N/A
            Prepared by:
            Telephone #:


    B.                                If this form is not applicable to your organization, please indicate by selecting 'Not Applicable' from the drop down box.


    C.
                                                                                       Retroactive
                                                                                                            Additions           Reductions          Balance,
                                                                         Balance,    Restatement of                                                              Due Within
                                                                                                        (enter as positive   (enter as negative     June 30
                                                                          July 1       PY Balance                                                                 One Year
                                                                                                             amount)              amount)         (calculated)
                                                                                    (Identify below)*
Long-Term Liabilities:

    1.      *Compensated Absences                                         #N/A                   0.00                 0.00                0.00       #N/A                  0.00
              * Non-PeopleSoft Only

    2.      Other Long Term Liabilities

            Revenue Bonds Payable                                         #N/A                   0.00                 0.00                0.00       #N/A                  0.00


            Mortgage Bonds Payable                                        #N/A                   0.00                 0.00                0.00       #N/A                  0.00


            Deferred Amount on Refunding                                  #N/A                   0.00                 0.00                 0.00      #N/A                   0.00


            Net Unamortized Premiums                                      #N/A                   0.00                 0.00                 0.00      #N/A                   0.00



            Notes/Loans Payable                                           #N/A                   0.00                 0.00                0.00       #N/A                  0.00


            Other Postemployment Benefit Obligation                       #N/A                   0.00                 0.00                 0.00      #N/A                  0.00


            Grand Prizes Payable                                          #N/A                   0.00                 0.00                 0.00      #N/A                  0.00


            Arbitrage                                                     #N/A                   0.00                 0.00                 0.00      #N/A                  0.00


            U.S. DOE Settlement                                           #N/A                   0.00                 0.00                 0.00      #N/A                  0.00


            Other Obligations:                                            #N/A                   0.00                 0.00                0.00       #N/A                  0.00
                      (provide details below)**



            Total Long-Term Liabilities                                   #N/A                   0.00                 0.00                0.00       #N/A                   0.00

          * Details of Retroactive Restatement of PY Balance


         ** Details of Other Obligations:




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                                                                                                                                          2011 CAFR Information




     D.        Debt Service Schedule



               Entity                             #N/A

               Brief Description and
               Purpose of Debt




                                                                                                    Debt Service Requirements
                                                                                          Year      Principal              Interest                Total
               Type of Debt                                                               2012                                                                 -
                                                                                          2013                                                                 -
               Interest Rate                                                              2014                                                                 -
                                                                                          2015                                                                 -
               Maturing Through Year                                                      2016                                                                 -
                                                                                        2017-2021                                                              -
               Original Issue Amount                                                    2022-2026                                                              -
                                                                                        2027-2031                                                              -
                                                                                          Total                -                      -                        -




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                                                                                                                                                                        2011 CAFR Information




SIGNIFICANT COMMITMENTS - GENERAL


     A.        Entity Code:       0
               Entity Name:       #N/A
               Prepared by:       #VALUE!
               Telephone #: #VALUE!



      B.                                       If this form is not applicable to your organization, please indicate by selecting 'Not Applicable' from the drop down box.


      E.                          In the space below (or an attached page), please describe commitments that your agency has entered into as of the fiscal year end (include
                                  Commitments also described on the subsequent events form).



                                  1.)          Commitments for Construction Contracts (also complete 'Significant Commit - Specific' worksheet):




                                  2.)          Other Commitments (Describe nature/dollar value of commitment):




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                                                                                                                                                              2011 CAFR Information




 SIGNIFICANT COMMITMENTS - SPECIFIC



      A.       Entity Code:      0
               Entity Name: #N/A
               Prepared by: 0
               Telephone #: 000-000-0000



      B.                         If this form is not applicable to your organization, please indicate by selecting 'Not Applicable' from the drop down box.




      F.                         Note: This form should be completed for each material contractual or
                                          construction commitment not recorded in payables that is outstanding as of the end of the
                                          fiscal year. Do not include contracts for GSFIC-funded projects.




                                 PROJECT:



                                 TYPE OF CONTRACT/CONSTRUCTION:




                                 FUNDING SOURCES (List each source with percentage of project funded) :
                                                                                              Source                                  Percentage




                                 CONTRACT INCEPTION DATE:


                                 ESTIMATED CONTRACT COMPLETION DATE:


                                 PERCENTAGE OF COMPLETION:


                                 TOTAL CONTRACT AMOUNT:


                                 AMOUNT PAID AS OF JUNE 30, 2011


                                 COMMITMENT REMAINING AT JUNE 30, 2011




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