Monthly Blank Bill Templates by lns12231

VIEWS: 124 PAGES: 4

More Info
									                                                                     Pennsylvania Rural Water Association
                                                                     138 W. Bishop St.
                                                                     Bellefonte, Pa. 16823


RATE STUDY FORM AND WORKSHEET FOR WATER AND WASTEWATER FACILITIES

*** Use of this form and/or database must be authorized by the National Rural Water Association;
or by one of it's state rural water affiliates without express consent of the National Rural Water
Association. ***

NAME OF FACILITY THAT STUDY IS FOR:

* The purpose of this rate study worksheet is to derive the needed amounts for user's fees or
minimum charge, and charge above the minimum, TO MEET THE MINIMUM FINANCIAL
OBLIGATIONS OF THE FACILITY. This study only reflects rates based on each 1000 gallons
used, and is reflective of a constant flat rate charge per each unit used by customers.

DIRECTIONS FOR INPUT QUESTIONS 1 THRU 9 ON PAGE THREE

* (First, indicate by a "Y" at the top of the page if the study is for water or sewer. It is imperative
that all pertinent information for water and sewer be separate for each study. ALL FIGURES MUST
REFLECT YEARLY TOTALS.)

  FIELD NO. 1 -                             Indicate on this line the total amount paid by the facility to meet any loan(s)
                                            principle for one year in regard to water and/or sewer debts. This should
                                            include the total of all loans, if any, relative to each.

  FIELD NO. 2 -                             Indicate on this line the total amount paid by the facility to meet any interest
                                            associated with any loans per year for water/or sewer. This should include
                                            the total of all loans, if any, relative to each.

  FIELD NO. 3 -                             List the total amount of gallons sold per year, based on metered usage only.
                                            Show the figures in 1000(s). Example; 9,765,000 gallons would be 9,765
                                            in the blank provided.

  FIELD NO. 4 -                             Show total gallons pumped by the facility, in 1000(s) per year.

  FIELD NO. 5 -                             List number of active customers served by the facility.

  FIELD NO. 6 -                             Show total monetary amount taken in by the facility through metered sales.
                                            Do not include bulk or non-metered sales, deposits, etc.

  FIELD NO. 7 -                             List and include all costs for water and/or sewer, that are expended to operate
                                            the particular system. These may include salaries, insurance, utility costs,
                                            maintenance and repair costs, capital costs, chemical costs, rent fees,
                                            equipment costs, taxes, purchase of water (if applicable), office supply cost,
                                            miscellaneous, engineering and legal fees, etc.

  FIELD NO. 8 -                             Show the yearly amount invested into a reserve account that is required by
                                            any loan documentation, if any facility has a debt service requirements
                                            referring to such. If the required minimum level has been attained, and the
                                            facility no longer funds such an account, leave blank.

  FIELD NO. 9 -                             This yearly amount should reflect any actual total that is really deposited into
                                            a specific capital improvement fund account for the facility, if such an account
                                            is actually funded. If not, leave blank.


WATER:                         X             RATE STUDY PROCEDURE (BASED ON YEARLY FIGURES)
                          *** Indicate with a Y or N, if study is for water or sewer ***
FACILITY:


       1        PAYMENT OF WATER OR SEWER LOAN PRINCIPLE (DEBT SERVICE)
                (INCLUDE ALL PERTINENT WATER AND/OR SEWER DEBTS)

       2        PAYMENT OF WATER OR SEWER LOAN INTEREST (DEBT SERVICE)
                (INCLUDE ALL PERTINENT WATER AND/OR SEWER DEBTS)

       3        GALLONS SOLD (LIST IN 1000'S), TOTAL METERED GALLONS SOLD

       4        GALLONS PUMPED (IN 1000'S), TOTAL SYSTEM GALLONS PUMPED

       5        NUMBER OF ACTIVE CUSTOMERS

       6        REVENUE FROM METERED SALES
                (DO NOT INCLUDE BULK, OR NON-METERED SALES)

       7        TOTAL OPERATING EXPENSES

       8        PAYMENT TO RESERVE ACCOUNT (DEBT SERVICE REQUIREMENT)

       9        AMOUNT PAID TO CAPITAL IMPROVEMENT

***** TOTAL CASH REQUIREMENTS ****


       A.       DEBT SERVICE PER CUSTOMER PER MONTH
                (THIS FIGURE REPRESENTS AN EQUAL DEBT OBLIGATION PER
                CUSTOMER, CAN BE USED AS A MONTHLY USERS FEE)

       B.       OPERATING COSTS / 1000 GALLONS FUNDING CAPITAL IMPROVEMENTS
                (THIS FIGURE REPRESENTS THE LOWEST AMOUNT NEEDED PER 1000
                GALLONS ABOVE THE MINIMUM OR USERS FEE CHARGE)

       C.       OPERATING COSTS / 1000 GALLONS NOT FUNDING CAPITAL IMPROVEMENTS
                (THIS FIGURE REPRESENTS THE LOWEST AMOUNT NEEDED PER 1000
                GALLONS ABOVE THE MINIMUM OR USERS FEE CHARGE)

       D.       SHORTAGE OF REVENUE
                RED INDICATES SHORTAGE OF MONEY NEEDED TO COVER ALL COSTS,


       E.       AVERAGE BILL PER CUSTOMER PE MONTH
                (THIS FIGURE GIVES AN AVERAGE AMOUNT NEEDED PER CUSTOMER
                TO MEET ALL DEBT SERVICE AND OPERATIONAL EXPENSES)

       F.       MIN. RATE CALC. FUNDING CAP. IMP. PER 1000 GALLONS
                (THIS FIGURE CAN BE USED AS A "MINIMUM CHARGE" PER CUSTOMER
                FOR THE FIRST 1000 GALLONS PER MONTH)

       G.       MIN. RATE CAL. NOT FUNDING CAP. IMP. PER 1000 GALLONS
                (THIS FIGURE CAN BE USED AS A "MINIMUM CHARGE" PER CUSTOMER
                FOR THE FIRST 1000 GALLONS PER MONTH)

       H.       AVERAGE YEARLY PERCENT OF WATER LOSS
al Water Association                          Page 5




e facility to meet any loan(s)
sewer debts. This should


e facility to meet any interest
 sewer. This should include


ased on metered usage only.
00 gallons would be 9,765




cility through metered sales.


r, that are expended to operate
ries, insurance, utility costs,
 emical costs, rent fees,
pplicable), office supply cost,


e account that is required by
bt service requirements
 l has been attained, and the


tal that is really deposited into
r the facility, if such an account

                                              Page 6

                                     SEWER:
DATE:


                  $0.00


                  $0.00


                    0.0

                    0.0

                      0

                  $0.00


                  $0.00

                  $0.00

                  $0.00

                  $0.00


        #DIV/0!




        #DIV/0!




        #DIV/0!




                  $0.00




        #DIV/0!




        #DIV/0!




        #DIV/0!




        #DIV/0!

								
To top