Fillable Worksheet CBA Form 3107 201804031104193049 (Kansas Department of Commerce)

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Worksheet CBA Form 3107 201804031104193049 (Kansas Department of Commerce)

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U.S.A. forms for Kansas Department of Commerce

BROWSE KANSAS DEPARTMENT OF COMMERCE (KS) FORMS

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Kansas Department of Commerce CBA Worksheet (04-18) Page 1 of 9
FOR COMMERCE USE ONLY
Firm:
Submitted by:
Regional Project Manager:
1. City Name
2. City Mill Levy
3. City Sales Tax Rate
4. City Transient Guest Tax Rate
5. Average market value of new residential property in the city
6. Number of residents in the city
7. Number of workers at businesses in the city
8. Number of households in the city
9. Total annual revenues (receipts) for the city
10. Total operating budget (expenditures) for the city
11. Enterprise fund expenditures (utilities, golf course, swimming pool, etc.)
12. Internal transfers (the portion of the city budget reflecting one city
department billing another city department)
13. Total collection of property taxes, transient guest taxes, sales taxes,
utilities, and utility franchise fees
Utility Revenue from Households
City-Owned Utilities
Franchise Fees
Annual Billed Amount Annual Cost Collected Fee Rate
14. Telephone
15. Electricity
16. Gas
17. Water
18. Waste Water
19. Garbage
20. Cable
21. Other
Utility Revenue from the Firm
City-Owned Utilities
Annual Billed Amount Cost to Provide Service Amount Collected
22. Telephone
23. Electricity
24. Gas
25. Water
26. Waste Water
27. Garbage
28. Cable
29. Other
City Worksheet
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Kansas Department of Commerce CBA Worksheet (04-18) Page 2 of 9
County Worksheet
30. County Name
31. County Mill Levy
32. County Sales Tax Rate
33. County Transient Guest Tax Rate
(Do Not Complete)
34. Regional economic multiplier adjustment for the county
35. Number of residents in the county
36. Number of workers at businesses in the county
37. Average market value of new residential property in the county
38. Total annual revenues (receipts) for the county
39. Total operating budget (expenditures) for the county
40. Enterprise fund expenditures (utilities, golf course, swimming pool, etc.)
41. Internal transfers (the portion of the county budget reflecting one county
department billing another county department)
42. Total collection of property taxes, transient guest taxes, sales taxes,
utilities and utility franchise fees
School District Worksheet
43. School District Number (USD #101)
44. District local option mill levy (including state levy of 20 mill)
45. Average market value of new residential property in the district
46. Annual operating expenditures
47. Number of students enrolled in the district
(Do Not Complete)
48. Average cost per child enrolled in the district
49. Estimated marginal cost per child enrolled in the district
(If unknown, 10 percent of average cost per child will be used)
50. State funding per child in the district
51. Federal and local funding per child in the district
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Kansas Department of Commerce CBA Worksheet (04-18) Page 3 of 9
Special Taxing District #1 Worksheet
52. Special Taxing District #1 Name
53. District mill levy
54. Average market value of new residential property in the district
55. Number of residents in the district
56. Number of workers residing in the taxing district
57. Total annual revenues (receipts)
58. Total general operating budget (expenditures)
59. Total property taxes collected
70%
60. Percent of budget devoted to residents (Default will be 70 percent)
70%
61. Percent of non-tax revenues received from residents (Default will
be 70 percent)
30%
62. Percent of budget devoted to businesses (Default will be 30 percent)
30%
63. Percent of non-tax revenues received from businesses (Default will be 30 percent)
Special Taxing District #2 Worksheet
64. Special Taxing District #2 Name
65. District mill levy
66. Average market value of new residential property in the district
67. Number of residents in the district
68. Number of workers residing in the taxing district
69. Total annual revenues (receipts)
70. Total general operating budget (expenditures)
71. Total property taxes collected
70%
72. Percent of budget devoted to residents (Default will be 70 percent)
70%
73. Percent of non-tax revenues received from residents (Default will
be 70 percent)
30%
74. Percent of budget devoted to businesses (Default will be 30 percent)
30%
75. Percent of non-tax revenues received from businesses (Default will
be 30 percent)
Kansas Department of Commerce CBA Worksheet (04-18) Page 4 of 9
Firm Worksheet
76. Firm’s Name:
77. Firm’s NAICS Code:
78. Description and purpose of the expansion:
Is this CBA being prepared for an
EDX
or IRBX abatement?
Does the request for abatement involve any leased property?
Yes No
Capital Investment
Market or retail value of the new or additional investment:
First Expansion Second Third Fourth
79. Land
80. Building & Improvements
81. Furniture, Fixtures & Equipment
Sales and Purchases
Expected sales and purchases due to the expansion:
Sales Purchases
82. Year 1
83. Year 2
84. Year 3
85. Year 4
86. Year 5
87. Year 6
88. Year 7
89. Year 8
90. Year 9
91. Year 10
Percentage of sales and purchases that are subject to state and local sales tax:
Sales Purchases
92. City
93. County
94. State
95. What is the expected percentage of annual net taxable income on which
state corporate income tax will be computed?
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Kansas Department of Commerce CBA Worksheet (04-18) Page 5 of 9
Additional Annual Utility Expenditures due to the Expansion
Construction Period Year One of Expansion
96. Telephone
97. Electricity
98. Gas
99. Water
100. Waste Water
101. Garbage
102. Cable
103. Other
104. By what percentage are utility bills expected to increase during
the remaining years of the expansion?
New Employees due to Expansion
Average Annual Moving from out-
New Hires Salaries Moving to the county of-state
105. Year 1
106. Year 2
107. Year 3
108. Year 4
109. Year 5
110. Year 6
111. Year 7
112. Year 8
113. Year 9
114. Year 10
New Construction
Initial
Construction or Second Third Fourth
Expansion Expansion Expansion Expansion
115. Total Construction Cost
116. Construction Profit Percentage
Construction Materials Purchased
Initial
Construction or Second Third Fourth
Expansion Expansion Ex
pansion Expansion
117. In the state
118. In the county
119. In the city
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Kansas Department of Commerce CBA Worksheet (04-18) Page 6 of 9
Costs of Furniture, Fixtures & Equipment Purchased
Initial
Construction or Second Third Fourth
Expansion Expansion Expansion Expansion
120. In the state
121. In the county
122. In the city
Construction Workers and Salaries
Initial
Construction or Second Third Fourth
Expansion Expansion Expansion Expansion
123. Number of construction workers
124. Total salary paid average worker
125. Total construction salaries
126. Household size of average worker
Visitors due to the Expansion
Out-of-town visitors expected
127. Year 1
128. Year 2
129. Year 3
130. Year 4
131. Year 5
132. Year 6
133. Year 7
134. Year 8
135. Year 9
136. Year 10
137. How many days will an average visitor to your firm be expected to stay in the
area?
138. How many nights will a visitor to your firm be expected to stay overnight in city
hotels or motels?
139. How many nights will a visitor to your firm be expected to stay overnight
anywhere in the county?
Kansas Department of Commerce CBA Worksheet (04-18) Page 7 of 9
Economic Development Worksheet
Benefit/Cost Analysis
Firm’s Name:
Extraordinary Payments by Firm
To the City To the County USD To the State
140. Construction Period
141. Year 1
142. Year 2
143. Year 3
144. Year 4
145. Year 5
146. Year 6
147. Year 7
148. Year 8
149. Year 9
150. Year 10
Extra Costs to Provide Infrastructure and/or Services for this Expansion
City costs County costs State costs
151. Construction Period
152. Year 1
153. Year 2
154. Year 3
155. Year 4
156. Year 5
157. Year 6
158. Year 7
159. Year 8
160. Year 9
161. Year 10
Kansas Department of Commerce CBA Worksheet (04-18) Page 8 of 9
Incentives (Not Including Tax Abatements) Offered to the Firm
By the City By the County
162. Construction Period
163. Year 1
164. Year 2
165. Year 3
166. Year 4
167. Year 5
168. Year 6
169. Year 7
170. Year 8
171. Year 9
172. Year 10
STATE INCENTIVES PEAK IMPACT KIT/KIR HPIP KEIEIP & KEOIF
Construction Period
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Property Tax Abatements
173. Is the expansion located within city property tax jurisdiction?
Yes No
Percentage of taxes to be abated on:
Buildings & Furniture, Fixtures
Taxes will be abated by (mark with an X): Land Improvements & Equipment
174. The City
180. Year 1
175. The County
181. Year 2
176. The School District
182. Year 3
177. Special Taxing District #1
183. Year 4
178. Special Taxing District #2
184. Year 5
179. The State of Kansas
185. Year 6
186. Year 7
187. Year 8
188. Year 9
189. Year 10
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Kansas Department of Commerce CBA Worksheet (04-18) Page 9 of 9
Where New Employees Live
As a Percentage of the Total
Number of New Employees
190. In the city
191. In the school district where the firm is located
192. In special taxing district 1
193. In special taxing district 2
Where New Employees Shop
Percent of shopping
194. In Kansas
195. In the county
196. In the City
New Employee Housing and Schools
197. Household size of a typical new employee
198. School-age children in household of a typical new employee
199. Percentage of new employees moving to the community for whom
New housing will be required.
Indirect New Employees
As a Percentage of the Total
Number of New Employees
200. From out-of-state
201. From another county in Kansas
Construction Workers
Where are construction workers expected to spend their salaries?
202. In the state of Kansas
203. In the County
204. In the City
Visitors Spending
In the county Of that, in the city
205. Daily retail spending by a visitor, excluding lodging
206. Average daily hotel/motel room rates
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Worksheet CBA Form 3107 201804031104193049 (Kansas Department of Commerce)

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Completed 20 July 2020

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