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SCHEDULE II <br /> ROJECTION OF RELIEF ASSOCIATION SPECIAL FUND ASSETS TO END OF THIS YEAR, (DEC. 31. 19x2 <br /> ASSETS AT JANUARY 1, 19_ (this year) <br /> ANTICIPATED INCOME TO END OF THIS YEAR <br /> a) Minnesota State Aid $ <br /> b) Receipts from local taxes <br /> c) Interest on investments <br /> d) Other income <br /> TOTAL OF LINES a-b-c-d---------------------------------------r- 2. $ /y.S6 <br /> BEGINNING ASSETS PLUS ESTIMATED INCOME FOR THIS YEAR (L 1 a L 2) 3.. $ S6 o <br /> ESTIMATED DISBURSEMENTS THROUGH END OF tHIS YEAR <br /> X <br /> e) Pensions 3 <br />\ f) Other benefits <br /> g) MSFDA or VFBA dues, if any _ <br /> h) Administrative & overhead °'' <br /> TOTAL OF LINES e-f-g-h----------------------------------------- 4. $ �So <br /> PROJECTED ASSETS AT END OF THIS YEAR 12/31/ (L 3 - L 4) 5. $ <br /> CALCULATIO1 OF AVERAGE SPECIAL FUND INCO14E PER MEMBER (other than interest or investment <br />` income) STATE AID MUNICIPAL SUPPORT 10% OF SURPLUS (if any) <br /> Last year ' <br /> 2 years ago <br /> 3 years ago D <br /> TOTALS + E) <br /> TOTAL 3 YEAR INCOME $ ® -$- 3 e $ -- (no. of members) _ $ (avg. <br /> CERTIFICATION OF SPECIAL FUND REQUIREMENTS <br /> STATE OF MINNESOTA <br /> 4- ss ,192 <br /> COUNTY OF <br /> President, Secretary, and , Treasurer <br /> of the-;o Relief Ass c at on. ea for himself acknow a ges an s ates that <br /> the accompany ng he u es have prepared in accordance with the provisions of the Vol- <br /> unteer Firefighte Relief Association Guidelirag Act of 1971, as amended; that the schedules <br /> reflect the condition of the Association's SPECIAL FUND projected to the end of this year; <br /> that the schedules are correct and complete to the best of our knowledge. info rm tion and <br /> belief; that the financial requirements of said SPECIAL FWD for the next year are <br /> ,Soo DOLLARS ($ and that the average non-invest- <br /> j, went nton-' e. per m6mber of said WECIAL FUND or the past 3 year$ w s $ r-&-,(per Minn. <br /> • Stats CH 42002, Subd 3.) <br /> t .President <br /> g. Acknowledged before me this <br /> 2 day of 19�L ,Secretary <br /> ry xpire 0 • ,1 Treasurer . <br />