BEFORE THE COURT OF TAX APPEALS OF THE STATE OF KANSAS NO-FUND WARRANT (K.S.A. 12-110a) APPLICANT:
(For State of Kansas use only)
__________________________________________ Applicant Name (Owner of Record) __________________________________________ Applicant Address (Street or Box No.) __________________________________________ City State Zip Applicant Phone #:(____)_____________________ Applicant E-mail: ___________________________ Fee:_____________ Rec. Date:________ ATTORNEY OR REPRESENTATIVE: (If applicable)* __________________________________________ Representative Name Title __________________________________________ Representative Address __________________________________________ City State Zip Atty/Rep Phone #:(_____)_____________________ Representative E-mail:________________________ No Fee:__________ Amt Rec.__________ Ck #______________ Reason: ___________
Expenditure amount: $________________________ NFW issuance amount: $______________________
Equipment, apparatus or machinery to be purchased, repaired or replaced: Description:____________________________________________________
CTA-NFW (Rev. 7/08)
No-Fund Warrant Application KSA 12-110a Page 2 of 3
Explain the circumstances that necessitate the purchase, repair or replacement of equipment, apparatus and/or machinery. _____________________________________________________________________________ _____________________________________________________________________________
Itemize and show the cost of the equipment, apparatus and/or machinery to be purchased, repaired of replaced. _____________________________________________________________________________ _____________________________________________________________________________
Does the Applicant have any funds available for the expenditures contemplated by this application? ____________________________________________________________________________ ____________________________________________________________________________
Enclose: a. A copy of the ordinance or resolution that was passed and published declaring that an emergency exists that such purchase, repair or replacement of equipment, apparatus or machinery is necessary, and stating the maximum amount to be expended for such purchase, repair or replacement b. A complete copy of the budget as prepared and adopted for the current budget year. A copy of the published budget is not sufficient. c. Filing fee of $50. VERIFICATION We, the undersigned officers of above named applicant, hereby state upon our oaths that we have read this application to the best of our knowledge the facts set out are true, and we request that said applicant be authorized to issue No-Fund Warrants or General Obligation Bonds in the amount herein set out. ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________
State of ____________________ County of __________________
This instrument was acknowledged before me on __________ by ______________________________.
_____________________________________ Signature of Notary Public
My appointment expires: ________________
No-Fund Warrant Application KSA 12-110a Page 3 of 3
NO-FUND WARRANT K.S.A. 12-110A INSTRUCTIONS
K.S.A. 12-110a. "Whenever the governing body of any city, the board of county commissioners of any county or any township board shall deem that an emergency exists and that in order to properly to protect and service or insure and provide for the health and convenience of the public it is necessary to purchase, repair or replace equipment, apparatus or machinery necessary for the operation of law enforcement, for the disposal of refuse, for fire protection, for street, road and bridge construction, repair or maintenance, for sewer treatment, for water service or for ambulance service, and such city, county or township is without funds for the purchase, repair or replacement of such equipment, apparatus or machinery, the governing body . . . shall have power to issue and sell no-fund warrants or general obligation bonds to raise revenue for such purchase or replacement in the manner as hereinafter provided and as provided by law and to levy taxes to pay such warrants or bonds. The governing body . . . shall by resolution declare that such emergency exists and that such purchase, repair or replacement of equipment, apparatus or machinery is necessary, and stating the maximum amount to be expended for such purchase, repair or replacement. Upon the passage and publication of such ordinance or resolution the governing body . . . shall file an application with the state court of tax appeals, asking for permission to make such expenditure and issue warrants or bonds in payment thereof. . . ."
The application for authority to issue no-fund warrants should be made before the expenditure is made.
This form along with the applicable attachments and filing fee should be mailed to:
Court of Tax Appeals Docking State Office Building 915 SW Harrison Ste 451 Topeka, KS 66612-1505
The Court of Tax Appeals is required to hold a hearing on the application. The Applicant is required to publish notice of the hearing in two issues of a newspaper of general circulation within the taxing district requesting such authority with the last publication being at least ten (10) days prior to the hearing. The Notice of Hearing is provided by the Court to the Applicant after application is made to the Court of Tax Appeals, however it is the Applicant's responsibility to have the Notice of Hearing published and to pay the costs of publication. A certified Affidavit of Publication must be submitted by the Applicant to the Court of Tax Appeals before the hearing.