Forms

Shiloh Missionary Baptist church

Request to Secure Funds

DATE WHEN PAYMENT IS NEEDED: NO.

AMOUNT REQUESTED: $

PURPOSE OF DISBURSEMENT:

1. If for a budget item: Account No.: Account Name:

2. If for designated item: Identify donor or source

3. Other (explain):

SIGNATURE OF AUXILIARY/BOARD CHAIRMAN: _________________________________________

APPROVED (If over $500.00): __________________________________________________________

Chairperson, Finance Committee

___________________________________________________________

Church Clerk

Shiloh Missionary Baptist Church
Disbursement Requisition

Complete this form for disbursement of funds spent. Approval is required if amount over $500.00 by the Chairperson of the Financial Committee and the Church Clerk. Submits the form and include a contact phone number.

PURPOSE OF DISBURSEMENT
Date Payment Needed:
Account No:
Account Name:
For designated item identify donnor/source:
Other (explain):	Enter comments here!


MAKE PAYMENT PAYABLE TO:
First Name:
Last Name:
Contact Information
City & Zip Code:
State:
Phone No. or Email:
Financial Information
Date of Invoice
Description if invoice/other support not attached or available	Enter comments here!
Enter Amount of Each Item
Amount:	(USD)
Amount:	(USD)
Amount:	(USD)
Amount:	(USD)
Total Amount:	(USD)
THIS SECTION TO BE COMPLETED BY FINANCIAL SECRETARY:
	Invoice checked for accuracy & price
	Goods & Services Received