FY18 RCDG Applicant Cash Match Verification Template.pdf

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RCDG

Verification of Applicant CASH Matching Funds

For purposes of carrying out the Work Plan and Budget Activities identified in our FY 2018 Rural Cooperative Development Grant (RCDG) Program application, I verify the following information:

Legal Name of Applicant:

Beginning and End Dates for Proposed Grant Period:

Total Project Costs: $ Total Applicant Cash Match: $

As applicable, identify all source(s), amounts, and uses of Applicant Cash Matching Funds that your organization currently has available and committed to eligible RCDG project expenditures during the grant period.

Source of Cash Funds

Cash Matching Amount

Use of Funds for Project Budget Activities

Checking or Savings $ Certificate of Deposit $ Money Market $ Mutual Funds $ Salaries and Expenses (Universities) $ Unrecovered indirect cost (Universities) $ Program Income from Executed Contract $ Other (Describe) $ Total Cash $

Our governing body (i.e., Board of Directors or Tribal Council) has formally Resolved / Confirmed the Cash

Matching contribution amount for RCDG purposes on .

I/We do not need a Resolution because it is not required by our governing body for us to authorize the Cash Matching contribution amount described above.

Print Name of Authorized Representative:

Signature of Authorized Representative: _____________________________________ Date:

Title of Authorized Representative: