FY18 RCDG Applicant In Kind Match Verification Template.pdf
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- Attached to
- Rural Cooperative Development Grant
- Opportunity number
- RDBCP-RCDG-2018
- Issued by
-
Department of Agriculture
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FY18 RCDG Applicant In Kind Match Verification Template
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USDA is an equal opportunity provider, employer, and lender.
RCDG
Verification of Applicant IN-KIND Contribution
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 In-Kind Value: $
In the chart below for Applicant In-Kind Contributions, describe (a) the nature of the goods and/or services to be donated to the RCDG project during the proposed grant period and how they will be used,
(b) when the goods and/or services will be donated during the proposed grant period, and (c) the value of the goods and/or services.
Description of the Goods and/or Services
How They Will Be Used On Project Activities
When They Will Be Donated
(month/day/year)
Value of the Goods and/or Services
Total Value $
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:
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