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CDBG-EAP
Grantee Supplemental Training Guide:
Whole Dollar Corrections
The follow instructions are to be used to correct activity budget balances to whole dollars
(no cents) for Request in Advance and Reimbursement Payment Methods. Examples for
each payment method will contain three color coded transactions journals with three
corresponding DrawDown Requests that will enable grantees to make these corrections.
Please be aware that the following examples are only to be used for this purpose (i.e.
grantees who have not submitted their first DrawDown should only draw in whole dollars.)
Created By: Laura DiTizio and Caryn Stone
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Request in Advance Payment Method
Part I: Request in Advance Payment Method
• Grantee has received bills/invoices for activities totaling $74,695.86
and fills out DrawDown Request Form #1.
Request in Advance: DrawDown Request Form #1 Example
- Use corresponding journal entitled: Request In Advance Transaction
Journal- DDR#1. Note: For training purposes only the Transaction
Journal for this method displays payments made after first DrawDown
Request #1 has been deposited into the grant account for training
purposes.
• Section I: Request For Payment
- Amount Requested $: This number must match the total in
Section III highlighted in gold.
• Section II: Status of CDBG Funds
- All numbers recorded in this section must match what is recorded
on the transaction journal.
1. CDBG Advances Received to Date: This number will be $0.00
because this is the first DrawDown Request.
2. Add: Program Income and Other Receipts: This section is used to
record CDBG funds that have generated income. “Receipts” refers
to other funds deposited into the grant account that are used for
CDBG-EAP activities Note: These funds must be recorded in the
miscellaneous deposits column on the transaction journal.
3. Subtotal: Add #’s 1 and 2.
4. LESS: Actual Disbursements: This number records ALL funds
disbursed to date. Generally, when using this payment method this
number will be $0.00 for first DrawDown Request.
5. Federal Funds On Hand: This number records funds that have been
drawn and deposited into grant account, but not disbursed at the time
on the next draw request. This number will equal $0.00 for first
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DrawDowns. Federal Funds Oh Hand is highlighted in blue on the
transaction journal and DrawDown Request Form.
6. Unpaid Requests Previously Submitted: Records prior DrawDowns
Requests, where funds have not been deposited into grant account.
7. Grant Award: This section is pre-printed by the financial manager
when a contract or amendment is processed. This number should
never be edited by a grantee.
8. LESS: Total Amount Requested: In this example the number will be
the total amount requested for DrawDown#1 and will match the
totals in Section I and Section III.
9. Balance Remaining: Equals #7 - #8
• Section III: Classification of Amounts Requested
- This section records total funds requested per activity budget.
These numbers are highlighted in green and must calculate
correctly and equal the total amount requested in Section I.
- On the transaction journal Activity Budget Balances are
highlighted in purple to assist in whole dollar corrections.
• Section IV: Certification
- Two signatures are needed in order to process the request.
These signatures are authorized on the Signature Certification
Form.
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Part II: Request in Advance Payment Method – Whole Dollar
Correction
• DDR#1 has been deposited into grant account. Grantee has paid
invoices and bills and allocated funds to appropriate activity budgets
on the transaction journal.
• Grantee will use DrawDown Request #2 to balance activity budgets
to whole dollars.
Request in Advance: DrawDown Request Form #2 Example
- Use corresponding journal entitled: Request In Advance Transaction
Journal- DDR#2 Whole Dollar Correction. Note: For training purposes
only the Transaction Journal for this method displays payments made
after DrawDown Request #2 has been deposited into the grant account.
- Total invoices/bills to pay are highlighted in orange on the bottom of
transaction journal.
• Section I: Request For Payment
- Amount Requested $: This number must match the total in
Section III highlighted in gold.
• Section II: Status of CDBG Funds
- All numbers recorded in this section must match what is
recorded on the transaction journal.
1. CDBG Advances Received to Date: This number will equal
DrawDown Request #1 highlighted in gray on transaction journal.
2. Add: Program Income and Other Receipts: This section is used to
record CDBG funds that have generated income. “Receipts” Note:
These funds must be recorded in the miscellaneous deposits
column on the transaction journal.
3. Subtotal: Add #’s 1 and 2.
4. LESS: Actual Disbursements: This number records ALL funds
disbursed to date. In this example, the payments to date column
highlighted in yellow assists in recording this number.
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5. Federal Funds On Hand: This number records funds that have been
deposited into grant account, but not disbursed. In this case, the
grantee has disbursed the total amount of DrawDown Request #1
and has a $0.00 balance highlighted in blue.
6. Unpaid Requests Previously Submitted: Records prior DrawDowns
Requests, where funds have not been deposited into grant account.
7. Grant Award: This section is pre-printed by the financial manager
when a contract or amendment is processed. This number should
never be edited by a grantee.
8. LESS: Total Amount Requested: In this example the number will
equal the Total Amount Requested in Section I (highlighted gold) +
Total CDBG Funds Received To Date in Section II #1 highlighted
gray).
9. Balance Remaining: Equals #7 - #8.
• Section III: Classification of Amounts Requested
- This section records total funds requested per activity budget.
These numbers are highlighted in green and must calculate
correctly and equal the total amount requested in Section I.
- On the transaction journal Activity Budget Balances are
highlighted in purple to assist in whole dollar corrections.
A. Current draw, total invoices/bills for budget activities equals
(highlighted in orange): H.1 = $3,500.89 and H.2 =
$25,584.68.
B. Activity budget balances after DrawDown Request: H.1 =
161,400.49, H.2 = 208,103.65, H.3 = $5,800.00 (drawn in
whole dollars; does not have to be corrected.
C. Round Up Whole Dollar Corrections (highlighted in red): For
total current invoices/bills, round up to the nearest dollar for
each budget activity and draw remaining cents in the activity
balance budget after DrawDown #1 (highlighted in purple).
D. Section III: To achieve whole dollars the current draw for H.1
= $3,501.49 and H.2 = $25,584.65, highlighted in green on
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transaction journal. The difference between total invoices
and total activity fund drawn is H.1 $0.60 and H.2 $0.97,
which accounts for the $1.57 of Federal Cash on Hand.
E. After DrawDown Request #2 activity budget balances equal
whole numbers.
• Section IV: Certification
• Two signatures are needed in order to process the request.
These signatures are authorized on the Signature Certification
Form.
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Part III: Request in Advance – Whole Dollars and Tracking
Funds
• Grantee has achieved whole dollar correction and must track federal
funds on hand.
• Grantee will submit DDR #3
Request in Advance: DrawDown Request Form #3 Example
- Use corresponding journal entitled: Request In Advance Transaction
Journal- DDR#3 Whole Dollars & Tracking Funds. Note: For training
purposes only the Transaction Journal for this method displays
payments made after DrawDown Request #3 has been deposited into
the grant account.
- Total invoices/bills to pay are highlighted in orange on the bottom of
transaction journal.
• Section I: Request For Payment
- Amount Requested $: This number must match the total in
Section III highlighted in gold.
• Section II: Status of CDBG Funds
- All numbers recorded in this section must match what is
recorded on the transaction journal.
1. CDBG Advances Received to Date: This number will equal
DrawDown Request #1&2 highlighted in gray on transaction
journal.
2. Add: Program Income and Other Receipts: This section is used to
record CDBG funds that have generated income. “Receipts” Note:
These funds must be recorded in the miscellaneous deposits
column on the transaction journal.
3. Subtotal: Add #’s 1 and 2.
4. LESS: Actual Disbursements: This number records ALL funds
disbursed to date. In this example, the payments to date column
highlighted in yellow assists in recording this number.
5. Federal Funds On Hand: This number records funds that have been
deposited into grant account, but not disbursed. In this case, the
grantee has achieved whole dollar corrections and paid invoices/bills
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highlighted in orange on transaction journal #2 and has $1.57 of
Federal Funds On Hand highlighted in blue. (#3 - #4 = Federal
Funds On Hand).
6. Unpaid Requests Previously Submitted: Records prior DrawDowns
Requests, where funds have not been deposited into grant account.
7. Grant Award: This section is pre-printed by the financial manager
when a contract or amendment is processed. This number should
never be edited by a grantee.
8. LESS: Total Amount Requested: In this example the number will
equal the Total Amount Requested in Section I (highlighted gold) +
Total CDBG Funds Received To Date in Section II #1. Notice in the
transaction journal that DDR#1 & 2 are highlighted gray to indicate
CDBG-Advances to Date.
9. Balance Remaining: Equals #7 - #8.
• Section III: Classification of Amounts Requested
- This section records total funds requested per activity budget.
These numbers are highlighted in green and must calculate
correctly and equal the total amount requested in Section I.
- Grantee has achieved whole dollar correction and must
continue to draw in whole dollar only.
F. Current draw, total invoices/bills for budget activities equals
(highlighted in orange): H.1 = $10599.56, H.2 = $15,627.65,
H.3 = $600.00
G. Round up to whole dollars (highlighted in red): For total
current invoices/bills, round up to the nearest dollar for each
budget activity highlighted in green at bottom of transaction
journal and DrawDown Request #3. Difference between
invoices and funds drawn: H.1 = $0.44, H.2 = $0.35 H.3 =
$0.00 (no difference). Total difference of $0.79.
H. DrawDown Request #3 is deposited into account (highlighted
pink) and grantee tracks Federal Funds On Hand (highlighted
blue) by adding deposit DDR#3 to current Federal Funds On
Hand. ($26,828.00 + $1.57 = 26,829.57).
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I. After grantee pays out invoices and bills highlighted in
orange, they will have a total of $2.36 of Federal Cash On
Hand.
• Section IV: Certification
• Two signatures are needed in order to process the request.
These signatures are authorized on the Signature Certification
Form.
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Reimbursement Payment Method
Part I: Reimbursement Payment Method
• Grantee has agreed to pay invoices/bills for CDBG activities using
the municipal’s general account.
• Grantee tracks payments using Reimbursement Transaction Journal
and must submit journal with first DrawDown Request.
Reimbursement Request: DrawDown Request Form Example #1
- Use corresponding journal entitled: Reimbursement Request
Transaction Journal DDR#1.
• Section I: Request For Payment
- Amount Requested $: This number must match the total in
Section III highlighted in gold.
• Section II: Status of CDBG Funds
- All numbers recorded in this section must match what is recorded
on the transaction journal.
1. CDBG Advances Received to Date: This number will be $0.00
because this is the first DrawDown Request.
2. Add: Program Income and Other Receipts: This section is used to
record CDBG funds that have generated income. “Receipts” refers
to other funds deposited into the grant account that are used for
CDBG-EAP activities Note: These funds must be recorded in the
miscellaneous deposits column on the transaction journal.
3. Subtotal: Add #’s 1 and 2.
4. LESS: Actual Disbursements: This number will equal the Total
Payments To Date Column on the transaction journal highlighted
yellow.
5. Federal Funds On Hand: This number will be negative (highlighted
blue) on transaction journal. Calculation: #3 - #4 = #5
6. Unpaid Requests Previously Submitted: Records prior DrawDowns
Requests, where funds have not been deposited into grant account.
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7. Grant Award: This section is pre-printed by the financial manager
when a contract or amendment is processed. This number should
never be edited by a grantee.
8. LESS: Total Amount Requested: In this example, the number will
be the total amount requested for DrawDown#1 and will match the
totals in Section I and Section III.
9. Balance Remaining: Equals #7 - #8
• Section III: Classification of Amounts Requested
- This section records total funds requested per activity budget.
These numbers are highlighted in green and must calculate
correctly and equal the total amount requested in Section I.
- On the transaction journal Activity Budget Balances are
highlighted in purple to assist in whole dollar corrections.
• Section IV: Certification
- Two signatures are needed in order to process the request.
These signatures are authorized on the Signature Certification
Form.
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Part II: Reimbursement Request Payment Method – Whole
Dollar Correction
• DDR#1 has been deposited into general account and has a $0.00
balance of Federal Funds On Hand (highlighted pink).
• Grantee continues to disburse general funds for CDBG activities and
records payments on transaction journal.
• Grantee will use DrawDown Request #2 to balance activity budgets
to whole dollars.
Reimbursement Request: DrawDown Request Form #2 Example
- Use corresponding journal entitled: Reimbursement Request
Transaction Journal - DDR#2 Whole Dollar Correction.
• Section I: Request For Payment
- Amount Requested $: This number must match the total in
Section III highlighted in gold.
• Section II: Status of CDBG Funds
- All numbers recorded in this section must match what is
recorded on the transaction journal.
1. CDBG Advances Received to Date: This number will equal
DrawDown Request #1 highlighted in gray on transaction journal.
2. Add: Program Income and Other Receipts: This section is used to
record CDBG funds that have generated income. “Receipts” Note:
These funds must be recorded in the miscellaneous deposits
column on the transaction journal.
3. Subtotal: Add #’s 1 and 2.
4. LESS: Actual Disbursements: This number will equal the Total
Payments To Date Column on the transaction journal highlighted
yellow.
5. Federal Funds On Hand: This number will always be negative,
because CDBG reimburses for expenses that have already been paid
by municipality (highlight blue). Calculation: #3 - #4 = #5
6. Unpaid Requests Previously Submitted: Records prior DrawDowns
Requests, where funds have not been deposited into grant account.
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7. Grant Award: This section is pre-printed by the financial manager
when a contract or amendment is processed. This number should
never be edited by a grantee.
8. LESS: Total Amount Requested: In this example the number will
equal the Total Amount Requested in Section I (highlighted gold) +
Total CDBG Funds Received To Date in Section II #1 (highlighted
gray).
9. Balance Remaining: Equals #7 - #8.
• Section III: Classification of Amounts Requested
- This section records total funds requested per activity budget.
These numbers are highlighted in green and must calculate
correctly and equal the total amount requested in Section I.
- On the transaction journal Activity Budget Balances are
highlighted in purple to assist in whole dollar corrections.
A. Current draw, total invoices/bills for budget activities equals
(highlighted in orange): H.1 = $3,500.89 and H.2 =
$25,584.68.
B. Activity Budget Balances after DrawDown Request: H.1 =
161,400.49, H.2 = 208,103.65, (H.3 = $5,800.00 (drawn in
whole dollars; does not have to be corrected.)
Note: General accounts cannot have a positive balance of CDBG funds;
therefore the invoiced amount paid out must be requested by rounding down.
C. Round Down Whole Dollar Corrections (highlighted in red):
For current invoices/bills paid (highlighted orange), grantee
will request whole dollars of invoice per activity and draw
remaining cents in the Activity Budget Balance after
DrawDown #1 (highlighted in purple).
D. Section III: To achieve whole dollars the current DrawDown
Request #2 is H.1 = $3,500.49 and H.2 = $25,584.65,
highlighted in green on transaction journal. The difference
between invoices and activity funds drawn will result in
negative Federal Cash On Hand. H.1 = - $0.40, H.2 = -$0.03
that accounts for the -$.43 cents of Federal Funds On Hand.
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E. After DrawDown Request #2 activity budget balances equal
whole numbers (highlighted in purple).
• Section IV: Certification
• Two signatures are needed in order to process the request.
These signatures are authorized on the Signature Certification
Form.
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Part III: Reimbursement Request – Whole Dollars and
Tracking Funds
• Grantee has achieved whole dollar correction and must track
negative Federal Funds On Hand in order to request remaining cents
at final draw.
• DrawDown Request #2 has been deposited into general account and
Federal Cash On Hand is -$0.43 (highlighted pink).
• Grantee tracks negative Federal Cash On Hand, as they pay
invoices/bills for CDBG activities using transactions journal.
Request in Advance: DrawDown Request Form #3 Example
- Use corresponding journal entitled: Reimbursement Transaction Journal
DDR#3 Whole Dollars & Tracking Funds.
- Total invoices/bills to pay are highlighted in orange on the bottom of
transaction journal.
• Section I: Request For Payment
- Amount Requested $: This number must match the total in
Section III highlighted in gold.
• Section II: Status of CDBG Funds
- All numbers recorded in this section must match what is
recorded on the transaction journal.
1. CDBG Advances Received to Date: This number will equal
DrawDown Request #1&2 highlighted in gray on transaction
journal.
2. Add: Program Income and Other Receipts: This section is used to
record CDBG funds that have generated income. “Receipts” Note:
These funds must be recorded in the miscellaneous deposits
column on the transaction journal.
3. Subtotal: Add #’s 1 and 2.
4. LESS: Actual Disbursements: This number will equal the Total
Payments To Date Column on the transaction journal highlighted
yellow.
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5. Federal Funds On Hand: This number will always be negative,
because CDBG reimburses for expenses that have already been paid
(highlight blue). Calculation: #3 - #4 = #5
6. Unpaid Requests Previously Submitted: Records prior DrawDowns
Requests, where funds have not been deposited into grant account.
7. Grant Award: This section is pre-printed by the financial manager
when a contract or amendment is processed. This number should
never be edited by a grantee.
8. LESS: Total Amount Requested: In this example the number will
equal the Total Amount Requested in Section I (highlighted gold) +
Total CDBG Funds Received To Date in Section II #1 (highlighted
gray).
9. Balance Remaining: Equals #7 - #8.
• Section III: Classification of Amounts Requested
- This section records total funds requested per activity budget.
These numbers are highlighted in green and must calculate
correctly and equal the total amount requested in Section I.
- Grantee has achieved whole dollar correction and must
continue to draw in whole dollar only.
A. Current draw, paid invoices/bills for budget activities equals
(highlighted in orange): H.1 = $10,599.56, H.2 = $15,627.65,
H.3 = $600.00.
B. Round Down to whole dollars (highlighted in red): For
current invoices/bill paid out (highlighted orange) round down
to nearest whole dollar (highlighted in green).
C. DrawDown Request #3 is deposited into account (not
highlighted) and continues to track Federal Funds On Hand,
as payments are made.
• Section IV: Certification
• Two signatures are needed in order to process the request.
These signatures are authorized on the Signature Certification
Form.
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Request in Advance: DrawDown Request Form #1 Example
WISCONSIN DEPARTMENT OF COMMERCE
REQUEST FOR DISBURSEMENT OF
Community Development Block Grant Funds
SECTION I: REQUEST FOR PAYMENT
AMOUNT REQUESTED $ 74,695.86
Make check payable to:
Contract #
TREAS CITY WALKERSVILLE
ASSOCIATED BANK
ACCT #000-000
108 N MAIN ST
Walkersville, WI 55555
EAP 08-XX
Request #
FINAL REQUEST?
1
Yes SECTION II: STATUS OF CDBG FUNDS
FUNDS ON HAND:
Dollar Amount
1.
CDBG Advances Received to Date ...........................................................................
2.
ADD: Program Income and Other Receipts ............................................................
3.
Subtotal .......................................................................................................................
4.
LESS: Actual Disbursements ...................................................................................
5.
Federal Funds on Hand ..............................................................................................
6.
Unpaid Requests Previously Submitted ..................................................................
7.
Grant Amount Awarded:
$
8.
LESS: Total Amounts Requested: $
9.
BALANCE REMAINING: $
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$450,000.00
$74,695.86
ATTACH GRANT ACCT TRANSACTION AND
WORKING ACCT TRANSACTION JOURNALS
$375,604.14
SECTION III: CLASSIFICATION OF AMOUNTS REQUESTED
H.1
H.2
H.3
HMGP
PF-Storm sewer repairs
General Program Administration
Mdhmg8XXX
Mdpfu8XXX
Mdga8XXX
TOTAL
AMOUNT
$60,599.51
$13,896.35
$200.00
$74,695.86
SECTION IV: CERTIFICATION
I hereby certify the information reported above is correct, the amount requested is not in excess of current needs, and that
federal funds in excess of $5,000.00 will be disbursed in three (3) working days.
Signature _____________________________________________________
Date __________________________
Signature _____________________________________________________
Date __________________________
Commerce Countersignature ____________________________________
Date __________________________
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REQUEST IN ADVANCE: DRAWDOWN REQUEST FORM #2 EXAMPLE
WISCONSIN DEPARTMENT OF COMMERCE
REQUEST FOR DISBURSEMENT OF
SECTION I: REQUEST FOR PAYMENT
AMOUNT REQUESTED $ 29,087.14
Make check payable to:
Contract #
TREAS CITY WALKERSVILLE
ASSOCIATED BANK
ACCT #000-000
108 N MAIN ST
Walkersville, WI 55555
EAP 08-XX
Request #
FINAL REQUEST?
2
Yes SECTION II: STATUS OF CDBG FUNDS
FUNDS ON HAND:
Dollar Amount
1.
CDBG Advances Received to Date ...........................................................................
2.
ADD: Program Income and Other Receipts ............................................................
3.
Subtotal .......................................................................................................................
4.
LESS: Actual Disbursements ...................................................................................
5.
Federal Funds on Hand ..............................................................................................
6.
Unpaid Requests Previously Submitted ..................................................................
7.
Grant Amount Awarded:
8.
LESS: Total Amounts Requested: $
9.
BALANCE REMAINING: $
$
$74,695.86
$0.00
$74,695.86
$74,695.86
$0.00
$0.00
$450,000.00
$103,783.00
ATTACH GRANT ACCT TRANSACTION AND
WORKING ACCT TRANSACTION JOURNALS
$346,217.00
SECTION III: CLASSIFICATION OF AMOUNTS REQUESTED
H.1
H.2
H.3
HMGP
PF-Storm sewer repairs
General Program Administration
Mdhmg8XXX
Mdpfu8XXX
AMOUNT
$3,501.49
25,585.65
Mdga8XXX
TOTAL
$29,087.14
SECTION IV: CERTIFICATION
I hereby certify the information reported above is correct, the amount requested is not in excess of current needs, and that
federal funds in excess of $5,000.00 will be disbursed in three (3) working days.
Signature _____________________________________________________
Date __________________________
Signature _____________________________________________________
Date __________________________
Commerce Countersignature ____________________________________
Date __________________________
20
Community Development Block Grant Funds
21
REQUEST IN ADVANCE: DRAWDOWN REQUEST FORM #3 EXAMPLE
WISCONSIN DEPARTMENT OF COMMERCE
REQUEST FOR DISBURSEMENT OF
Community Development Block Grant Funds
AMOUNT REQUESTED $ $26,828.00
SECTION I: REQUEST FOR PAYMENT
Make check payable to:
Contract #
TREAS CITY WALKERSVILLE
ASSOCIATED BANK
ACCT #000-000
108 N MAIN ST
Walkersville, WI 55555
EAP 08-XX
Request #
FINAL REQUEST?
3
Yes SECTION II: STATUS OF CDBG FUNDS
FUNDS ON HAND:
Dollar Amount
1.
CDBG Advances Received to Date ..........................................................................
2.
ADD: Program Income and Other Receipts ...........................................................
3.
Subtotal .......................................................................................................................
4.
LESS: Actual Disbursements ..................................................................................
5.
Federal Funds on Hand .............................................................................................
6.
Unpaid Requests Previously Submitted ..................................................................
7.
Grant Amount Awarded:
$
8.
LESS: Total Amounts Requested: $
9.
BALANCE REMAINING: $
$103,783.00
$0.00
$103,783.00
$103,781.43
$1.57
$0.00
$450,000.00
$130,611.00
ATTACH GRANT ACCT TRANSACTION AND
WORKING ACCT TRANSACTION JOURNALS
$319,389.00
SECTION III: CLASSIFICATION OF AMOUNTS REQUESTED
H.1
H.2
H.3
HMGP
PF-Storm sewer repairs
General Program Administration
Mdhmg8XXX
Mdpfu8XXX
Mdga8XXX
TOTAL
AMOUNT
$10,600.00
$15,628.00
$600.00
$26,828.00
SECTION IV: CERTIFICATION
I hereby certify the information reported above is correct, the amount requested is not in excess of current needs, and that
federal funds in excess of $5,000.00 will be disbursed in three (3) working days.
Signature _____________________________________________________
Date __________________________
Signature _____________________________________________________
Date __________________________
Commerce Countersignature ____________________________________
Date __________________________
22
23
REIMBURSEMENT REQUEST DRAWDOWN REQUEST FORM EXAMPLE #1
WISCONSIN DEPARTMENT OF COMMERCE
REQUEST FOR DISBURSEMENT OF
Community Development Block Grant Funds
SECTION I: REQUEST FOR PAYMENT
AMOUNT REQUESTED $ 74,695.86
Make check payable to:
Contract #
TREAS CITY WALKERSVILLE
ASSOCIATED BANK
ACCT #000-000
108 N MAIN ST
Walkersville, WI 55555
EAP 08-XX
Request #
FINAL REQUEST?
1
Yes SECTION II: STATUS OF CDBG FUNDS
FUNDS ON HAND:
Dollar Amount
1.
CDBG Advances Received to Date ..........................................................................
2.
ADD: Program Income and Other Receipts ...........................................................
3.
Subtotal .......................................................................................................................
4.
LESS: Actual Disbursements ..................................................................................
5.
Federal Funds on Hand .............................................................................................
6.
Unpaid Requests Previously Submitted ..................................................................
7.
Grant Amount Awarded:
$
8.
LESS: Total Amounts Requested: $
9.
BALANCE REMAINING: $
$0.00
$0.00
$0.00
$74,695.86
($74,695.86)
$0.00
$450,000.00
$74,695.86
ATTACH GRANT ACCT TRANSACTION AND
WORKING ACCT TRANSACTION JOURNALS
$375,604.14
SECTION III: CLASSIFICATION OF AMOUNTS REQUESTED
H.1
H.2
H.3
HMGP
PF-Storm sewer repairs
General Program Administration
Mdhmg8XXX
Mdpfu8XXX
Mdga8XXX
TOTAL
AMOUNT
$60,599.51
$13,896.35
$200.00
$74,695.86
SECTION IV: CERTIFICATION
I hereby certify the information reported above is correct, the amount requested is not in excess of current needs, and that
federal funds in excess of $5,000.00 will be disbursed in three (3) working days.
Signature _____________________________________________________
Date __________________________
Signature _____________________________________________________
Date __________________________
Commerce Countersignature ____________________________________
Date __________________________
24
25
REIMBURSEMENT REQUEST DRAWDOWN REQUEST FORM EXAMPLE #2
WISCONSIN DEPARTMENT OF COMMERCE
REQUEST FOR DISBURSEMENT OF
Community Development Block Grant Funds
Commerce Countersignature ____________________________________
Date __________________________
SECTION I: REQUEST FOR PAYMENT
AMOUNT REQUESTED $ 29,085.14
Make check payable to:
Contract #
TREAS CITY WALKERSVILLE
ASSOCIATED BANK
ACCT #000-000
108 N MAIN ST
Walkersville, WI 55555
EAP 08-XX
Request #
FINAL REQUEST?
2
Yes SECTION II: STATUS OF CDBG FUNDS
FUNDS ON HAND:
Dollar Amount
1.
CDBG Advances Received to Date ...........................................................................
2.
ADD: Program Income and Other Receipts ............................................................
3.
Subtotal .......................................................................................................................
4.
LESS: Actual Disbursements ...................................................................................
5.
Federal Funds on Hand ..............................................................................................
6.
Unpaid Requests Previously Submitted ..................................................................
7.
Grant Amount Awarded:
8.
LESS: Total Amounts Requested: $
9.
BALANCE REMAINING: $
$
$74,695.86
$0.00
$74,695.86
$103,781.43
($29,085.57)
$450,000.00
$103,781.00
ATTACH GRANT ACCT TRANSACTION AND
WORKING ACCT TRANSACTION JOURNALS
$346,219.00
SECTION III: CLASSIFICATION OF AMOUNTS REQUESTED
H.1
H.2
H.3
HMGP
PF-Storm sewer repairs
General Program Administration
Mdhmg8XXX
Mdpfu8XXX
AMOUNT
$3,500.49
$25,584.65
Mdga8XXX
TOTAL
29,085.14
SECTION IV: CERTIFICATION
I hereby certify the information reported above is correct, the amount requested is not in excess of current needs, and that
federal funds in excess of $5,000.00 will be disbursed in three (3) working days.
Signature _____________________________________________________
Date __________________________
Signature _____________________________________________________
Date __________________________
26
27
REIMBURSEMENT REQUEST DRAWDOWN REQUEST FORM EXAMPLE #3
WISCONSIN DEPARTMENT OF COMMERCE
REQUEST FOR DISBURSEMENT OF
Community Development Block Grant Funds
AMOUNT REQUESTED $ 26,826.00
SECTION I: REQUEST FOR PAYMENT
Make check payable to:
Contract #
TREAS CITY WALKERSVILLE
ASSOCIATED BANK
ACCT #000-000
108 N MAIN ST
Walkersville, WI 55555
EAP 08-XX
Request #
FINAL REQUEST?
3
Yes SECTION II: STATUS OF CDBG FUNDS
FUNDS ON HAND:
Dollar Amount
1.
CDBG Advances Received to Date ...........................................................................
2.
ADD: Program Income and Other Receipts ............................................................
3.
Subtotal .......................................................................................................................
4.
LESS: Actual Disbursements ...................................................................................
5.
Federal Funds on Hand ..............................................................................................
6.
Unpaid Requests Previously Submitted ..................................................................
7.
Grant Amount Awarded:
8.
LESS: Total Amounts Requested: $
9.
BALANCE REMAINING: $
$
$103,781.00
$0.00
$103,781.00
$130,608.64
($26,827.64)
$0.00
$450,000.00
$130,607.00
ATTACH GRANT ACCT TRANSACTION AND
WORKING ACCT TRANSACTION JOURNALS
$319,393.00
SECTION III: CLASSIFICATION OF AMOUNTS REQUESTED
H.1
H.2
H.3
HMGP
PF-Storm sewer repairs
General Program Administration
Mdhmg8XXX
Mdpfu8XXX
Mdga8XXX
TOTAL
AMOUNT
$10,599.00
$15,627.00
$600.00
$26,826.00
SECTION IV: CERTIFICATION
I hereby certify the information reported above is correct, the amount requested is not in excess of current needs, and that
federal funds in excess of $5,000.00 will be disbursed in three (3) working days.
Signature _____________________________________________________
Date __________________________
Signature _____________________________________________________
Date __________________________
Commerce Countersignature ____________________________________
Date __________________________
28