Club Finance Council Short Long Term Loan Application Page 2

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Financial Details of Event
Please provide/attach an itemized budget of the activity to be funded. Give a complete breakdown of each item its
source of funding, and its expense.
Item
Source Of Funding
Cost
Budget total
Bank accounts:
Type
Location
Balance
Checking
Savings
Bank account total:
* round up to the nearest whole number if necessary
Your group’s budget:
Please provide an list of the assets and expenses of your organization:
Current outstanding debts
Balance
Cash on hand / savings
Balance
Expenses total:
Assets total:
Loan Agreement:
I,__________________________________ , understand and agree to the following:
I will be held personally liable for the amount of this short- or long-term loan (and interest if applicable)
My transcripts and registration may be held if my organization does not return the loan amount.
I understand that full repayment of my loan is due:______________________________________
I attest that the information I have provided on this form is true and correct, to the best of my knowledge.
Today’s date
Signature
Position
* Interest will accrue if payment is not made by the due date.

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