Town Of Atoka Donation Request Form Page 2

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Processing
 Please allow a minimum of three weeks to process your donation request.
 Declined Requests: The requesting organization will receive notification via e-mail
indicating the request has been declined and the reason for the decision.
 Approved Requests: The approved donation will be mailed to the organizations mailing
address provided on the Donation Request Form.
 All donation decisions made by the Town are final and will be mailed according to the
date of the event and/or date donation is needed.
Requirements for Approved Requests
Organizations receiving funding from the Town of Atoka shall comply with all requirements of
Section 6-54-111 of the Tennessee Code Annotated and Title 4, Chapter 3, Section 1 of the
Internal Controls and Compliance Manual for Tennessee Municipalities.
The organization will be required to submit an annual report of its business affairs and
transactions and the proposed use of the municipal assistance.
Acknowledgement
Please acknowledge that you have read and understand the Donations Policies and
Procedures outlined above, and that your organization meets our requirements as stated,
by entering your name below:
Name of Organization: _______________________________________________
Requestor’s Name: _____________________
Signature : ______________________
Date: _____ / _____ / 20 _____
Policy – Donation Policy
Adopted – 03/06/12

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