Promise To Pay Form printable pdf download

Promise To Pay Form

For office use only

Account #:_________________

Promise #: _________________

Approved by: ______________

Date approved: _____________

PROMISE FORM

Person requesting the Promise:

Fiscal Year:

Description of Promise:

Amount of Promise:

Account to Charge:

If transferring funds to another account

or department what is the account #:

If receiving funds from another account

or department what is the account #:

Honorarium amount:

Independent Contractor amount:

Carolina Inn Reservation #:

Miscellaneous charges amount:

OTHER VALUABLE

INFORMATION:

CONTACT PHONE NUMBER:

EMAIL ADDRESS:

Approved by:

Please have anyone receiving payment for honorarium or Independent Contractors complete

an Independent Contractor Form, 4 Page Check list, and W-9 form. Anyone receiving

reimbursement must complete a W-9, if they have never received a check from UNC. If

honorarium will stay at Carolina Inn, please make a reservation and forward the confirmation

to Mark Richardson at richardm@email.unc.edu. Please return all receipts and

documentation to Accountant at 203 Greenlaw Hall.

Promise Form

Promise To Pay Form