DIOCESE OF SALINA
P.O. Box 980
SALINA, KS 67402-0980
Expenditure Request Form
To the Most Reverend Bishop:
We, the undersigned
Pastor and Parish of_______________________________________________________
___________________, Kansas, hereby request permission to expend the sum of
$____________________for
the purpose of____________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
(Use reverse side of page for additional space.)
This expenditure will be financed in the following manner:
$__________from a Parish fund drive presently in progress;
$__________from a withdrawal of Parish invested fund;
$__________from borrowing we are requesting from the Diocese;
$__________from an insurance indemnification and/or a grant.
Number of Units in Parish__________.
Present debt of Parish..........$_______________.
Ordinary Income past fiscal year.......$_______________.
Extraordinary Income past fiscal year.....$_______________.
Cash in Parish Checking Account today......$_______________.
Total Invested Funds of Parish.....................$_______________
We propose to repay the borrowing requested from the Diocese by
making monthly payments of $_________________so that the total
amount of the loan will be repaid by_________________, _______.
We assure you that the sum stated above will cover the total cost
of the project and/or purpose as we have explained it to you, and
we do not envision necessary additional costs in the foreseeable
future to make it acceptable for our purpose or need.
Date:_______________, _____, at_______________________, Kansas.
Pastor___________________________________
Parish Finance Council: Parish Pastoral Council:
_________________________ _________________________
_________________________ _________________________
_________________________ _________________________
_________________________ _________________________