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FINAL ACH REDUCTION/DEBT REPORTING -4/5/2023
ANY REDUCTION REQUEST RECEIVED AFTER 8:00 PM ON Friday, March 31 WILL NOT BE HONORED.
In submitting this final REDUCTION REQUEST, you must complete a separate submission identifying each family that still owes for the cookies received. This will allow council to quickly begin work with THOSE FAMILIES THAT HAVE A DELINQUENCY and makes it possible to adjust your troop's final payment. TROOPS SHOULD NOT PAY COUNCIL FOR COOKIES IF A FAMILY HAS NOT PAID THE TROOP. Please identify all families with an outstanding balance.
Troop Number
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Association
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Please select one
10 - So. Maryland - St. Mary's
11 - So. Maryland - Calvert
12 - So. Maryland - Charles
14 - Shenandoah SW
15 - Shenandoah NE
21 - Southern Prince George's
22 - Central Prince George's
23 - Northern Prince George's
31 - Georgia Crossing
32 - Northern Montgomery
33 - Heart of Montgomery
34 - Montgomery Crescent
37 - Frederick
40 - DC East
42 - Central City - Friendship
50 - Ashgrove East
51 - Ashgrove West
52 - South Central Fairfax
53 - Mount Vernon
54 - Central Fairfax County
55 - Little River
56 - Difficult Run
60 - Pride of Potomac
70 - Goose Creek
80 - Ports of Prince William
90 - Piedmont
Service Unit (Please Enter as 2 digits)
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Report Completed by
First
Last
Position
*
Troop Leader
Troop Cookie Manager
SU Cookie Manager
Assn Cookie Manager
Council Staff
Email
*
Confirm email
Identify type of delinquency:
*
Individual Family
Troop Cookie Manager
Troop
If the Troop is responsible, please list number of packages left unsold:
Please detail the troop's plan to liquidate cookie inventory. Final payment for left over cookies will be May 5, 2023
What is the FULL SCHEDULED PAYMENT which you are expecting to have insufficient funds? (Please enter the final payment amount your Troop owes to close out the season)
*
$
Dollars
.
Cents
What is the total reduction requested? (i.e. total amount being reported as debt for ALL delinquent families and/or troop debt)
*
$
Dollars
.
Cents
This is for Final Delinquent Account submissions. Please indicate how many families you will be reporting.
Submission #
Of
Name Debtor (adult) Put in N/A if not applicable
*
First
Last
Name of Girl: (as she appears in eBudde): Put in N/A if not applicable
*
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone - home/cell
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Phone- work
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Parent Email Address (If you do not have this info, please enter noemail@parents.net)
*
Confirm Email Address
Total Boxes Received by Family
*
Total Amount Due
*
$
Dollars
.
Cents
DEBT DETAIL
Based on total owed minus troop proceeds:
DEDUCT Portion Previously Paid to Troop
*
$
Dollars
.
Cents
Portion Still Owed BY FAMILY =
*
$
Dollars
.
Cents
Please identify the issue and prior efforts to collect.
*
Troop Cookie Manager
*
First
Last
Email
*
Email - confirmed
Phone - home/cell
*
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Phone- alternate
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Phone - home/cell
*
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Phone - alternate
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Please sign and acknowledge completion of this form:
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By typing my name on this form, I am entering my "electronic signature" (as defined in the Uniform Electronic Transactions Act, C.R.S. 24-71.3-101 ff) and certifying that the information entered is true to the best of my knowledge.
After you submit, right click and "SAVE AS" for your records. Please print a copy and submit to the Service Unit Cookie Manager with the original, signed support documents as listed. Make copies for your records:
Required documentation:
PARENT PERMISSION AND RESPONSIBILITY (NC-G1)
Printable GIRL ORDER RECORD from eBudde (boxes/payments received)
FAMILY TRANSACTION RECORD (NC-T1A) with signatures for cookies/payments received
TROOP SALES REPORT from eBudde
DELINQUENT TROOP REWARD SUMMARY (NC-18A)
TCM AGREEMENT (NC-13) for TCM and Troop debt only