EmailMe Form - FINAL ACH REDUCTION/DEBT REPORTING -4/5/2023

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 *
Association *
Service Unit (Please Enter as 2 digits) *
Report Completed by
First Last
Position *
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 Country / Region
Phone - home/cell *
### - ### - ####
Phone- work
### - ### - ####
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 *
### - ### - ####
Phone- alternate
### - ### - ####
Phone - home/cell *
### - ### - ####
Phone - alternate
### - ### - ####
Please sign and acknowledge completion of this form: *
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

Submission #
Of

DEBT DETAIL

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: