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INCOME SUBMISSION /DISBURSEMENT REQUEST (ISDR) FORMĀ
PURPOSE
Documentation and Compliance
: Satisfy IRS regulations for tax-exempt organizations.
Authorization and Approval
: Ensure Ministry Leader approval of expenses prior to payment.
Tracking
: Enable tracking of spending and income against specific ministry budget line items.
PROCESS
Align with Ministry Leader against whose budget line item(s) request will be charged/credited.
Unbudgeted disbursement requests require Finance Ministry approval prior to cost being incurred.
For disbursements, submit completed disbursement request form a minimum of
2 weeks
prior to date funds needed.
Submission does
NOTĀ
constitute approval. The Finance Ministry will contact you if there are questions.
For income submissions, submit immediately upon receipt.
Once form submitted, deliver original receipts/invoices (or funds collected) to the Finance Ministry. If receipt/invoice is not 8 1/2" x 11" in size, tape to an 8 1/2" x 11" sheet of paper prior to submission to the Finance Ministry.
SUBMITTER/REQUESTOR INFORMATION
Submitter/Requestor First Name
Submitter/Requestor Last Name
Submitter Phone Number
Submitter Email
Submitter/Requestor Address (complete only if disbursement to be mailed)
Apartment, suite, etc.
City
State
Zip/Postal Code
Does REQUESTOR differ from PAYEE?*
YES
NO
*If
REQUESTOR
(person submitting request) and
PAYEE
(person to whom disbursement is to be made) differ, a section will appear where PAYEE information can be entered.
PAYEE INFORMATION
Payee First Name
Payee Last Name
Payee Phone Number
Payee Email
Payee Address (complete only if disbursement to be mailed)
Apartment, suite, etc.
City
State
Zip/Postal Code
INCOME/DISBURSEMENT DETAILS
Date Disbursement Needed
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
Line Item #1 Ministry
Select Ministry
Audio/Visual
Compassionate Hands
Culinary Arts
Emergency Feeding Program
Equipping
Finance
Kindred
Men (MMOV)
Morning Manna
New Members
Outreach
Prayer
S.A.G.E
Scholarship
Security (incl Parking)
Small Groups/Villages
Street
Students
Transportation
Ushers
Women (SOV)
Worship
Young Adults
Line Item #1 Type
Select Type
Income (enter amount as negative)
Honorarium
Supplies
Travel: Airfare
Travel: Hotel
Travel: Rental Car
Travel: Taxi
Travel: Meals
Meals
Dues & Subscriptions
Other Disbursement
Line Item #1 Description (e.g. Honorarium recipient name(s), line item purpose)
Line Item #1 Amount (if Income, enter as negative)
Additional Line Item (#2)
YES
NO
Line Item #2 Ministry
Select Ministry
Audio/Visual
Compassionate Hands
Culinary Arts
Emergency Feeding Program
Equipping
Finance
Kindred
Men (MMOV)
Morning Manna
New Members
Outreach
Prayer
S.A.G.E
Scholarship
Security (incl Parking)
Small Groups/Villages
Street
Students
Transportation
Ushers
Women (SOV)
Worship
Young Adults
Line Item #2 Type
Select Type
Income (enter amount as negative)
Honorarium
Supplies
Travel: Airfare
Travel: Hotel
Travel: Rental Car
Travel: Taxi
Travel: Meals
Meals
Dues & Subscriptions
Other Disbursement
Line Item #2 Description (e.g. Honorarium recipient name(s), line item purpose)
Line Item #2 Amount (if Income, enter as negative)
Additional Line Item (#3)
YES
NO
Line Item #3 Ministry
Select Ministry
Audio/Visual
Compassionate Hands
Culinary Arts
Emergency Feeding Program
Equipping
Finance
Kindred
Men (MMOV)
Morning Manna
New Members
Outreach
Prayer
S.A.G.E
Scholarship
Security (incl Parking)
Small Groups/Villages
Street
Students
Transportation
Ushers
Women (SOV)
Worship
Young Adults
Line Item #3 Type
Select Type
Income (enter amount as negative)
Honorarium
Supplies
Travel: Airfare
Travel: Hotel
Travel: Rental Car
Travel: Taxi
Travel: Meals
Meals
Dues & Subscriptions
Other Disbursement
Line Item #3 Description (e.g. Honorarium recipient name(s), line item purpose)
Line Item #3 Amount (if Income, enter as negative)
Additional Line Item (#4)
YES
NO
Line Item #4 Ministry
Select Ministry
Audio/Visual
Compassionate Hands
Culinary Arts
Emergency Feeding Program
Equipping
Finance
Kindred
Men (MMOV)
Morning Manna
New Members
Outreach
Prayer
S.A.G.E
Scholarship
Security (incl Parking)
Small Groups/Villages
Street
Students
Transportation
Ushers
Women (SOV)
Worship
Young Adults
Line Item #4 Type
Select Type
Income (enter amount as negative)
Honorarium
Supplies
Travel: Airfare
Travel: Hotel
Travel: Rental Car
Travel: Taxi
Travel: Meals
Meals
Dues & Subscriptions
Other Disbursement
Line Item #4 Description (e.g. Honorarium recipient name(s), line item purpose)
Line Item #4 Amount (if Income, enter as negative)
Total To Requestor/Payee/(Church)
CONFIRMATION
Requestor/Payee has aligned with impacted Ministry Leaders.
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