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    COA C2016-005 Annexes1-5

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    Marivic Soriano
    This document contains 5 annexes summarizing dormant accounts and requests for write-offs for a government entity. Annexes 1-3 provide schedules of aging dormant receivable accounts, cash advances, and inter-agency fund transfers. Annex 4 is a registry of accounts written off. Annex 5 reports on requests for write-off during the quarter, including status of pending or denied prior requests.

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    COA C2016-005 Annexes1-5

    Uploaded by

    Marivic Soriano
    175 views5 pages
    This document contains 5 annexes summarizing dormant accounts and requests for write-offs for a government entity. Annexes 1-3 provide schedules of aging dormant receivable accounts, cash advances, and inter-agency fund transfers. Annex 4 is a registry of accounts written off. Annex 5 reports on requests for write-off during the quarter, including status of pending or denied prior requests.

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    Write-off

    Original Title

    COA_C2016-005_Annexes1-5

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    This document contains 5 annexes summarizing dormant accounts and requests for write-offs for a government entity. Annexes 1-3 provide schedules of aging dormant receivable accounts, cash advances, and inter-agency fund transfers. Annex 4 is a registry of accounts written off. Annex 5 reports on requests for write-off during the quarter, including status of pending or denied prior requests.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    175 views5 pages

    COA C2016-005 Annexes1-5

    Uploaded by

    Marivic Soriano
    This document contains 5 annexes summarizing dormant accounts and requests for write-offs for a government entity. Annexes 1-3 provide schedules of aging dormant receivable accounts, cash advances, and inter-agency fund transfers. Annex 4 is a registry of accounts written off. Annex 5 reports on requests for write-off during the quarter, including status of pending or denied prior requests.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 5

    SCHEDULE OF DORMANT RECEIVABLE ACCOUNTS Annex 1 .

    Government Entity Name:___________________________________________


    As of the Quarter Ending _______

    Account Title: _____________________________________________


    AGING OF DORMANT RECEIVABLE ACCOUNTS
    Remarks (Reason
    Transaction
    Name of Debtor more than 20 for being
    Date Amount 10 years 11 to 15 years 16 to 20 years
    years dormant)

    TOTAL

    Certified Correct by: Approved by:

    __________________________ _____________________________
    Entity Chief Accountant Head of Entity or
    Authorized Representative
    Date: _________________ Date: _________________
    SCHEDULE OF DORMANT CASH ADVANCES Annex 2 ,
    Government Entity Name:____________________________________
    As of the Quarter Ending _______

    Account Title: _____________________________________________


    AGING OF DORMANT CASH ADVANCES
    Date Remarks (Reason for
    Name of Accountable Officer more than 20
    Granted Amount 10 years 11 to 15 years 16 to 20 years being dormant)
    years

    TOTAL

    Certified Correct by: Approved by:

    __________________________ _____________________________
    Entity Chief Accountant Head of Entity or
    Authorized Representative
    Date: _________________ Date: _________________
    Annex 3 ,
    SCHEDULE OF DORMANT INTER-AGENCY FUND TRANSFER
    Government Entity Name:__________________________________________
    As of the Quarter Ending _______

    Account Title: _____________________________________________


    AGING OF DORMANT INTER-AGENCY FUND TRANSFER
    Date Remarks (Reason for
    Name of Government Entity more than 20
    Granted Amount 10 years 11 to 15 years 16 to 20 years being dormant)
    years

    TOTAL

    Certified Correct by: Approved by:

    __________________________ _____________________________
    Entity Chief Accountant Head of Entity or
    Authorized Representative
    Date: _________________ Date: _________________
    Annex 4

    REGISTRY OF ACCOUNTS WRITTEN OFF

    Entity Name : __________________________________


    Account Title :___________________________________ Fund Cluster : _____________
    UACS Object Code :______________________________ Sheet No. : ________________

    Reference No. of Years


    Particulars Reason for Write-off Authority Uncollected/ Amount
    Date No.
    Unliquidated
    Annex 5 ,

    QUARTERLY REPORT ON REQUESTS FOR WRITE-OFF


    Government Entity Name:_________________________________________
    For the Quarter Ending ______________________________

    Account Title: ____________________________________

    Accountable Amount Actions Taken Status of Denied Requests


    Reference Officer/Debtor New/ Amount Pending (for
    Date Pending Appealed Date Refiled Date Appealed Remarks
    Number /Government Refiled action)
    Entity Granted Denied
    (1) (2) (3) (4) (5) (6) (7) (8)

    A. Carry Over of Pending/Denied Requests

    B. Request for the Quarter

    Submitted by:

    _______________________

    Date:___________________

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