new form not yet a budget and matching

OMB Number: XXXX-XXXX
Expiration Date: MM/DD/YYYY

Basic Budget Form
1. Cost Breakdown
Description

Total Cost

Requested Funds

Matched Funds

shown for example calculation

$50.00

$40.00

$10.00

Totals
Percentages
Note: You must provide at least a 20% match to receive funding.

$50.00

$40.00
80.00%

$10.00
20.00%

2. Matching Funds
Source
shown for example

Total Match Provided
Total Matched Funds from Above

Type
equipment

Description
farm equipment

Amount
$10

$10.00
$10.00