2024 GSHNC Unpaid Product Program Funds Report

Unpaid Funds Report

Product Programs
Complete all the information requested below.

Troop Proceeds are NOT retained by the troop until the money is collected and received by GSHNC. This form is used to report any unpaid Cookie funds from a caregiver or troop.

Attach all receipts for fall product, cookies and monies received by the troop and the Girl Scout permission and responsibility from for all caregiver unpaid funds at the end of the form. If you are unable to attach the receipts and permission slip to the form, mail them to GSHNC, Attn: Cookies, 7007 Idlewild Rd., Charlotte, NC 28212.

Note: Failure to submit the required documentation could result in a shift of the financial responsibility to the troop leader or troop cookie manager.

This report must be submitted by March 17, if cookies will not be paid in full. If the cookies are paid in full, this report may be submitted for any unpaid funds a troop incurs no later than April 15.

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Troop Information
Troop Number*
Service Unit*
Troop Leader Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Troop Cookie Manager Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this troop or caregiver unpaid funds?*

Troop Unpaid FundsCaregiver Unpaid FundsBoth

Troop Unpaid Funds

Please complete this section for any unpaid funds that is not from a caregiver.
How many unsold packages by variety
prevnext( X )
Thin Mints$6.00

Quantity

Samoas$6.00

Quantity

Tagalong$6.00

Quantity

Adventurefuls$6.00

Quantity

Trefoils$6.00

Quantity

Do-si-dos$6.00

Quantity

Lemon-ups$6.00

Quantity

Exploremores$6.00

Quantity

Toffee-tastic$7.00

Quantity

Total $0.00
Reason for troop unpaid funds
Please explain your troop's plan to sell the unsold cookies

Parent Unpaid Funds 1
Responsible Adult Name

First NameLast Name
Chose one
Email
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Girl Scouts Name

First NameLast Name
Total # of packages received by responsible party.

(This includes all cookies received for initial order, additional orders including Digital Cookie girl delivery and paper orders. This should be the total amount found in eBudde under the Girl Scout in the Girl Order tab. See the circled number in the sample below)
Total amount paid by caregiver.

(This includes all Digital Cookie and cash payments. This should be the total amount "Paid" in eBudde under the Girl Scout in the Girl Order Tab. See the number in the red rectangle in the sample below.)
Do you have any additional unpaid funds?

YesNo

Unpaid Funds 2
Responsible Adult Name

First NameLast Name
Chose one
Email
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Girl Scouts Name

First NameLast Name
Total # of packages received by responsible party.

(This includes all cookies received for initial order, additional orders including Digital Cookie girl delivery and paper orders. This should be the total amount found in eBudde under the Girl Scout in the Girl Order tab. See the circled number in the sample below)
Number of packages Toffee-tastic received by responsible party.

(This includes all cookies received for initial order, additional orders including Digital Cookie girl delivery and paper orders. This should be the total amount found in eBudde under the Girl Scout in the Girl Order tab. See the number in the red square in the sample below.)
Total amount paid by caregiver.

(This includes all Digital Cookie and cash payments. This should be the total amount "Paid" in eBudde under the Girl Scout in the Girl Order Tab. See the number in the red rectangle in the sample below.)
Do you have any additional unpaid funds?

YesNo

Unpaid Funds 3
Responsible Adult Name

First NameLast Name
Chose one
Email
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Girl Scouts Name

First NameLast Name
Total # of packages received by responsible party.

(This includes all cookies received for initial order, additional orders including Digital Cookie girl delivery and paper orders. This should be the total amount found in eBudde under the Girl Scout in the Girl Order tab. See the circled number in the sample below)
Total amount paid by caregiver.

(This includes all Digital Cookie and cash payments. This should be the total amount "Paid" in eBudde under the Girl Scout in the Girl Order Tab. See the number in the red rectangle in the sample below.)
E3.

Upload Form
Upload copies of the signed girl permission slip and all product and money receipts. This form is not valid until these documents are uploaded or mailed to GSHNC.
Upload Files:

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Please list the steps taken by the troop to collect on this debt. *
Name

First NameLast Name
Signature

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Should be Empty:

Unpaid Funds Report