IMD Annual Local Financial Forms 2025

Blank No.
Convention Report Year Ending May*
Diocese*
Diocese Bishop*
General Funds Collected*
Pastor*
Diocese President*
Please report your local church representation prior to completing your credential reports. Thank you in advance for your cooperation.
1. Representation Fee (minimum $50.00):*
2. International 10% Assessment*
3. Global Missions (minimum $25.00)*
4. Home Missions (minimum $25.00)*
5. Education (minimum $25.00)*
6. Special Effort (minimum $25.00)*
7. International President's Love Offering*
8. Apostle's Love Offering*
9. State Mother's Talent*
10. WLBC Missionary Scholarship Fund*
11. PRW Scholarship Fund*
12. New Guide & Handbook*
Enter quantity to purchase. Cost is $35.00.
Total Cost New Guide & Handbook
13. Guide & Handbook Insert*
Enter quantity to purchase. Cost is $15.00.
Total Cost Guide & Handbook Insert
14. Missionary Pins*
Enter quantity to purchase. Cost is $15.00.
Total Cost Missionary Pins
15. Wings of Prayer Pins*
Enter quantity to purchase. Cost is $15.00.
Total Cost Wings of Prayer Pins
16. Weeping Women Prayer Pins*
Enter quantity to purchase. Cost is $12.00.
Total Cost Weeping Women Prayer Pins
17. Color Beacon Special Edition*
Enter quantity to purchase. Cost is $50.00
Total Cost Color Beacon Special Edition
18. Memorial Sash*
Enter quantity to purchase. Cost is $25.00
Total Cost Memorial Sash
19. Outstanding Women*
Enter quantity to purchase. Cost is $20.00
Total Cost Outstanding Women
Grand Total of All Monies Reported For The Year
CHURCH INFORMATION
Number of Meetings Held*
Souls Saved*
Souls Baptized*
Number of Honored Mothers*
Number of Seniors*
Number of Socials*
Number of Aspirants*
Number of Juniors*
Number of Missionettes*
Total Active Members*
Church Name*
Address*

Church Address

Street Address Line 2

CityState

Zip Code
Local President*
Local President's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Local President's Telephone Number*
Local President's Email*
example@example.com
Local Secretary*
Local Secretary's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Local Secretary's Telephone*
Local Secretary Email*
example@example.com
Please attach work supported plans and spiritual reports

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Local President's Signature
Signature*

To be completed by all State/Diocesan Mothers or Local Presidents for renewal of all Missionary Cards. Attach Spreadsheet with alphabetical list of all Missionaries, designate Social or Senior. Only Missionaries who are licensed and are current on their annual dues may receive a renewal card. Aspirant and Junior Missionaries are not licensed, but must be current on their annual dues. All new credentials must be processed through the Executive Secretary’s office.

Local church representation must be completed on annual local financial statement prior to completing this Credential Committee form.
DATE*

MonthDayYear
Date
DIOCESE*
STATE/DIOCESAN MOTHER*
Local Church *
Local President*
Church ID*
Licensed Missionaries
Number of Honored Mothers*
Credential fee is $25.00
Total Amount Honored Mothers
Number of Senior Missionaries*
Credential fee is $100.00
Total Amount Senior Missionaries
Number of Social Missionaries*
Credential fee is $100.00
Total Amount Social Missionaries
Total Amount Collected For All Licensed Missionaries
Aspirant & Junior Missionaries
Number of Aspirant Missionaries*
Credential fee is $50.00
Total Amount Aspirant Missionaries*
Number of Junior Missionaries*
Credential fee is $45.00
Total Amount Junior Missionaries*
Total Amount Collected For All Aspirant & Junior Missionaries
Total Monies Collected (Licensed Missionaries + Aspirants + Juniors)
Other*
Total of ALL Monies Collected
Please Pay This Amount To The Credential Committee
Attach Missionary Roll Call Spreadsheet*

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Financial Review
Total Monies From Annual Local Financial Statement
Total Monies From Credential Committee Form
Total Monies Owed to IMD
Total Monies Owed to IMD

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CHURCH INFORMATION

Licensed Missionaries

Aspirant & Junior Missionaries

Financial Review