Diocese of the South Parish Remittance Form

Diocese of the South Parish Remittance Form
This Remittance is for (Month and Year):*
Parish Name and Location*
Name and Contact Info for Person Completing This Form:
Name of Person Completing this Form*
Title/Position*
Email address*
General Fund Remittance
Excluded Income - Pass-through or charitable fund income, capital campaign and building fund income, stock and bonds, donations of real property, loan proceeds, interest on Diocesan deposits*
Included Income - donations, tithes, pledges (when funds are received), dues, in kind donations, donor restricted contributions for specific operating items or activities, interest income (not from Diocese), and NET income from bookstore, candles, fundraisers, and rentals*
Calculated Tithe (10%)
Fill out boxes below as applicable to your parish. Leave boxes blank if not applicable.
Deanery Contribution (if applicable)
Other (Description here, Amount below)
Other (Amount)
Total General Fund Remittance (Calculated)
Deposits and Managed Debt Program Remittance
Fill out boxes below as applicable to your parish. Leave boxes blank if not applicable.
Capital campaign/building fund income*
Calculated capital campaign/building fund tithe (10%)
Loan Repayment
If your parish places funds on deposit with the diocese please enter a description in the description box (or boxes if there are multiple deposits) below and the amount(s) in the amount boxes. Leave blank if not applicable to your parish.
Funds Being Placed on Deposit Description 1
Funds Being Placed on Deposit Amount 1
Funds Being Placed on Deposit Description 2
Funds Being Placed on Deposit Amount 2
Funds Being Placed on Deposit Description 3
Funds Being Placed on Deposit Amount 3
Deposits and Managed Debt Program Remittance (Calculated)
Remittance Summary
Please send the General Fund remittance and the Deposits & Managed Debt Program remittance in separate payments. Please do not combine both in one payment.

Select your payment method below. If you select online payment, the DOS Accounting Office will initiate an ACH collection from your bank account(s). If you select check, please mail check(s) to: DOS Accounting Office, PO Box 191109, Dallas, TX 75219.

If this will be your FIRST time remitting payment online, you must contact the DOS Accounting Office at accounting@dosoca.org to provide your bank account and routing numbers.
Payment Method*
Total General Fund Remittance (Calculated)
General Fund Remittance Check #
Deposits and Managed Debt Program Remittance (Calculated)
Deposits and Managed Debt Program Remittance Check #
Special payment instructions (if applicable)
File Upload: If you need to send the DOS Accounting Office a file with additional information, you may upload it here.
By submitting this form you acknowledge that this form has been reviewed and approved by both the treasurer and your parish priest.
Name of Priest that reviewed and approved this submission*
Signature of Person Completing This Form
FOR PARISHES AND MISSIONS MAINTAINING DEPOSITS WITH THE DIOCESE:
What is the intended use of your parish’s/mission’s funds on deposit with the Diocese (for example, property acquisition, building construction, operating reserve, etc.)?
Is your parish/mission currently undertaking a capital campaign?

YesNo
If YES, is your parish depositing the funds it raises with the Diocese?
When does your parish/mission estimate needing to withdraw its funds on deposit with the Diocese? Please provide your best estimate at this point.

Within one year1-3 years3-5 yearsMore than 5 years
Should be Empty:

Diocese of the South Parish Remittance Form

Name and Contact Info for Person Completing This Form:

General Fund Remittance

Deposits and Managed Debt Program Remittance

Remittance Summary