The University of Texas Cash Receipt Deposit Form

THE UNIVERSITY OF TEXAS - HOUSTON CASH RECEIPT DEPOSIT FORM

Please attach this form to all gift checks being sent to the Development Office for deposit. This information will expedite the gift and send the proper acknowledgement to the donor. If you have any questions regarding the content of this form, please call the Develpment Office at 713-500-3200. If you have any technical problems accessing this form, please call 713-500-3077.

TO: Development Office, UCT 12th floor DATE: FROM: PHONE: TITLE: DEPARTMENT: AMOUNT: DATE OF CHECK: PURPOSE OF GIFT: CHECK PAYOR (if different from donor): NAME OF DONOR: DEPOSIT TO: Existing account name: Existing account number: New account name: New account number:

(For new account set up, send Development a memo with new account name, initial deposit amount, what account will be used for, and who the account managaer will be. Memo should be signed by department head and chief business officer for school.)

ACCOUNT MANAGER:PHONE: FACULTY/FACILITATOR'S NAME: ATTACHMENT(S):

DONOR INFORMATION: Tax receipt and thank you card will be sent for ALL gifts. Send President's acknowledgment letter (only for individual and foundation gifts of $1000 or more and for corporate gifts over $3,000.) TO NAME/TITLE: ADDRESS: CITY: STATE: ZIP: COMMENTS:

Updated 2/01