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					                    THE UNIVERSITY OF TEXAS AT AUSTIN
                            Office of the Controller
                            Service Center Request


UNIT TITLE:                                      UNIT NUMBER:

DESCRIPTION OF GOODS OR SERVICES TO BE PROVIDED:




IS A RATE CURRENTLY CHARGED FOR THE SERVICE?
WHAT IS THE RATE AND HOW WAS IT DERIVED?




WHAT RATE DO YOU WISH TO CHARGE?

HOW IS THE RATE DERIVED?




NORMAL OPERATIONS:
Will the service or sale of materials interfere with the depatment's normal operations? Yes / No

BENEFIT TO THE UNIVERSITY FOR PROVIDING THIS SERVICE:




ANTICIPATED CUSTOMERS AND PERCENTAGE BY CATEGORY:

                                                 ESTIMATED
                                                  ANNUAL
                                                  INCOME                  PERCENT
  I. UT Accounts - Interdepartmental Transfers (IDTs):
     A. Federally Funded Contract and Grant Accounts
     B. Non-federal Accounts
          Subtotal IDTs
  II. Cash Sales:
     A. Students
     B. Faculty/Staff
     C. Off Campus Entities:
       Service Center Request: oldRequest Form           Page 1 of 2                           BMTLM: Rev. 2/18/2000
        1 Other Universities
        2 State Agencies
        3 Other (Foundations, Corporations, etc.)
          Subtotal Cash


        Total                                                                     100%

Will this service be offered to the campus at large or restricted in some way, such as to a particular college?




SALES TO OFF CAMPUS ENTITIES:
Please provide a narrative that explains how the service meets the following criteria:
 The service is unique and furthers the mission of the university.
 The service is not readily available outside the university.
 The service has a research purpose or helps educate students.
 The service does not compete with private enterprise.




ACCOUNT NUMBER INFORMATION:
(Account number and title where funds for this service have previously been deposited - where applicable)

(Account number and title where funds for this service will be deposited upon approval of this request -
if a new acct # is required, please note)


WHERE WILL THIS SERVICE BE PROVIDED:


DEPARTMENTAL CONTACT:


DEPARTMENTAL CHAIRMAN/DIRECTOR APPROVAL:


DEAN APPROVAL (If Academic Department or Organized Research Unit):

       Service Center Request: oldRequest Form            Page 2 of 2                             BMTLM: Rev. 2/18/2000
Service Center Request: oldRequest Form   Page 3 of 2   BMTLM: Rev. 2/18/2000
               THE UNIVERSITY OF TEXAS AT AUSTIN
                       Office of the Controller


    Vehicle Statistics:

       Year:


       Make:


       Description:


       UT Inventory Number:


       License Number:


       Date Acquired:


       Purchase Cost:


       Fund Source (account number):


       Mile Per Gallon:


       Total Mileage - Vehicle Lifetime:


       Estimated Trade-in Value:




c696d5d2-dcbc-4a42-a3a1-6d9817158cad.xlsoldVehicle Statistics   BMTLM: Rev. 2/17/2000
c696d5d2-dcbc-4a42-a3a1-6d9817158cad.xlsoldVehicle Statistics   BMTLM: Rev. 2/17/2000
                        THE UNIVERSITY OF TEXAS AT AUSTIN
                                Office of the Controller

                                 Vehicle Rate Template
                                      For each vehicle
Fuel
 Estimated Price Per Gallon                              (a)
 Miles Per Gallon                                        (b)
 Cost Per Mile                            #DIV/0!        (c) = (a) / (b)

Service and Maintenance:
 Oil
   Cost Per Gallon or Quart                            (d)
   Average Consumption at Change                       (e)
   Other Consumption between Changes                   (f)
      Combined Consumption                           0 (g) = (e) + (f)
   Cost of Combined Consumption                 $0.00 (h) = (d) X (g)
    Frequency of Change (miles)                        (i)
   Cost per Mile                          #DIV/0!        (j) = (h) / (i)

 Oil Filter
  Cost Per Item
  Frequency of Replacement (miles)
   Cost per Mile                          #DIV/0!

 Tires
   Cost per Set
   Frequency of Replacement (miles)
   Cost per Mile                          #DIV/0!

 Battery
  Cost per Item
  Frequency of Replacement (miles)
   Cost per Mile                          #DIV/0!

 Tune up
  Cost per Item
  Frequency of Replacement (miles)
   Cost per Mile                          #DIV/0!

 Insurance
   Cost per Year
   Annual Mileage
   Cost per mile                          #DIV/0!

 Other Repairs
  Cost per Lifetime
  Lifetime (miles)
   Cost per Mile                          #DIV/0!

 Total Service and Maintenance
  Cost per Mile                           #DIV/0!

Vehicle Depreciation
 Vehicle Cost
 Less Estimated Trade-in Value
 Depreciable Base                               $0.00 (k)
 Estimated Lifetime Mileage                           (l)
   Cost per Mile                          #DIV/0!        (m) = (k) / (l)

Total Cost per Mile                       #DIV/0!

Rounded Cost per Mile




  c696d5d2-dcbc-4a42-a3a1-6d9817158cad.xls: oldVehicle rate template       BMTLM: Rev 2/17/2000
                                  University of Texas at Austin
                                     Office of Accounting
                                        Vehicle Request
                                            CHECKLIST

Forms included in this package:
                      Checklist

                      Rate Approval Form

                      Description Form

To print the entire package, select File- Print-Entire Workbook (under Print what section)




For questions or to request assistance in preparing the service center proposal, contact Virginia
Oviedo, Indirect Cost Analyst at 232-5580 or by email at voviedo@austin.utexas.edu.

Provide a complete and signed (hard copy) service center package to Virginia Oviedo, Indirect Cost
Analyst, Office of Accounting, MAI 132, K5300.

For the review process, send an Excel (soft copy) version of the service center package by email.
                                                University of Texas at Austin
                                                   Office of Accounting
                                                      Vehicle Request

All rate proposals must be submitted to the Indirect Cost Analyst at least 1 month in advance of the
requested effective date for rates for existing vehicle rates and 2 months in advance for new vehicle rate
proposals.
       (√ one)                               NEW RATE            CHANGES TO EXISTING



(Unit name)                                                                                                  (Unit Number)


Account Number

NAME OF RATE:

EFFECTIVE DATE REQUESTED:
                                                                          (Date)
VEHICLE RATE CONTACT:
                                                                                   (Name)

                  (Phone #)                                   (Fax #)                                 (E-Mail address)


MUST BE SIGNED BY DEAN/VP, DEPARTMENT CHAIR/DIRECTOR, SERVICE CENTER MANAGER
All the vehicle proposal forms have been thoroughly reviewed and certify due prudence was taken in preparing
this proposal. All cost pool expenses included in the rate(s) are reasonable and necessary. This proposal is
recommended for approval by:


Dean/VP
                                                                        Name (Please print or type)



                                                  Signature                                                              Date


Department Chair/Director
                                                                        Name (Please print or type)



                                                  Signature                                                              Date


VEHICLE RATE CONTACT
                                                                        Name (Please print or type)



                                                  Signature                                                              Date




  Office of Accounting, Indirect Cost Unit
                                                                     University of Texas at Austin
                                                                        Office of Accounting
                                                                           Vehicle Request

                      0                                                                                                            0
    (Unit name)                                                                                                                           (Unit Number)
                 0
    (Account Number)

    Provide a descrtiption of the goods/services to be provided:
    (breakdown by rate type for multiple rates)




    List each rate name(s) and proposed rate(s):
    (insert additional rows if needed)


                                                      Current       Date of Last      Proposed
    Rate Name                                          Rate          Approval           Rate             Delta              Distribution Base (Unit of Measure)
                                                                                                            0



    Describe the distribution base:




    Explain any proposed rate change and why it is necessary:




    Account Number Information
    (Provide current account or note if new account is requested)



    Guarantee Account
    · In order to establish an academic service center, a guarantee account must be designated in the service center's initial proposal by the unit responsible for the
      service center.
    · This account is a "guarantee" for the payment of unrecovered service center expense or uncollectible revenue. The guarantee account cannot be a 26-Sponsored
      Research account.




    Surplus/Deficits
    Service centers must operate as a break-even operation.

    1. Describe why a surplus or deficit currently exists. If a surplus or deficit does not exist, describe how the department would remedy one.




    2. Describe how the sevice center will close the gap between its expenses and income by fiscal year end?




Costing Analysis, Office of Accounting
                                                                       University of Texas at Austin
                                                                          Office of Accounting
                                                                             Vehicle Request
    Vehicle Statistics:
    Year:                                          Make:                                                                  Model:

    License Number:                                Acquisition Date:                                                      Total Acquisition Cost:

    Miles per Gallon:                              Total Mileage (vehicle lifetime):                                      Estimated Trade-in Value:


                                         Account Number Used to     Account Fund         SPA Class          Acquisition                      Annual
    Inventory Number      Element #             Purchase               Code                Code               Price         Useful Life      Deprec
                                                                                                                                           $      -
                                                                                                                                           $      -
                                                                                                                                           $      -
                                                                                                                                           $      -
                                                                                                                                           $      -   excludes trade-in value



    Expenses
    based on manufacture/vendor estimates

    Fuel
                                         Estimated price per gallon
                                                  Miles per gallon                 0   linked to cell B42
                                                    Cost per mile $            -
    Service and Maintenance:
                      Oil Changes
                                           Cost per gallon or quart
                                  Average consumption at change
                              Other consumption between changes
                                          Combined consumption $               -
                                    Cost of combined consumption $             -
                                      Frequency of change (miles)
                                                    Cost per mile $            -
                          Oil Filter
                                                  Cost per oil filter
                                  Frequency of replacement (miles)
                                                     Cost per mile $           -
                          Tires
                                                      Cost per set
                                  Frequency of Replacement (miles)
                                                     Cost per mile $           -
                          Battery
                                                   Cost per battery
                                  Frequency of replacement (miles)
                                                     Cost per mile $           -
                          Tune up
                                                  Cost per tune up
                                  Frequency of replacement (miles)
                                                     Cost per mile $           -
                          Insurance
                                                    Cost per year
                                         Estimated annual mileage
                                                    Cost per mile $            -
                          List Other Repairs
                                     1
                                     2
                                     3
                                       Frequency of repairs (miles)
                                                    Cost per mile $            -
                            Service & Maintenance cost per mile $              -
    Vehicle Depreciation
              Vehicle value (acquisition cost less trade-in value) $           -       (formula)
                                   Modified annual depreciation $              -       (formula)
                                       Estimated annual mileage                    0   links to cell E91
                                                   Cost per mile $             -

    Total Cost per Mile                                             $          -




Costing Analysis, Office of Accounting
                                                                     University of Texas at Austin
                                                                        Office of Accounting
                                                                           Vehicle Request
    Income by Customer Type
    General Information:
    Service center policies were established to provide consistent operational practices to ensure compliance with all applicable university, state, and federal regulations,
    and to provide equitable treatment of all users regardless of funding source.

    Service centers must operate as a break-even operation, therefore, a breakdown of the customer base must be provided to ensure the proposed rates will derive
    sufficient income to recover the estimated operating expenses.

    Proposed Rate:                                               0
                                                                                                         Total          Estimated
                                                                                       Estimated       Estimated        Operating
                                                                                        Usage           Income          Expenses
    Internal Users - UT Interdepartmental Transfers (IDTs):
    A. Federally Funded Contract and Grant Accounts                                                             -
    B. Non-federal Accounts                                                                                     -

                                                         Totals by Customer Type                -               -

    Notes:
    1. Insert the proposed internal and external rate (if applicable) in cell D45.
    2. Breakdown the anticipated usge by customer type. Total usage must equal the total distribution base used to dervie the rate.
    3. Formula = Proposed Rate * Estimated Usage
    4. Total Estimated Operating Expenses from the Rate Calculation worksheet. Remaining income must recover estimated operating expenses.




Costing Analysis, Office of Accounting

				
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