IK‐203/09/18
ExternalIn‐KindMatchingSummaryForm
EXTERNALSPONSORMUSTSUBMITIN‐KINDCERTIFICATIONFORM(IK‐1B)ONTHEIR
LETTERHEADANDSUBMITBOTHIK‐1bANDIK‐2TOPROJECTPI
ProjectName:____________________________________________________________________________
IndexNo.:____________ PrincipalInvestigator:______________________________________________
ProjectPeriod:__________________Department:______________________________________________
FundingAgency:__________________________________________________________________________
ReportPeriodforMatchingCostItemsNotedBelow:_____________________________________________
Reminder:Properdocumentationmustbemaintainedforallitemsnotedas"inkindmatchastheyaresubjecttofederal
audit.Thedollarvalueofthesenon‐cashdonationsshouldbecalculatedattheirverifiablefair‐marketvalue.
ActualCostSharing
SourceofMatch
(externalsponsor)
Category* BudgetedCost
Sharing
This
Reporting
Period**
Project
ToDate
CostSharing
BudgetBalance
TOTALCOSTSHARING
*Categoryinc
ludessalaries,fringebenefits,travel,meetings/conference,publications,printing,supplies,equi
pmentor
equipmentus
age,equipmentmaintenan
ce,other(mustspecify).
**Thedateof
theactivityorpurchaseordermustbewithintheprojectperiod.