Disbursement Plan

Project Promoter: Abc Programme name: Abc

Project number: 2020/… Disbursement Plan modification 2 : NO

According to Project Application / Contract

Project start 1 : Project end: Advance payment:
Select… Select…

DISBURSEMENT PLAN - PROJECT APPLICATION / CONTRACT

Interim Report number IR 1 IR 2 IR 3 IR 4 IR 5 IR 6 IR 7 IR 8 IR 9 IR 10 TOTAL

Reporting date (choose from the list) Select… Select… Select… Select… Select… Select… Select… Select… Select… Select…

Costs 0
Grant (Including advance payment) 0
Deduction of advance payment (negative value) 3 0

Net grant disbursement 4 0 0 0 0 0 0 0 0 0 0 0

1) Only cells marked in yellow are to be filled in. The cells with white background are calculated automatically.
2) When applying for Project Modification choose YES in the drop down menu of cell G4 and fill in table below. Otherwise select NO.
3) The advance payment amount from cell G8 is to be gradually deducted from grant disbursements in subsequent Interim Reports. Enter negative numerical values (-) choosing set-off mechanism from the list below:
• The whole amount is set off against the first Interim Report
• The amount is gradually set off in equal proportions, starting from the first Interim Report until 80% of the grant has been spent
• Manual advance offset scheduling
4) Please aim to round the net disbursement amounts to thousands Euro.

DISBURSEMENT PLAN - LATEST PROJECT MODIFICATION

Interim Report number IR 1 IR 2 IR 3 IR 4 IR 5 IR 6 IR 7 IR 8 IR 9 IR 10 TOTAL

Reporting date (choose from the list) Select… Select… Select… Select… Select… Select… Select… Select… Select… Select…

Costs 0
Grant (Including advance payment) 0
Deduction of advance payment (negative value) 0

Net grant disbursement 4 0 0 0 0 0 0 0 0 0 0 0

I hereby certify that all the information in this document is accurate and complete. NAME OF LEGAL REPRESENTATIVE:

SIGNATURE: DATE:

File name: 549097248.xlsx Printed: 10/13/2021 Disbursement Plan Page: 1 of 2

 Example

Project Promoter: Abc Programme name: Abc

Project number: 2020/… Disbursement Plan modification 2 : NO

According to Project Application / Contract

Project start 1 : Project end: Advance payment:
01/06/2020 31/03/2022 200,000.00

DISBURSEMENT PLAN - PROJECT APPLICATION / CONTRACT

Interim Report number IR 1 IR 2 IR 3 IR 4 IR 5 IR 6 IR 7 IR 8 IR 9 IR 10 TOTAL

Reporting date (choose from the list) 30/09/2020 31/12/2020 31/03/2021 30/06/2021 30/09/2021 31/12/2021 31/03/2022 Select… Select… Select…

Costs 250,000.00 150,000.00 400,000.00 100,000.00 800,000.00 50,000.00 250,000.00 2,000,000

Grant (Including advance payment) 125,000.00 75,000.00 200,000.00 50,000.00 400,000.00 25,000.00 125,000.00 1,000,000
Deduction of advance payment (negative value) 3 -40,000.00 -40,000.00 -40,000.00 -40,000.00 -40,000.00 0.00 0.00 0

Net grant disbursement 85,000 35,000 160,000 10,000 360,000 25,000 125,000 0 0 0 1,000,000

1) Only cells marked in yellow are to be filled in. The cells with white background are calculated automatically.
2) When applying for Project Modification choose YES in the drop down menu of cell G4 and fill in table below. Otherwise select NO.
3) The advance payment amount from cell G8 is to be gradually deducted from grant disbursements in subsequent Interim Reports. Enter negative numerical values (-) choosing set-off mechanism from the list below:
• The whole amount is set off against the first Interim Report
• The amount is gradually set off in equal proportions, starting from the first Interim Report until 80% of the grant has been spent
• Manual advance offset scheduling
4) Please aim to round the net disbursement amounts to thousands Euro.

DISBURSEMENT PLAN - LATEST PROJECT MODIFICATION

Interim Report number IR 1 IR 2 IR 3 IR 4 IR 5 IR 6 IR 7 IR 8 IR 9 IR 10 TOTAL

Reporting date (choose from the list) Select… Select… Select… Select… Select… Select… Select… Select… Select… Select…

Costs 0
Grant (Including advance payment) 0
Deduction of advance payment (negative value) 200,000

Net grant disbursement 0 0 0 0 0 0 0 0 0 0 200,000

I hereby certify that all the information in this document is accurate and complete. NAME OF LEGAL REPRESENTATIVE:

SIGNATURE: DATE:

File name: 549097248.xlsx Printed: 10/13/2021 Example Page: 2 of 2