Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 4/16/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Tax Office
5) Department Contact: Cheryl E. Johnson
6) Description: ACT: Truth-in-Taxation Software for 2024
7) PEID No: 718176
8) Req No:
9) Orgkey: 1101 151553
10) Object Code: 5310000
11) Vendor: Appraisal & Collection Technologies, LLC
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: TAC Collections Administrative Supplies
14) Fund #: 5310000
15) Current Year Budgeted: $1,999.00
16) Current Year Projected: $1,999.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $1,999.00
To Be Completed by Purchasing Department
22) Contract Start Date: 6/1/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 5/31/2025
26) Contract # Issued by Purchasing Department: CM23250
NOTES: