TENNESSEE SECONDARY SCHOOL ATHLETIC ASSOCIATION

Division II Basketball Sub-State Financial Report

CLASS:	BOYS/GIRLS:
VISITORS:	HOME:

RECEIPTS
_____ Tickets @ $6.00	$
_____ Delayed TV or Cable Broadcast	$
TOTAL RECEIPTS:	$
EXPENDITURES
Game Director: _____________________________	$	25.00
Scorer: ___________________________________	$
Timer: ____________________________________	$
Other Expenses:
1. ________________________________________	$
2. ________________________________________	$
3. ________________________________________	$
4. ________________________________________	$
TOTAL EXPENSES:	$
NET:	$

Signature of Director: ___________________________________

To Game Director: Mail one copy of this report and net receipts to: TSSAA, P.O. Box 319, Hermitage, TN 37076. TSSAA will complete the bottom half of this form and issue checks for expenses listed below. TSSAA will return a copy of the complete form to each school along with a check.

(Do not write below this line. For TSSAA office use only).

NET RECEIPTS FROM GAME DIRECTOR	$
EXPENDITURES
Official: ___________________________________	$
Official: ___________________________________	$
Official: ___________________________________	$
10% Net to Help Defray Cost of Catastrophic Insurance	$
Tickets: ___________________________________	$
Team Allotment: ____________________________	$
TOTAL:	$
NET:	$
1/3 Net To: _________________________________ High School	$
1/3 Net To: _________________________________ High School	$
1/3 Net to: TSSAA	$

BKB-05