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DocuSign Envelope ID:4F0B7605-00EB-4D90-837E-574BBBBD89EB t A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> d.) Agency Operating Budget <br /> Please show all sources and amounts of funding for your entire current fiscal year. What is your <br /> agency's fiscal year? Example: July 1, 2016 through June 30, 2017. Submit operating budget in <br /> your own format. <br /> Do not include funds that have been applied for but not yet awarded: If the total revenue is not <br /> the same amount as the budget for any fiscal year, please attach a statement explaining the deficit <br /> or surplus. <br /> It is required that your Excel budget worksheet be embedded on the next page. You must <br /> also submit an electronic copy of the MS Excel file with your application, as a separate file. <br /> Main Application 1/21/2016 2:38:15 PM P a e 2 2 of 2 4 <br />