YEAR-END REPORT NO. 3, ADJUSTMENTS TO CONTROLLER’S ACCOUNTS - 7955

(New: 03/2013)

This year-end report identifies any adjustments needed to correct the central records maintained by the SCO as of June 30. However, this report does not correct the records of the SCO. A Transaction Request form, CA504, must be sent to the SCO to correct the errors. The adjustments must also be reported on the Reconciliation of Agency Accounts with Transactions per State Controller, Report No. 15. Departments will report to the SCO throughout the year all necessary adjustments as soon as possible after discovery of the errors. This will allow adequate processing time by the SCO during the year and reduce the backlog of work at the close of the fiscal year.

Report No. 3 consists of the forms below and is used to report adjustments to the following accounts:

  1. Form 576A – Assets and liabilities. The form must be completed when the adjustment is between funds or appropriations.
  2. Form 576B – Revenues and expenditures. The form contains preprinted account numbers and titles. The preprinted form must be completed to adjust the nominal accounts.

Departments must submit an attachment (e.g., copy of transaction request, correction letter, etc.) to support the adjusting entries on Report No. 3. If there are no adjustments to the SCO’s accounts, a Report No. 3 is not required. The certification letter must disclose that a Report No. 3 has not been submitted.  See SAM section 7951.

A sample of Report No. 3, Adjustments to Controller’s Accounts, is shown in the 7955 Illustrations 1 and Illustration 2.

 

(Revised 03/13)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REPORT NO. 3 Form 576 A (Rev. 3/10)

Adjustments to Controller's Accounts

 

 

SCO USE ONLY

 

 

Document No.

C C Y Y M M D D

Fund

Agency

June 30, 20XX

 

 

B

 

 

 

Page1of2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Agency Name and Number

Fund Name and Number

 

 

Agency (5555)

 

 

General Fund (0001)

 

 

Name of Contact Person, Title

Telephone Number

Email Address

 

 

Jane Smith, Accounting Administrator

 

(916) 444-5555

Jsmith@Agency.ca.gov

 

 

 

 

 

ACCOUNT TITLE

 

 

 

 

 

ACCOUNT

AMOUNT

DC

 

 

DUE FROM OTHER FUNDS

j

1

4

1

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DUE FROM OTHER APPROPRIATIONS

k

1

4

2

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DUE TO OTHER FUNDS

j

3

1

1

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DUE TO OTHER APPROPRIATIONS

k

3

1

1

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REIMBURSEMENTS COLLECTED IN ADVANCE

 

3

4

2

0

 

768,931.73

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORIGINAL - State Controller's Office, Division of Accounting and Reporting

 

 

 

768,931.73

D

 

 

1/ Specify the funds to which this pertains.

 

 

2/ Specify the four-digit org code to which this pertains.

 

 

NOTE:Adjusting entries must be accompanied by an attachment (e.g. transaction request) explaining the reason for the adjustment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7955 Illustration 1

7955 Illustration 2: Adjustments to Controller's Accounts

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