PAYROLL EXPENSE REIMBURSEMENT

		Month	Day	Year		See Expense Reimbursement Policy For Instuctions				Name
Date		Departure Point and Destination and Description of Other Allowable Expenses				AutoExpenses		Office (utilities rent,etc)	Marketing	Telephone	Shipping	Meals	Total Expenses
						Miles	Amount
MILEAGE EXPENSES WITH NO RECEIPT
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EXPENSES WITH RECEIPTS ATTACHED
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BUSINESS MEALS,CLUB DUES AND RELATED EXPENSES
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DATE		PLACE (NAME RESTAURANT, ETC.)AND TYPE OF EXPENSE INCURRED				NAME AND TITLE OF PERSONS PRESENT AND BUSINESS REASON
AMOUNT OF MEALS AND ENTERTAINMENT EXPENSES INCLUDED IN TOTAL EXPENSES
TOTAL EXPENSES FOR PERIOD
MEALS CREDITTED AT 50%
TOTAL EXPENSE REIMBURSEMENT CREDIT
By signing this expenses reimbursement, I confirm that I have read and understand the Expense Reimbursement Policy for Intellichoice Mortgage Services and have reported my expenses in accordance with this policy.
SIGNATURE OF THE PERSON NAMED ABOVE