Distribution Services of America
 

DSA Tax & Bookkeeping Program

 

 

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MONTHLY SETTLEMENT STATEMENT REPORT

       

   

Name
   

DSA Member #
           
Settlement Adjustment Week 1 Week 2 Week 3 Week 4 Week 5
(if needed)
Charges to Your Account:          
Route Loan
Down Payment Loan
Computer Lease
Business Supplies
Vehicle Insurance
Vehicle Lease
Tax & Book
Service/Pull-Up Fees
Relief Driver
Spare Vehicle
Other (Please Identify)          

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