## 






|||||Derails||to nearest|N||to nearest R|to nearest e|
|---|---|---|---|---|---|---|---|---|---|---|
|82 Other|monetary assets||||||||||
|||||Detail s||Fund towhich <br>belongs|asset|Cost (optional)||(options I)|
|83Investment||assets|||||||||
|||||Details||Fund to which <br>belongs|asset|Cost (optional)||Current value<br>(optional)|
|84Assets retained for|||the||||||||
|charity's|ottfn|use|||||||||
|||||||Fund to which|||Amount due|When due|
|||||Detsiis||liability relates|||(optional)|(optiona I)|
|85Liabilities|||||||||||
|Signed by one or <br>aN the trustees||two trustees|on behalf of||Signature||Print|Name||Date ofapproval|
|||||||Christo||her|Funnell||



