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|||||Unrestricted|Unrestricted|Restricted||funds|funds|Endowment|
|---|---|---|---|---|---|---|---|---|---|---|
|||||funds||||||funds|
||Details|||lo Iwamat|E|lo neareat E||||to neareet E|
|82Other monetary assets|||||||||||
||Details|||Fund to whloh <br>eelonae|easel|Coal (optional)||||Current value<br>(optional)|
|83Investment assets|||||||||||
||Details|||Fund towhish <br>belongs|asset|(<br>l opl|i<br>|olla|i)|Currorll value<br>anal)|
|84Assets retained for the|||||||||||
|charity's<br>own use|||||||||||
|||||Fund lo wta«h||Amount||due||When dua|
||Details|||llahully<br>relates||(opeonal)||||(optional)|
|85Liabilities|||||||||||
|Signed by one or two truslees on<br>||Sign|ur||Print|Na||||Date ofapproval|





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