||e||m||e|s|~|~|~|e|e s||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|||||||||Unrestricted||Restricted||Endowment|
|||||||||funds|||funds|funds|
|||||||||to nearest|R|to|nearest E|to nearest F|
|B1Cash||funds|||||||||||
|||||||Total|cash funds|Nit||NIL||NIL|
|||||||(agree balances with receipts and payments|||||||
||||||||account(s))||||||
|||||||||Unrestricted||Restricted||Endowment|
|||||||||funds|||funds|funds|
|||||||||to nearest|8|to|nearest R|to nearest F|
|82Other||monetary assets||||||NIL||NIL||NIL|
|B3Investment||||assets||||Fund to which<br>asset belon s||Cost (optional j||Current value<br>o tional|
|B4Assets retained forthe||||||||Fund to which<br>asset belon s<br>N/A||Cost (optional)||Current value<br>o<br>ional|
|charity's||own use|||||||||||
|||||||||Fund towhich||Amount due||When due|
|B5Liabilities||||||||liabili<br>relates<br>N/A||o|tional|o tional|
|Signed by one or two trustees on<br>behalf ofall the trustees||||||Signature|||Print|Name||Date of|
|||||||||||||a<br>roval|