## 

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|Namesand addresses of advisers (Optionalinformation)|
|---|
|Tvne ofadviser<br>Name<br>Address|



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||||Unrestricted|Restricted|Endowment|
|---|---|---|---|---|---|
|Categories<br>BtCashfunds|Details<br>Current|Account<br>Totalcash funds|funds<br>tonearestf<br>funds<br>tonearest f.<br>funds<br>tonearestf<br>ryTT<br>H==|||
||(agree|balanceswithreceipts and payments||||
|||account(s))|OK|||
||||Unrestricted|Restricted|Endowment|
||||funds|funds|funds|
||Details||tonearestf|tonearest f,|tonearestf,|
|82Other rnonetary assets|NIL|||||
||Details|||Cost (optional)|Current value|
|83Investment assets|NIL|||||
||Details||Fund towhich|Gost (optional)|Current value|
|84Assetsretainedforthe|NIL|||||
|charity'sourn use||||||
|||||-||
||||Fund towhich|Amount due|When due|
||Details|||||
|85 Liabilitles|NIL|||||
|Signedbyone ortwotrusteeson<br>behalf ofallthe trustees||Signatule|Print|Name||
||||Frank|Smith||



