
**Charity Name No (if any) Receipts and payments accounts CC16a For the period** Period start date Period end date **To** 

**For the period from** 

## **Section A Receipts and payments** 

**Unrestricted Restricted Endowment funds funds funds** 

## **Total funds Last year** 

**to the nearest      £** 

**to the nearest £ to the nearest £ to the nearest £ to the nearest £** 

## **A1 Receipts** 

|**A1 Receipts**|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
||**-**||**-**||**-**||**-**||**-**||
||**-**||**-**||**-**||**-**||**-**||
||**-**||**-**||**-**||**-**||**-**||
||**-**||**-**||**-**||**-**||**-**||
||**-**||**-**||**-**||**-**||**-**||
||**-**||**-**||**-**||**-**||**-**||
||**-**||**-**||**-**||**-**||**-**||
||**-**||**-**||**-**||**-**||**-**||
|**_Sub total_**_(Gross income for AR)_|**-**<br>||**-**||**-**||**-**||**-**||



|**_Sub total_**_(Gross income for AR)_|**-**<br>||**-**||**-**||**-**||**-**||
|---|---|---|---|---|---|---|---|---|---|---|
|**A2 Asset and investment sales,**|||||||||||
|**(see table).**|||||||||||
||**-**||**-**||**-**||**-**||||
||**-**||**-**||**-**||**-**||**-**||
|**_Sub total_**|**-**||**-**||**-**||**-**||**-**||
||||||||||||
|**_Total receipts_ **|**-**||**-**||**-**||**-**||**-**||



## **A3 Payments** 

|**A3 Payments**||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
||**-**||**-**||**-**||**-**||**-**|||
||**-**||**-**||**-**||**-**||**-**|||
||**-**||**-**||**-**||**-**||**-**|||
||**-**||**-**||**-**||**-**||**-**|||
||**-**||**-**||**-**||**-**||**-**|||
||**-**||**-**||**-**||**-**||**-**|||
||**-**||**-**||**-**||**-**||**-**|||
||**-**||**-**||**-**||**-**||**-**|||
||**-**||**-**||**-**||**-**||**-**|||
|**_Sub total_ **|**-**||**-**||**-**||**-**||**-**|||
|||||||||||||
|**A4 Asset and investment**||||||||||||
|**purchases, (see table)**||||||||||||
||**-**||**-**||**-**||**-**|||||
||**-**||**-**||**-**||**-**|||||
|**_Sub total_ **|**-**||**-**||**-**||**-**|||**-**||
|||||||||||||
|**_Total payments_ **|**-**||**-**||**-**||**-**|||**-**||
|||||||||||||
|**_Net of receipts/(payments)_ **|**-**||**-**||**-**||**-**||**-**|||
|**A5 Transfers between funds**|**-**||**-**||**-**||**-**||**-**|||
|**A6 Cash funds last year end**|**-**||**-**||**-**||**-**||**-**|||
|**_Cash funds this year end_ **|**-**||**-**||**-**||**-**||**-**|||





## **Section B Statement of assets and liabilities at the end of the period** 

|**Categories**<br>**B1 Cash funds**<br>**B2 Other monetary assets**<br>**B3 Investment assets**<br>**B5 Liabilities**<br>**B4 Assets retained for the**<br>**charity’s own use**<br>Signed by one or two trustees on<br>behalf of all the trustees|**Details**<br>**Details**<br>**Details**<br>**Details**<br>**Details**<br>n/a<br>Signature<br>N Walker<br>**_Total cash funds_**<br>(agree balances with receipts and payments<br>account(s))|**to nearest £**<br>**to nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>OK<br>OK<br>**to nearest £**<br>**to nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Cost (optional)**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Cost (optional)**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>Print Name<br>NICOLE WALKER<br>**Unrestricted**<br>**funds**<br>**Restricted**<br>**funds**<br>**Unrestricted**<br>**funds**<br>**Restricted**<br>**funds**<br>**Fund to which**<br>**asset belongs**<br>**Fund to which**<br>**asset belongs**<br>**Fund to which**<br>**liability relates**<br>**Amount due**<br>**(optional)**|**to nearest £**<br>**Endowment**<br>**funds**|
|---|---|---|---|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||OK|
||||**to nearest £**<br>**Endowment**<br>**funds**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**Current value**<br>**(optional)**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**Current value**<br>**(optional)**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**When due**<br>**(optional)**|
|||||
|||||
|||||
|||||
|||||
|||||
||||Date of<br>approval|
||N Walker|NICOLE WALKER|31-Jan-25|
|||||



