Receipts and payments accounts Period start date

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1 For the from Enter charity name Receipts and payments accounts Period start date Period end date Day Month Year to Day Month Year Enter No. Section A Statement of receipts and payments A1 Receipts Donations Legacies Grants Receipts from fundraising activities Gross trading receipts Income from investments other than land and buildings Rents from land & buildings Gross receipts from other charitable activities Restricted Total current Total last A1 Sub total A2 Receipts from asset & investment sales Proceeds from sale of fixed assets Proceeds from sale of investments A2 Sub total Total receipts A3 Payments Expenses for fundraising activities Gross trading payments Investment management costs Payments relating directly to charitable activities Grants and donations Governance costs: Audit / independent examination Preparation of annual accounts Legal costs Other A3 Sub total A4 Payments relating to asset and investment movements Purchases of fixed assets Purchase of investments A4 Sub total Total payments Net receipts / (payments) A5 Transfers to / (from) Surplus / (deficit) for year

2 Section B Statement of balances Categories B1 Cash Cash and bank balances at start of year Surplus / (deficit) shown on receipts and payments account Restricted Total last Cash and bank balances at end of year (Agree balances with receipts and payments account(s)) B2 Investments Fund to which asset belongs Market valuation Total B3 Other assets Fund to which asset belongs Cost (if available) Current value (if available) to nearest Total B4 Liabilities Fund to which liability relates Amount due Total B5 Contingent liabilities Fund to which liability relates Amount due (estimate) Total Signed by one or two trustees on behalf of all the trustees Signature Print Name Date of approval Copy of Trustees AR Ap2 excel.xls / Statement of balances 2 December 2007

3 Section C Notes to the Accounts C1 Nature and purpose of (may be stated on analysis of worksheets) C2 Grants Type of activity or project supported Individual / institution Number of grants made Total C3a Trustee remuneration If no remuneration was paid during the to any charity trustee or person connected to a trustee cross this box (otherwise complete section 3b) C3b Trustee remuneration details Authority under which paid C4a Trustee expenses If no expenses were paid to any charity trustee during the then cross this box (otherwise complete section 4b) C4b Trustee expenses details Number of trustees C5 Transactions with trustees and connected persons Nature of relationship Nature of transaction Transaction amount ( ) Balance outstanding at end ( ) C6 Other information Copy of Trustees AR Ap2 excel.xls / Notes 3 December 2007

4 Additional analysis (1) Analysis of receipts and payments 1 Donations Restricted Total last Total 2 Grants Restricted Total last Total 3 Gross receipts from other charitable activities Restricted Total last Total 4 Payments relating directly to charitable activities Restricted Total last Total Copy of Trustees AR Ap2 excel.xlsadditional notes (1) December 2007

5 Additional analysis (2) 5 Breakdown of unrestricted fund 1 enter fund 2 enter fund 3 enter fund 4 enter Total unrestricted Total unrestricted last Receipts Donations Legacies Grants Receipts from fundraising activities Gross Income trading from investments receipts other than land and buildings Rents from land & buildings Gross receipts from other charitable activities Sub total Receipts from asset & investment sales Proceeds from sale of fixed assets Proceeds from sale of investments Sub total Total receipts Payments Expenses for fundraising activities Gross trading payments Investment management costs Payments relating directly to charitable activities Grants and donations Governance costs: Audit / independent examination Preparation of annual accounts Legal costs Sub total Payments relating to asset and investment movements Purchases of fixed assets Purchase of investments Sub total Total payments Net receipts / (payments) Transfers to / (from) Nature and purpose of Surplus / (deficit) for year Copy of Trustees AR Ap2 excel.xlsadditional notes (2) December 2007

6 Additional analysis (3) 6 Breakdown of restricted 1 enter name of fund 2 enter name of fund 3 enter name of fund 4 enter name of fund Total restricted Total restricted last Receipts Donations Legacies Grants Receipts from fundraising activities Gross trading receipts Income from investments other than land and buildings Rents from land & buildings Gross receipts from other charitable activities Sub total Receipts from asset & investment sales Proceeds from sale of fixed assets Proceeds from sale of investments Sub total Total receipts Payments Expenses for fundraising activities Gross trading payments Investment management costs Payments relating directly to charitable activities Grants and donations Governance costs: Audit / independent examination Preparation of annual accounts Legal costs Sub total Payments relating to asset and investment movements Purchases of fixed assets Purchase of investments Sub total Total payments Net receipts / (payments) Transfers to / (from) Nature and purpose of Surplus / (deficit) for year Copy of Trustees AR Ap2 excel.xlsadditional notes (3) December 2007

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