Appendix 2
Proforma for statement conforming to the requirements of Regulation 4
(wishes of donor). Please complete and sign the following declaration and
submit it with your application for reorganisation of a restricted fund.
We the trustees of ................................................................................. [charity
name] hereby declare that we have been unable to ascertain the wishes of
the donor(s) in respect of .................................................................................
[name of restricted fund]. This is because [tick whatever is applicable]
The donor/donors is/are no longer living
The donor/donors are unknown and/or not contactable
The donor was a corporate body which has since dissolved
Other reason- please
explain;
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Provide a brief statement providing evidence in support of your
declaration outlining any steps you have taken to confirm these facts:
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Signed (authorised signatory on behalf of trustees)
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Date …………………………………