Fillable FORM OF ACCOUNT OF EXPENSES, PROCEEDS AND APPLICATION (Guildford Borough Council)

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FORM OF ACCOUNT OF EXPENSES, PROCEEDS AND APPLICATION (Guildford Borough Council)

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CHARITY COLLECTION FORM
House to House Collections Act 1939 / Police Factories
Etc. (Miscellaneous Provisions) Act 1916
Tick off each of the following before you submit this form.
You are providing evidence showing that money has been paid to the charity
At least 80% of the collected money has been donated to the charity
FORM OF ACCOUNT OF EXPENSES, PROCEEDS AND APPLICATION OF PROCEEDS
OF COLLECTION OF MONEY
Name of Society/Charity:
STR or HSE No:
Name and Address of Chief Promoter:
Date(s) of collection or sale:
Area to which the account relates:
ALL AMOUNTS TO BE ENTERED GROSS
Proceeds of collection
£
From collectors as per lists of collectors and amounts attached hereto
Bank Interest
Other items (if any, list below)
TOTAL
Continued
Expenses and application of proceeds
£
Printing and stationery
Postage
Advertising
Collecting boxes
Other items (if any, list below)
Disposal of balance (insert particulars below)
TOTAL
C
ERTIFICATE OF CHIEF PROMOTER: I certify that to the best of my knowledge and belief the above is
a true account of the expenses, proceeds and application of the proceeds of the collection to which it
relates.
(Signed) Date:
CERTIFICATE OF AUDITOR: I certify that I have obtained all the information and explanations required
by me as an Auditor and that the above is in my opinion a true account of the expenses, proceeds and
application of the proceeds of the collection to which it relates.
(Signed) Date:
Qualifications:
(A statement in this form must be completed and forwarded to the Licensing Team, Guildford Borough Council,
Millmead House, Millmead, Guildford, Surrey, GU2 4BB, RegulatoryServices@guildford.gov.uk within one
month of the expiration of the permit.)
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FORM OF ACCOUNT OF EXPENSES, PROCEEDS AND APPLICATION (Guildford Borough Council)

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Completed 26 December 2020

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