£ s. d.

£

IV. A STATEMENT of all Moneys owing to the Charity, and from what
Persons, and on what Account.

V. A STATEMENT of all Moneys owing from the Charity, and to what
Persons, and on what Account.

I (or We) hereby certify that the foregoing statements are correct.

To be signed by one or more of the

trustees or persons acting in the
administration of the charity.

Form No. 4.

(No. 3) (a).

General Form of Application to the Board (b).

To the Charity Commissioners for England and Wales.

In the matter of the charit*

in the parish of

in the

In the matter of the Charitable Trusts Acts, 1853 to 1887.

and for such order or direction in the matter as the Commissioners may think fit.

I declare that the above statement is in all respects true according to my information and belief.

* Insert the usual name or designation of the charity, and the name of the parish, or place, if any, to which the charity is attached.

The application may be made by the trustees or persons concerned in the management or administration of the charity, or by any person acting on their behalf and by their direction.

State here concisely and, as far as conveniently may be, in numbered paragraphs, the material facts and circumstances of the case.

§ State here, as far as conveniently may be, in numbered paragraphs, the specific objects of the application.

The applicant should here sign his name, adding his profession or occupation and residence.

(a) See note (a) on p. 789, ante.

(b) See Charit. Trusts Act, 1869, s. 5, ante.

App. II.
Form 4.

App. II.
Form 5.

Form No. 5.

(No. 4) (a).

(Charit. Trusts Act, 1853, s. 17.)

Form of Application for an Order or Certificate of the Board authorizing any Suit or other Proceeding before any Court or Judge.

To the Charity Commissioners for England and Wales.

In the matter of the charity called*
in the county of

The undersigned, being †

statement:

1.

in the

of

submits the following notice and

2.

3.

4.

5.

6.

7.

8.

9.

10.

C

Under the foregoing circumstances, the undersigned is desirous of instituting proceedings for effecting the following objects:— That is to say S

1st.

for

The undersigned accordingly requests the board to issue an order and certificate authorizing him to make an application to || — effecting the above objects.

I declare that the above statement is in all respects true according to my information and belief.

* Insert the usual name or designation of the charity, and the name of the parish, township, or place for the benefit whereof the charity was founded or in which it is administered.

† The applicant should here state whether or not he is trustee, or person administering or claiming to administer, or interested in the charity, or an inhabitant of the parish or place within which the charity is administered or applicable.

State here concisely, and, as far as conveniently may be, in numbered paragraphs, all the material facts and circumstances of the case.

§ State here, as far as conveniently may be, in numbered paragraphs, the specific objects for which proceedings are proposed to be taken.

Describe the court or judge.

The applicant should here sign his name, adding his profession or occupation and residence.

(a) See note (a) on p. 789, ante.

Form No. 6.

(No. 5) (a).

(Charit. Trusts Act, 1853, s. 21.)

Form of Application to the Board for Authority to grant a Lease.

To the Charity Commissioners for England and Wales.
in the parish of

In the matter of the charity called*
in the county of

The t of the above-mentioned charity, being of opinion that the property hereinafter mentioned, belonging to the charity, may be beneficially let on lease, submit to the Board the following statement and proposal, and request the Board to make, under their seal, such order as they may think fit for and in relation to the granting of the proposed lease.

The

submit to the Board the following particulars as to :1. The mode and date of the appointments of the existing trustees (if any) of the charity, and the number originally appointed.

2. The general objects of the charity.

3. The nature, extent, and general description of the property proposed to be leased and the interest of the charity therein, and whether it forms the whole or part only of the charity property.

4. The township, parish, and county in which the said property is situate.

5. In whom the legal estate in the said property is now vested, and by what conveyance, assurance, or other means? 6. The manner in which the said property has been let or occupied during the last three years.

7. The amount of the gross annual rent or income arising therefrom during each of the last three years.

8. The amount and particulars of the outgoings or deductions from such rent or income in each of such years.

9. The present annual letting or rackrent value thereof. 10. The object of the proposed lease, and whether for building, repairing, improving, mining, or other purposes. 11. The reasons for believing that the grant of the proposed lease will be for the benefit of the charity.

12. The name, quality, profession, or occupation and residence of the proposed lessee, if any.

13. The amount and particulars of the proposed rent, and other reservations, if any.

14. The length or nature of the proposed term.

15. The nature of the special covenants or provisions (if any) intended to be inserted in the lease.

16. The name and address of any surveyor by whom the property has been or is proposed to be surveyed and valued on behalf of the charity, or to whom the terms and conditions of the proposed lease have been or are supposed to be submitted for approval. NOTE.-If any report or valuation, or any map or plan of the property has been made, the same, or copies thereof, should be sent herewith. The commissioners will,

(a) See note (a) on p. 789, ante.

App. II.
Form 6.