ST EDMUNDSBURY BOROUGH COUNCIL
FOREST HEATH DISTRICT COUNCIL
HOUSE TO HOUSE COLLECTIONS ACT 1939
FORM OF ACCOUNT OF EXPENSES, PROCEEDS AND APPLICATION OF
PROCEEDS OF COLLECTION OF MONEY
TO BE COMPLETED IN FULL:
Full name and address of promoter…………………………………………………………………….
…………………………………………………………………….………………………………………..
………………………………………………………………………………………………………………
Name of charity: ……………………………………………………….………………………………...
Permit number : HH…………………………………………………..………………………………….
Period to which account relates: ……………………………………………………………………...
PROCEEDS OF COLLECTION
(gross amounts)
From collectors as in
£
p
lists of collectors and
amount attached
hereto
EXPENSES AND APPLICATION OF
PROCEEDS (gross amount)
Printing and
£
p
Stationary
Postage
Bank Interest
Advertising
Other items (if any):
Collecting boxes
Other items (if any):
Disposal of Balance
(insert particulars):
TOTAL
TOTAL
CERTIFICATE 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 (or paying in slip to charity fund)
I/We certify that I/we have obtained all the above information and explanations required by
me/us as auditor/s and that the above is in my/our opinion a true account of the expenses,
proceeds and application of the proceeds of the collection to which it relates.
Signed: ………………………………….
Date: ………………………….