THE UNITED REFORMED CHURCH  (SOUTHERN PROVINCE) TRUST LTD

APPLICATION FOR MAJOR WORK ON CHURCHES (£20K-£100K incl. VAT)

The notes in the Property Handbook will help you to complete this form correctly - please read them.
Please submit electronically where possible or send one completed copy to the Synod Office.
This form is NOT to be used for action on Manses. A specific Manse Form must be used for this purpose.

1. CHURCH NAME: CHURCH NO:

Church Contact:  Name:
  Address:
  Postcode:
  Tel. No:
  E mail:

2. NATURE OF ACTIONS DESIRED (Please indicate)
Describe the project and what you are planning.

A. CHURCH REFURBISH
 ALTERATION
B. HALL(S) REFURBISH
 ALTERATION
C. LAND PURCHASE
 LEASE
Is this a Listed Building?
Is it Grade I, Grade II* or Grade II ?
Is the building in a Conservation Area?
 

3. RESOLUTION OF CHURCH MEETING

N0. AT MEMBERS ON ROLL:  N0. AT CHURCH MEETING:

VOTING AT THE MEETING:     FOR AGAINST ABSTAINED

4. IS THE LOCAL ACT AWARE OF THIS APPLICATION?

5. REASON FOR UNDERTAKING THE WORK

6. NAMES, PROFESSIONAL QUALIFICATIONS, ADDRESSES & TELEPHONE NOS. OF ADVISORS

7. HAVE THEY BEEN INSTRUCTED YET?

If yes, what have they been asked to do?

8. DOCUMENTS ATTACHED (Please indicate)

Architects Report
Surveyors Report/Valuation
Plans and Drawings
Cost estimates/3 quotes*
Other (please list)

*Required documents. Should include fees, VAT & any incidental costs.

FINANCE. If requesting financial support from Synod please complete questions 9 to 13

9. PROPOSED FUNDING STREAMS.

Source
Amount
Actual (Y/N)
Agreed (Y/N)
Applied for.
Give date
Dates/notes when reply expected
Church reserves
Church direct giving/ fund raising
Synod- grant/loan
Other Grants/loans
 

10. FINANCIAL POSITION OF THE CHURCH

 
Last Year
2 Years Ago
3 Years Ago
Total Income from All Sources
Surplus/(Deficit) for the year
Total Unrestricted Financial Assets including those held by Southern Province Trust

Restricted Funds available for building purposes

 
Is there any outstanding loan?
If yes, please give details:

11. HOW WILL YOU RAISE THE EXTRA MONEY NEEDED TO REPAY ANY LOANS?

12. A. WHAT IS YOUR REQUEST? Loan £ Grant £  
  B. Have annual accounts for the last three years been submitted to the Synod Office?
  C. Have you met your M&M Assessment in full over this period?

13. THE SYNOD HAS LIMITED RESOURCES - WHY SHOULD YOU RECEIVE A GRANT?
Please add any other relevant information to support your request.

Signed  

Name:
 Church Office Held:
 Date:
 
   

 

SYNOD ACTION

a) Received in Synod office   Date.....................
b) Agreed by Property Committee YES/NO Date.....................
c) Refer back for more information YES/NO Date.....................
d) Passed to Finance Committee YES/NOT REQUIRED Date.....................
e) Church informed of decision   Date.....................
f) Summary of decision (with reasons if appropriate)    

 

 

 

 

 

 

Signed: .......................................................... Date: ..........................................................
Name: .......................................................... Position: ..........................................................