THE UNITED REFORMED CHURCH  (SOUTHERN PROVINCE) TRUST LTD

APPLICATION FOR REDEVELOPMENT WORK ON CHURCHES (£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 to be used once the Concept Paper has been agreed.

1. CHURCH NAME: CHURCH NO:

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

2. BUILDING CATEGORY

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. CURRENT STATUS/PROGRESS (Give brief details of current action being taken to further the Project).

6. DOCUMENTS ATTACHED (Please indicate)

Feasibility Study
Audit

Mission Statement

 
Surveyors Report/Valuation
Architects Report
Cost estimates/3 quotations

Plans and Drawings
Other (please list)

7. PROFESSIONAL ADVISOR(s)

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

8. HAVE THEY BEEN INSTRUCTED YET?

9. INDICATIVE OVERALL COSTS.

Building costs:
Professional fees:
VAT:
Other:
TOTAL

FINANCE. If requesting financial support from Synod please complete questions 10 to 13

10. 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
 

11. 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:

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

13. 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?

14. 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: ..........................................................