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PLEASE SEND COMPLETED FORMS BY EMAIL TO: angela.morton@southwell.anglican.org (OR RETURN BY POST)
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SOUTHWELL & NOTTINGHAM DIOCESAN BOARD OF FINANCE, Finance Office, Jubilee House, Westgate, Southwell, Notts, NG25 0JH.
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RECORD OF PAROCHIAL FEES
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PARISH/BENEFICE/GROUP FEES REFERENCE No.*
XX-ABCD (please change)
Month/Quarter
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This form should be completed each period, signed and sent to the Finance Dept within 15 days of the period end with cheque(s) or payment by bank transfer for the amount shown.
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Please submit a 'NIL RETURN' if no fees have been received in the period.
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* Your parish fees reference number can be found on initial correspondence. Please contact Angela Morton for a reference number if your return is for a benefice or group.
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(Please note, Certificate of Marriage may increase during the year. Currently £11 at time of registration or subsequently)
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(Please overwrite "Amount" with the normal fee for the service type. The Extra amount can then be filled manually, in case there are changes in the fee)
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Totals:£0.00£0.00£0.00£0.00£0.00£0.00£0.00£0.00£0.00£0.00£0.00£0.00
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Place X in box if Certificate issued at time of Burial (Funerals only)Basic Fee£0.45AmountAmountAmountAmountAmountAmountAmountAmount
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DateService typeTaken by (minister type)Name of Visiting MinisterHours takenTotal DuePCCDBFVisiting MinisterExtrasTravelTravelVerger/ StewardOther (please enter)Other (please enter)Other (please enter)Other (please enter)Other (please enter)Other (please enter)Other (please enter)Additional Details/Notes
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££££££
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££££££
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Drop down
Drop down
Drop downReconcile£0.00
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Drop down
Drop down
Drop downReconcile£0.00
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I have enclosed cheque(s) payable to the 'Southwell & Nottingham DBF'.
please place a cross in this box for payment by cheque
PLEASE CONTACT DEBORAH TREVOR IF YOU REQUIRE ASSISTANCE IN COMPLETING THIS FORM deborah.trevor@
southwell.anglican.org 01636 817217
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I have remitted the total shown by bank transfer.
please place a cross in this box for payment by bank transfer
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Bank details: Account number 02919360, Sort Code 30-96-18, Account name "Southwell & Nottingham DBF" (PLEASE QUOTE REF. No.)
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Indicate in this box with "X" if you are sending a NIL RETURN
cross for NIL RETURN
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I certify that these are the total fees received for the period shown above.
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PRINT Name DATE:
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Delete as applicable - Churchwarden/Treasurer/Secretary/Other
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