Name & Address where cash held Owner and % Ownership Balance £ Balance Currency Sub Total Client Money Accounts (24) Name & Address where cash held Owner and % Ownership Balance £ Balance Currency Sub Total Investments (25) NAME OF Entity % of Date of Fund manager/Stock Broker Asset Description Investment/Cost to Current Value £ Valuation Basis Valuation Date Annual Income £ Annual Holding Surplus Income £ Entity Ownership Investment date £ Costs £ (If applicable) Sub Total Pensions (26) NAME OF Entity % of Date Fund Pension Broker Pension Description including how Pension is to Amount paid into Fund to date £ Current Value £ Valuation Basis Valuation Date Annual Income £ Annual Holding Surplus Income £ ENTITY Ownership Established be paid out Costs £ (If applicable) Sub Total Trusts (including discretionary trusts) (27) NAME OF Entity % of Date Trust Trust Name Trust Location / Jurisdiction Trust beneficiaries Amount paid / Current Value £ Valuation Basis Valuation Date ENTITY Ownership Established Transferred into Trust to date £ Sub Total Chattels (28) Description of Chattel and Address where Chattel Held Owner and % Ownership Current Value £ Valuation Basis Valuation Date Original Cost £ Sub Total Other (29) Asset Description Owner and % Ownership Current Value £ Valuation Basis Valuation Date
Name & Address where cash held Owner and % Ownership Balance £ Balance Currency Sub Total Client Money Accounts (24) Name & Address where cash held Owner and % Ownership Balance £ Balance Currency Sub Total Investments (25) NAME OF Entity Entity % of Ownership Date of Investment Fund manager/Stock Broker Asset Description Investment/Cost to date £ Current Value £ Valuation Basis Valuation Date Annual Income £ Annual Holding Costs £ (If applicable) Surplus Income £ Sub Total Pensions (26) NAME OF ENTITY Entity % of Ownership Date Fund Established Pension Broker Pension Description including how Pension is to be paid out Amount paid into Fund to date £ Current Value £ Valuation Basis Valuation Date Annual Income £ Annual Holding Costs £ (If applicable) Surplus Income £ Sub Total Trusts (including discretionary trusts) (27) NAME OF ENTITY Entity % of Ownership Date Trust Established Trust Name Trust Location / Jurisdiction Trust beneficiaries Amount paid / Transferred into Trust to date £ Current Value £ Valuation Basis Valuation Date Sub Total Chattels (28) Description of Chattel and Address where Chattel Held Owner and % Ownership Current Value £ Valuation Basis Valuation Date Original Cost £ Sub Total Other (29) Asset Description Owner and % Ownership Current Value £ Valuation Basis Valuation Date
120731_Statement_of_Affairs_Template__England_and_Wales_.docx