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Title Version V5 Last Revised 24/03/2016 Approved by Approval date

The legal title in all property is vested in The Uniting Church in Australia Property Trust (NSW) or The Uniting Church in Australia (ACT) Property Trust ( Property Trust ). A completed must be attached to a completed Certificate of Correctness and the relevant documentation that is to be executed by the Property Trust. Any application lodged that does not include all these documents and the required approvals will not be executed by the Property Trust. All documentation is to be sent to Uniting Resources, at the following address: Uniting Resources Property Services - PO Box A 2178, Sydney South, 1235 Email: Property@nswact.uca.org.au 1. Applicant Details a) Congregation: b) Presbytery:...... c) Uniting Church entity:... d) Contact name:... e) Position:... f) Address:...... g) Email:... h) Phone:... i) Mobile:... Copyright 2016 Uniting Church Last updated: 24/3/2016 Page 2 of 8

2. Property Details Property Address:.... Type of Building: Church Hall Minister s Residence Other.. Title Details: Lot.. Section DP.. Heritage Listing: Yes No If yes, what kind? Will subdivision be required? Yes No Uncertain Is the property adjacent to another Uniting Church property? Yes No Uncertain 3. Project Overview A brief description of the purpose of the project, including how this proposal complements your mission/strategic plan: Copyright 2016 Uniting Church Last updated: 24/3/2016 Page 3 of 8

4. Estimated Costs (excluding GST) a) Construction cost: b) Professional fees: c) Council charges: d) Earthworks: e) Outdoor work (landscaping, fencing, lighting):.. f) Other work to be carried out on property at same time: g) Furnishings, fittings and equipment: h) Contingency: Total Project Budget: 5. Source of Funds a) Cash in hand: $... b) Sales proceeds: $..... c) Uniting Financial Services loans: $... d) Self Help load: $... e) Other loan (please specify): $... f) Bequest: $... g) Other: $... h) Insurance: Claim number $... Total Project Budget: $... Copyright 2016 Uniting Church Last updated: 24/3/2016 Page 4 of 8

6. Consultation of other Church Bodies a) If your project relates to childcare, have you received approval from the relevant area within Uniting? Yes No N/A b) Does the project relate to an insurance claim? Yes No N/A 7. Approvals We hereby certify that at a meeting of the. duly convened in accordance with The Uniting Church in Australia Regulations. The meeting was held on the day of. in the year., and the following resolution was passed: Please attach minutes of the meeting. Copyright 2016 Uniting Church Last updated: 24/3/2016 Page 5 of 8

CHURCH COUNCIL APPROVAL Name of Church Council: I am authorised to sign this document as a member of the Church Council. Please note, authorised representatives of Church Council to sign below. Signed: Name of Presbytery: PRESBYTERY APPROVAL I am authorised to sign this document on behalf of Presbytery in accordance with The Uniting Church in Australia Regulations. Signed: Copyright 2016 Uniting Church Last updated: 24/3/2016 Page 6 of 8

UME APPROVAL Name of UME area: I am authorised to sign this document in accordance with Uniting Mission & Education s delegations. Signed: SCHOOL APPROVAL Name of School: I am authorised to sign this document in accordance with Uniting Mission & Education s delegations of authority. Please note, authorised representatives of UME to sign above. Signed: Copyright 2016 Uniting Church Last updated: 24/3/2016 Page 7 of 8

Name of Unting NSW.ACT: UNITING NSW.ACT APPROVAL I am authorised to sign this document in accordance with Uniting NSW.ACT s delegations. PROPERTY SERVICES APPROVAL Signed: Copyright 2016 Uniting Church Last updated: 24/3/2016 Page 8 of 8