Section 1 - Annual governance statement 2016/17

We acknowledge as the members of:

Enter name of

smaller authority here:

our responsibility for ensuring that there is a sound system of internal control, including thepreparation of the accounting statements. We confirm, to the best of our knowledge and belief,with respect to the accounting statements for the year ended 31 March 2017, that:

~'Yes'~ means that this smaller authority:

1. We have put in place arrangements for effectivefinancial management during the year, and for thepreparation of the accounting statements.

2. We maintained an adequate system of internal control,including measures designed to prevent and detectfraud and corruption and reviewed its effectiveness.

3. We took all reasonable steps to assure ourselves thatthere are no matters of actual or potential non-compliancewith laws, regulations and proper practices that couldhave a significant financial effect on the ability of thissmaller authority to conduct its business or onits finances.

4. We provided proper opportunity during the year for theexercise of electors' rights in accordance with therequirements of the Accounts and Audit Regulations.

5. We carried out an assessment of the risks facing thissmaller authority and took appropriate steps to managethose risks, including the introduction of internal controlsand/or external insurance cover where required.

6. We maintained throughout the year an adequate andeffective system of internal audit of the accountingrecords and control systems.

prepared its accounting statements inaccordance with the Accounts andAudit Regulations.

made proper arrangements and acceptedresponsibility for safeguarding the public moneyarid resources in its charge.

has only done what it has the legal power to doand has complied with proper practicesin doing so.

during the year gave all persons interested theopportunity to inspect and ask questions aboutthis authority's accounts.

considered the financial and other risks it facesand has dealt with them properly.

arranged for a competent person, independentof the financial controls and procedures, to givean objective view on whether internal controlsmeet the needs of this smaller authority.

7. We took appropriate action on all matters raised inr~pQ.J:tS.from internal and external audit.

8. We considered whether any litigation, liabilities orcommitments, events or transactions, occurring eitherduring or after the year-end, have a financial impact on thissmaller authority and, where appropriate have includedthem in the accounting statements.

9. (For local councils only) Trust funds including charitable.In our capacity as the sole managing trustee wedischarged our accountability responsibilities for thefund(s)/assets, including financial reporting and, ifrequired, independent examination or audit.

This annual govern~nce statement is approved by thissmaller authority on:

and recorded as minute reference:

responded to matters brought to its attention byinternal and external audit.

disclosed everything it should have aboutits business activity during the yearincluding events taking place after the year-endif relevant.

Yes I No I NA has met all of its responsibilities where it is asole managing trustee of a local trust or trusts.

Clerk:

'Note: Please provide explanations to the external auditor on a separate sheet for each 'No' response. Describe how this smallerauthority will address the weaknesses identified.

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Section 2 - Accounting statements 2016/17 for

Enter name of

smaller authority here:

2. (+) Precept or Ratesand Levies

3. (+)Totalother receipts

4. (-) Staff costs

5. (-) Loaninterest/capitalrepayments

6. (-) All otherpayments

7. (=) Balances carriedforward

8. Total value of cashand short terminvestments•

9. Total fixed assetsplus long terminvestmentsand assets

10. Totalborrowings

11. (For Local Councils~[)jsclosure<note re Trust funds(including charitable)

Total balances and reserves at the beginning of the year as recordedin the financial records. Value must agree to Box 7 of previous year.

Total amount of precept (or for lOBs, rates and levies) receivedor receivable in the year. Exclude any grants received.

Total income or receipts as recorded in the cashbook less theprecept or rates/levies received (line 2). Include any grants received.

Total expenditure or payments made to and on behalf of allemployees. Include salaries and wages, PAYE and NI (employeesand employers), pension contributions and employment expenses.

NIL- ~\ILTotal expenditure or payments of capital and interest made duringthe year on the smaller authority's borrowings (if any).

Total expenditure or payments as recorded in the cash book less staffcosts (line 4) and loan interest/capital repayments (line 5).

Total balances and reserves at the end of the year. Must equal(1+2+3) - (4+5+6)

l\ll L \\1 I 1...Yes I No

I certify that for the year ended 31 March 2017 theaccounting statements in this annual return present fairly thefinancial position of this smaller authority and its income andexpenditure, or properly present receipts and payments, asthe case may be.

Signed by Resporrsible Financial Officer:

____~a~/~~~~~~M~~t~cl~.~~~-I_~-,-l =2..'---'..\i.' 4..v.b-=-. --=:.2=-=6:....:....1 J-L-__Date

The sum of all current and deposit bank accounts, cash holdings andshort term investments held as at 31 March - To agree with bankreconciliation.

This cell shows the value of all the property the authority owns. It ismade up of its fixed assets and long-term investments.

The outstanding capital balance as at 31 March of all loans from thirdparties (including PWLB),

The Council acts as sole trustee for and is responsible for managingTrust funds or assets.N.B, The figures in the accounting statementsabove do not include any Trust transactions,

I confirm that these accounting statements were approvedby this smaller authority on:

,and recorded as minute reference:

p val is given:

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