Loan Drawdown Request Form - General

To:- The Manager, Anglican Development Fund, 209 Flinders Lane, MELBOURNE VIC 3000

…./……./……..

We attach hereto copies of architects certificate/invoice from builder/other invoices *(cross out whichever is not applicable) for payment as follows:

Invoice date / Invoice from / Amount
$
$
$
$

Total

/ $

In payment please debit our account as follows

□ ADF account number SAV______

□ ADF Loan account number COM______

and:-

□ Send cheque/s to this parish for distribution to the payees.

□ Send cheques direct to supplier/builder.

□ Electronically credit the proceeds to:- (please provide bank details below)

□Payee/s bank account/s, or

□As the claim has been paid please reimburse the parish bank account:

Bank: / Branch:
BSB: / A/c number
A/c name: / Amount:
Bank: / Branch:
BSB: / A/c number
A/c name: / Amount:

The account(s) should be paid on □ __/__/____ or

□ the date which meets the terms of the invoice(s)

The attached invoices are approved for payment.

Please attach copies of Architect’s Certificate and related approval calculations.

Signed…………………………………………Signed……………………………………………

(Treasurer/Churchwarden) (Churchwarden)

Office use only

Amount approved / Date / A/c to be debited / Approved by
Deposit support / A/cs / $ / Ratio

H:\ADF\Loan drawdowns\Templates\Current drawdown forms\Drawdown request form_General.doc