PATRONAGE (BENEFICES) MEASURE 1986
PRESCRIBED FORMS
Forms contained in the Patronage (Benefices) Rules 1987
Form 1Notice to Patron to Register (Obsolete)
Form 2Notification to Crown of Registration (Obsolete)
Form 3Notice to the Incumbent and PCC of compilation of the Register (Obsolete)
Form 4Application to be registered as Patron (Obsolete)
Form 5Second Notice to Prospective Patron (Obsolete)
Form 6Application for Rectification of the Register
Form 7Notice to Incumbent and PCC of registration of a Patron (Obsolete)
Form 8Notice to the Bishop and to the Registrar of a Proposed Transfer
Form 9Notice to PCC of Proposed Transfer
Form 10Bishop’s Consent to Transfer of Patronage by Ecclesiastical Corporation
Form 11Bishop’s Certificate that requirements as to Transfer of Patronage have been complied with.
Form 12Transfer of Patronage Inter Vivos and Application to be registered as Patronage (Benefices) Measure 1986
Form 13Transfer of Patronage upon the Appointment of Trustees
Form 14Transfer of Patronage by Personal Representatives
Form 15Declaration by Presenting Patron (Being an Individual)
Form 16Appointment by a Body of a Representative (Being an Individual)
Form 17Notice of Intention to Institute or Collate
Other Forms approved by the Standing Committee of General Synod on 7 April 1987
Form 30Notification of Vacancy to Designated Officer
Form 31Notice of Vacancy to Patron and PCC
Form 32Notice of Vacancy to the Crown and to the PCC
Form 33Notice of Appointment of Patron’s Representative
Form 34Appointment of Parish Representatives
Form 35Notice from Bishop or Patron to PCC requesting a Section 12 meeting
Form 36Approval by Bishop of Offer of Benefice
Form 37Approval by Parish Representatives of Offer of Benefice
Form 38Notice of Presentation
Form 39Notice of Lapse
Form 40Archbishop’s Notice to PCC Secretary
Form 41Archbishop’s Notice of Presentation
Form 42Instrument as to the Exchange of Benefices
Form 43Specimen Page of the Register of Patrons
Form 6
Patronage (Benefices) Measure 1986
APPLICATION FOR RECTIFICATION OF THE REGISTER
Diocese:
Benefice:
I, (Full Name)
of (Address)
apply for the Register of Patrons to be rectified under section 4 of the Measure.
I claim that the information registered is incorrect because [set out the facts relied upon].
I undertake:
(a)to supply at my own expense all documents and other information as may be required by the Registrar in connection with this application; and
(b)to pay the proper charges of the Registrar in respect of the investigation of my claim made under paragraphs 3 or 5 of Schedule 1 of the Measure.
Dated thisday of20
Signature of Claimant:………………………………….
Notes:
1. If the application is being made by an office holder or on behalf of a body, the form should be suitably adapted.
2. Section 4 of the Measure is set out on the reverse of this form
Section 4 of the Patronage (Benefices) Measure 1986
Rectification of register
(1) The registrar of a diocese may rectify an entry in the register of patrons in any case
(a) where all the persons interested agree to the rectification of the entry; or
(b) where the registrar decides that the entry should be rectified
(i) because a person is, or is not, entitled to be registered as patron of a benefice, or
(ii) because information registered as to the exercise of a right of presentation to a benefice is incorrect,
and, in either case, no appeal against the registrar’s decision has been brought within the period specified in paragraph 8 of Schedule 1 to this Measure or the appeal has been dismissed; or
(c) where any rectification of the entry is required by reason of a decision of the chancellor of the diocese under that Schedule.
(2) Where in the case of an entry in the register relating to any benefice
(a) the entry has been adverse to the claim of any person for a period of more than thirty years, or
(b) if the period of thirty years from the end of the registration period has not expired, the benefice has been held adversely to the claim of any person for a period of more than thirty years, then, notwithstanding anything in subsection (1) above or in paragraph 5 of Schedule 1 to this Measure, no rectification of that entry may be made in favour of that person unless all the persons interested agree to that rectification.
(3) Section 25 of the Limitation Act 1980 (time limits for actions to enforce advowsons) shall cease to have effect at the end of the registration period.
Form 8
Patronage (Benefices) Measure 1986
NOTICE TO THE BISHOP AND TO THE REGISTRAR
OF A PROPOSED TRANSFER
Diocese:
Benefice:
To the Bishop of the Diocese and
To the Registrar of the Diocese
I*
of
being one of the registered Patrons of the above Benefice hereby give you notice of my intention to transfer to:
(Full Name)*
of (Address)*
my whole interest in the right of Patronage in the Benefice
**ORa share in the right of patronage of the benefice to the intent that from the date of the transfer we should
exercise the right jointly
**ORexercise the right by turns in the following order
Dated:
Signed:
Registered Patron
* Insert full name, style and address
** Delete as appropriate
Form 9
Patronage (Benefices) Measure 1986
NOTICE TO PCC OF PROPOSED TRANSFER
Diocese :
Benefice:
To the Secretary of the Parochial Church Council
1.I hereby give you notice that the registered patrons of the above benefice have notified me that they intend to transfer their right of patronage in the benefice. A copy of the patrons’ notice to me setting out the name and address of the proposed transferee and the interest to be transferred is attached to this notice.
2.Within one month from the date of this noticethe Parochial Church Council may make representations with respect to the proposed transfer which should be sent to me at the address below. Any representations made to me within this period will be notified to your present patrons and to the Bishop of the Diocese.
Dated this day of 20
Signed:
Registrar of the Diocese
Form 10
Patronage (Benefices) Measure 1986
BISHOP'S CONSENT TO TRANSFER OF PATRONAGE
BY ECCLESIASTICAL CORPORATION
Diocese:
Benefice:
To (The transferor)
I,by Divine Providence Lord Archbishop of
ORI, by Divine Permission Lord Bishop of
hereby give my consent under section 3(2) of the Measure to the transfer of the right of patronage referred to in the Notice of Transfer dated
I confirm that I have considered all representations received and that my request to the patron to confer with me has been complied with.
ORI confirm that no representations were received and that my request to the patron to confer with me has been complied with."
ORI confirm that no representations were received and that 1 did not request the patron to confer with me.
Dated:
Signed:
Bishop of the Diocese
Form 11
Patronage (Benefices) Measure
BISHOP'S CERTIFICATE THAT REQUIREMENTS AS TO
TRANSFER OFPATRONAGE HAVE BEEN COMPLIED WITH
Diocese:
Benefice:
To the Transferors:
I, by Divine Permission Lord Bishop of hereby confirm that, with regard to the transfer of the Right of Patronage referred to in the Notice of Transfer dated the day of 20
EITHERI have considered all representations received and that my request to the patron to confer with me has been complied with.
ORno representations were received and that my request to the patron to confer with me has been complied with
ORno representations were received and that I did not request the patron to confer with
Dated:
Signed:
Bishop of the Diocese
Form 12
Patronage (Benefices) Measure 1986
TRANSFER OF PATRONAGE INTER VIVOS
(AND APPLICATION TO BE REGISTERED AS PATRON)
Diocese:
Benefice:
Dated
(Full Name of Transferor)
of (Address)
(hereafter called 'the Transferor') being the registered patron of the above benefice hereby transfers the full interest in the patronage of the above benefice to (Full Name of Transferee)
of (Address)
(hereinafter called 'the Transferee')
ORhereby transfers a share in the right of patronage of the above benefice to the intent that from the date of the registration of this transfer the right of patronage should be exercised [jointly] by the Transferor and (Full Name of Transferee)
of (Address)
(hereafter called 'the Transferee']
(If not to be exercised jointly, add the following clause)
The Transferor and the Transferee hereby declare that as from the date of registration the right of patronage shall be exercised by turns in the following order:
The Transferor confirms that the requirements of section 3 of the Measure have been complied with.
The Transferee hereby applies to the Registrar under section 3 of the Measure to be registered as patron of the benefice.
SIGNED AS A DEEDby the Transferor in the presence of:
SIGNED AS A DEEDby the Transferee in the presence of:
Note: When completed this Transfer and the Bishop's consent (Form 10) or the Bishop's Certificate (Form 11) must be sent to the Registrar of the Diocese.
Form 13
Patronage (Benefices) Measure 1986
TRANSFER OF PATRONAGE
UPON THE APPOINTMENT OF NEW TRUSTEES
Diocese:
Benefice:
Dated:
WHEREAS (Name and address of retiring trustee)
desires to be discharged from the trusts concerning the right of patronage in the above benefice.
OR
WHEREAS (Name and address of deceased trustee)
who was a trustee of the trusts concerning the right of patronage in the above benefice died on the day of
NOW THEREFORE we (Names and addresses of continuing trustees)
being the continuing trustees of
hereby appoint (Full names and address of new trustee)
to act as a trustee jointly with us in the trusts concerning the said right of patronage.
AND WE HEREBY APPLY to the Registrar to be registered as patrons of the benefice.
SIGNED AS A DEED by the retiring trustee in the presence of:
SIGNED AS A DEED by the continuing trustees in the presence of:
SIGNED AS A DEED by the new trustee in the presence of:
Note: When completed, this Transfer must be sent to the Registrar of the Diocese.
Form 14
Patronage (Benefices) Measure 1986
TRANSFER OF PATRONAGE BY PERSONAL REPRESENTATIVES
Diocese :
Benefice :
Dated:
We (Full Names and addresses)
being the personal representative(s) of (Full Name)
of
who died on
HEREBY TRANSFER the full interest of the said deceased in the patronage of the above benefice to:
Title and Full Name of Transferee
Address (including postcode)
Home Telephone
Business Telephone
Fax
Email Address
(Where there is more than one Transferee, details of the other Transferee(s) should be entered on the back of the form.)
AND I the said (Full name of Transferee)
hereby apply to the Registrar to be registered as patron of the benefice in respect of the interest transferred.
SIGNED AS A DEED by the personal Representative(s) in the presence of:
SIGNEDAS A DEED by the Transferee in the presence of:
Form 15
Patronage (Benefices) Measure 1986
DECLARATION BY REGISTERED PATRON (BEING AN INDIVIDUAL)
Complete either Part A (below) or Part B (overleaf) of this form
Diocese:
Benefice:
PART A: DECLARATION OF MEMBERSHIP
To the Designated Officer
I,(Full Name)
*being the registered Patron of the above Benefice
OR*being the holder for the time being of an office which is registered as Patron of the Benefice
OR*being the donee of a power of attorney made by the registered Patron
hereby declare that
*I am an actual communicant member of the Church of England
OR*I am an actual communicant member of a Church in communion with the Church of England, namely,
OR**I am a clerk in Holy Orders
and I confirm that I will be acting personally during the vacancy of the above Benefice. All communications concerning the vacancy should be sent to me at the following address:
Dated:
Signed:
Presenting Patron
Note:In accordance with Section 9 of the Measure, this form must be returned to the Designated Officer within two months of the occurrence of the vacancy. Failure to return the form within that period will mean that the vacancy will be filled without recourse to the Patron.
*Delete as appropriate.
**Inset name of Church. Advice will be given by the Registrar as to which churches are in communion with the Church of England.
Form 15
Patronage (Benefices) Measure 1986
DECLARATION BY REGISTERED PATRON (BEING AN INDIVIDUAL)
Complete either Part A (overleaf) or Part B (below) of this form
Diocese:
Benefice:
PART B: APPOINTMENT OF REPRESENTATIVE
To the Designated Officer
I, (Full Name)
*being the registered Patron of the above Benefice
OR*being the holder for the time being of an office which is registered as Patron of the Benefice
OR*being the donee of a power of attorney made by the registered Patron
AND
*being unable to make the declaration required by the Measure
OR*being unable to discharge the Patron’s functions on this occasion
hereby appoint **
of
to act as my representative on the occurrence of the vacancy or impending vacancy in the Benefice and authorise him/her to discharge my functions under the above Measure.
Dated:
Signed:
Presenting Patron
DECLARATION OF MEMBERSHIP
I,
hereby declare that
*I am an actual communicant member of the Church of England
OR*I am an actual communicant member of a Church in communion with the Church of England, namely, …………………………………………………………………………..
OR**I am a clerk in Holy Orders
Dated:
Signed:
Patron’s Representative
Note:In accordance of the vacancy. failure to return the form within that period will mean that the vacancy will be filled without recourse to the Patron.
*Delete as appropriate.
**Inset name of Church. Advice will be given by the Registrar as to which churches are in communion with the Church of England. In accordance with Section 9 of the Measure, this form must be returned to the Designated Officer within two months of the occurrence
Form 16
Patronage (Benefices) Measure 1986
APPOINTMENT BY A BODY OF A REPRESENTATIVE
(NOT BEING AN INDIVIDUAL)
Diocese:
Benefice:
I,(Full Name)
of
being the Chairman/Secretary/Clerk†of
the registered patron of the above Benefice declare that
(Full Name)
of (Address)
has been duly authorised to act as the representative of the registered Patron and to discharge the Patron’s functions during the current vacancy.
Dated:
Signed
Chairman/Secretary/Clerk†
DECLARATION OF MEMBERSHIP
I, (Full Name)
declare that:
**I am an actual communicant member of the Church of England
OR**I am an actual communicant member of a Church in communion with the Church of England, namely,
OR*** I am a clerk in Holy Orders
Dated this day of 20
Signed ______
Patron’s Representative
†Delete as appropriate or insert designation of responsible officer.
*Insert full name and address (in capitals) of the representative acting.
**Delete as appropriate.
***Inset name of Church. Advice will be given by the Registrar as to which churches are in communion with the Church of England.
Form 17
Patronage (Benefices) Measure 1986
NOTICE OF INTENTION TO Collate
Diocese:
Benefice:
To:
I HEREBY GIVE NOTICE that it is my intention to collate to the Benefice of
on
the Reverend
who since ordination has held the preferments listed below
Dated:
Signed:
On behalf of the Bishop of the Diocese
OFFICES AND APPOINTMENTS HELD SINCE ORDINATION
ENDORSEMENT
To be completed by the Secretary of the ParochialChurch Council
I, being the Secretary of the
ParochialChurch Council hereby confirm that the notice overleaf was affixed on or near the principal door of every church in the parish and every building licensed for public worship, and remained there for a period of two weeks.
Dated:
Signed:
Note:
1.This notice or a copy thereof must be affixed on or near to the principal door of every church in the parish and every building licensed for public worship and remain thereon for two weeks.
2.At the end of that period one copy of the notice must be returned with the endorsement duly completed.
Form 30
Patronage (Benefices) Measure 1986
NOTIFICATION OF VACANCY TO DESIGNATED OFFICER
To the Designated Officer
Diocese:
Benefice:
I hereby give you notice under Section 7 of the Measure that the benefice [became vacant]1 [will become vacant]1 on the day of 20
Dated:
Signed:
Bishop
1 Delete as appropriate
Form 31
Patronage (Benefices) Measure 1986
NOTICE OF VACANCY
TO PATRON AND PAROCHIAL CHURCH COUNCIL
Diocese:
Benefice:
To the Registered Patron(s) and the Secretaries of the Parochial Church Coiuncil(s)
I hereby give you notice that the above Benefice [became vacant] [will become vacant]
on
The right to present a Clerk in Holy Orders belongs to:
(Full Name and Address)
[for this alternate turn]
The powers and duties of the presenting patron and the Parochial Church Council (and the periods of time in which they may be exercised) are important and are set out [on the back of this form] [in the accompanying notes].
Dated:
Signed:
Designated Officer
This notice has been sent to the registered Patrons and the PCC Secretaries listed overleaf
Form 32
Patronage (Benefices) Measure
NOTICE OF VACANCY TO CROWN
AND PAROCHIAL CHURCH COUNCIL
Diocese:
Benefice:
To [Her Majesty] [the Duke of Cornwall] [the Lord Chancellor] and the Parochial Church Council(s)
I hereby give you notice that the above Benefice became vacant on
Under Section 35(7) of the Measure, the Parochial Church Council of each Parish belonging to the Benefice has the right to send to the Patron a statement describing the conditions, needs and traditions of the Parish.
The Council is also required to send a copy of any such statement to the Bishop of the Diocese.
Dated:
Signed:
Designated Officer
This notice has been sent to the registered Patron and the PCC Secretaries listed below.
Form 33
Patronage (Benefices) Measure 1986
NOTICE OF APPOINTMENT OF PATRON'S REPRESENTATIVE
Diocese:
Benefice:
To the Secretary of the Parochial Church Council
Further to my notice dated*
I hereby give you notice that the registered patron with the rightto present a clerk in Holy Orders on this vacancy has appointed thefollowing person to act as his representative and discharge thepatron's functions during the current vacancy:
Name:
Address:
Dated:
Signed:
Designated Officer
*Insert date of Form 31 or Form 32 notice.
Form 34
PATRONAGE (BENEFICES) MEASURE 1986
Appointment of Parish Representatives
Diocese:
Benefice:
To:The Bishop of the Diocese
The Presenting Patron
The Designated Officer
1.I hereby give you notice that, at [a] duly convened meeting[s] of the Parochial Church Council, which took place on [and on ] the following persons were appointed as the representative[s] of the Council in connection with the appointment of a new Incumbent:
Full Name: 1
Address:
Full Name:1
Address:
2.I attach a copy of the statement prepared by the Council describing the conditions, needs and traditions of the Parish
3.The Council resolved:
(a) to request the presenting Patron to consider advertising the vacancy 2;
(b) to request a meeting under section 12 of the Measure 2
(c) to request a statement in writing from the Bishop describing in relation to the Benefice the needs of the Diocese and the wider interests of the Church2