Signature of Recorder
This form should be prepared in duplicate by the Council Recorder and BOTH copies sent to the Grand Recorder with the Annual Returns. Please type or print legibly.
TOTAL DEDUCTIONS CLAIMED
Deduction claimed for Dual Members paying Grand Council Dues through other Councils
(Schedule 1) $____________________
Deduction claimed for Members who have prepaid Grand Council Dues for Life
(Schedule 2) $____________________
TOTAL claimed on GCD FORM of the Annual Return $____________________
SCHEDULE 1
DUAL MEMBERS PAYING GRAND COUNCIL DUES THROUGH OTHER COUNCILS
~~~~Name of Companion ~~~~ Council ~~~~~~~~~~~ Number
1 _____________________ ___________________ ___________________
2 _____________________ ___________________ ___________________
3 _____________________ ___________________ ___________________
4 _____________________ ___________________ ___________________
5 _____________________ ___________________ ___________________
6 _____________________ ___________________ ___________________
7 _____________________ ___________________ ___________________
8 _____________________ ___________________ ___________________
9 _____________________ ___________________ ___________________
10_____________________ ___________________ ___________________
11_____________________ ___________________ ___________________
12_____________________ ___________________ ___________________
13_____________________ ___________________ ___________________
14_____________________ ___________________ ___________________
15_____________________ ___________________ ___________________
ADD MORE IF NEEDED
SCHEDULE 2
MEMBERS WHO HAVE PREPAID GRAND COUNCIL DUES FOR LIFE
~~~~~~Name of Companion ~~ Members Number~~~~~~
1 _____________________ ___________________
2 _____________________ ___________________
3 _____________________ ___________________
4 _____________________ ___________________
5 _____________________ ___________________
6 _____________________ ___________________
7 _____________________ ___________________
8 _____________________ ___________________
9 _____________________ ___________________
10_____________________ ___________________
11_____________________ ___________________
12_____________________ ___________________
13_____________________ ___________________
14_____________________ ___________________
15_____________________ ___________________
ADD MORE IF NEEDED