95 Day Notice Business Savings Account Issue 4-Application Form

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1 95 Day Notice Business Savings Account Issue 4-Application Form Please complete this form in BLOCK CAPITALS and in ink. Account Number (For bank use only) I/We would like to invest into a 95 Day Notice Business Savings Account Minimum 10,000 and maximum 1m. This initial deposit must be made by cheque drawn from your nominated bank account in your organisation name. All cheques should be made payable to your organisation account name (e.g. ABC Ltd). We can only accept applications from UK resident organisations with UK resident individuals (e.g applicants/signatories). Type of Business Sole Trader Partnership Ltd Company Society/Club/ LLP Charity Parish Council Association Section A - to be completed by all applicants Name of organisation (Limited Company or trading name if Sole Trader or Partnership, or name of Charity, Society, Club, Association or Parish Council). Correspondence address Please note, communicatons will be addressed to the organisation and first named signatory Telephone/ mobile number address Section B - to be completed by Limited Companies, Registered Charities, Housing Associations and Limited Liability Partnerships Company/Charity/Homes and Communities Agency Number (delete as applicable) Registered office address (if different from the correspondence address in Section A)

2 Section C to be completed by all applicants signatories Please complete details of signatories to the account. 1st authorised signatory 2nd authorised signatory

3 Section C continued 3rd authorised signatory 4th authorised signatory

4 Section D to be completed by all applicants Are there any individuals that have 25% or more of the shares (including bearer shares); voting rights; or control; or benefit from 25% or more the property of the organisation, that have NOT already been listed as a signatory in Section C? If yes, please complete details of these individuals below. Please note that for clubs, associations, societies and trusts, a total of at least 3 officials/trustees must be provided - either in Section C as a signatory, or below. Yes No Position (e.g. Chairperson/Secretary) Position (e.g. Chairperson/Secretary) Section E to be completed by all applicants Interest to be paid: Annually Monthly To comply with HMRC rules: Interest will be paid net (with tax deducted) to Partnerships and Sole Traders. Interest will be paid gross (without tax deducted) to Limited Companies. For all other organisation types, we will pay interest net (with tax deducted) unless you confirm that you are eligible for interest to be paid gross by ticking one of the following boxes: A company within the meaning of Section 992 Income Tax Act 2007 this includes companies, other corporate bodies, clubs and unincorporated associations but not partnerships or sole traders A charity (which has been granted exemption under Section 532 Income Tax Act 2007) A Parish Council eligible for Gross interest

5 Section F to be completed by all applicants Nominated Bank or Building Society (Main Current Account) All withdrawals made from this notice account will only be transferred back to your nominated current account. This can be with any UK bank or building society. Bank/Building Society Name Account Name* Account Number Sort Code *Organisation name in Sections A and F must be the same otherwise we will be unable to open the account. Section G to be read and completed by all applicants We will use your personal information to open and administer your account, prevent fraud and money laundering and to provide you with details about our products and services. We may also use your personal information in accordance with the terms and conditions applicable to this account. We will undertake a search with an electronic verification agency to verify the identity and address of the account signatories, beneficial owners and organisation. To do so the electronic verification agency may check the details you supply against any particulars on any database (public or otherwise) to which they have access. They may also use your details in the future to assist other companies for verification purposes. In certain circumstances, we will need further proof of identity in order to open your account. We will retain a record of the search and any identity documents provided. By applying for an account, you are providing your consent for the use of your personal data for these purposes. You have the right of access to your personal data held by the Bank on payment of a fee if you apply to us in writing. Occasionally we would like to bring to your attention details of products and services available from us, or from other carefully selected suppliers, which may be of interest to you. If there is a contact method you do not want us to use for this purpose, please tick the relevant box: Post Telephone address Section H The Financial Services Compensation Scheme (FSCS) - All applicants Is your organisation eligible? The Financial Services Compensation Scheme (FSCS) is backed by government and protects the savings of eligible entities up to 85,000 in the unlikely event that anything should happen to your bank, building society or credit union. It is a regulatory requirement that all banks have to maintain records to help determine the eligibility of their customers. Please review the information below and then tick the appropriate box to confirm if your organisation is eligible or not. If you are unsure as to which category you fall into, please contact FSCS on or visit Specific types of depositor that are usually covered Sole Trader (combined total of their personal and business deposits) Unincorporated bodies (unincorporated charities, clubs and mutual etc) Registered Charities If your organisation has net assets not more than 1.4 million Companies and other corporate bodies including Limited Liability Partnerships If your organisation is deemed a small company and meets two or more of the following criteria: Annual turnover Companies: 6.5 million or less Balance sheet Companies: 3.26 million or less Employees 50 employees or less Charities and Clubs fall into the category according to the way their organisation is legally constituted (e.g. Ltd Company or unincorporated body) We confirm that the organisation named in this application: IS eligible for FSCS Is NOT eligible for FSCS Note: one of these boxes must be ticked

6 Section I to be read and completed by all applicants I/We declare that: 1 I/We understand that any one of the authorised signatures can sign to give notice to withdraw; 2 I/We understand that all withdrawals will be paid back to the nominated current account; 3 I/We understand that no withdrawals can be made without giving 95 days notice; 4 I/We accept the terms and conditions applicable to this account; 5 I/We agree that Cambridge & Counties Bank may use my/our information as stated in Section G on this application form; 6 This application form has been completed to the best of my/our knowledge and belief; 7 The account I am/we are opening and the money I am/we are investing or will invest is on behalf of the organisation named in Section A. I/We hereby certify that the organisation has the power to open the account applied for and that if required I/ we will produce evidence of the appropriate authority to confirm that the deposit may be made; 8 I/We authorise you to act on the instructions of the authorised signatories and I/we agree to provide you with a list of authorised signatures for each authorised signatory. I/We also agree and acknowledge that I/we will not hold the Bank responsible if the organisation suffers a loss as a result of you acting on the authority and instructions of the authorised signatories. I/We will tell you immediately in writing if the authorised signatories are to be changed; 9 I/We agree that we will notify the Bank should the organisation s tax status or beneficial owners change; 10 I/We confirm that the organisation named in Section A is a UK resident entity and that I/We will notify the Bank immediately if the entity or any named individual cease to be UK resident and; 11 I/We declare that any declaration made regarding the payment of interest in Section E is true and accurate. PLEASE SIGN HERE - Signed by an authorised official of the organisation: 1st authorised official 2nd authorised official Name Name Position Position Notes This section should be signed as follows: Sole Traders by the business owner Partnerships and LLPs two partners Companies two Directors or a Director and Company Secretary (unless the company is set up with one director only) Registered Charities two Trustees Housing Associations two Trustees Societies, Clubs and unincorporated Associations two of Chairperson, Secretary and Treasurer Parish Councils two individuals authorised by the council Before sending this form to us, please check that you have completed all the details and signed it. If you have any queries regarding this application form then please call our team on This application form must be accompanied by a cheque drawn on your nominated current account for your opening deposit. In exceptional circumstances if you cannot send a cheque, you must send an original bank statement for the nominated account detailed in section H. This statement must be dated within the last 3 months. Unfortunately we cannot open your account without either a cheque or a bank statement. CCB /06/14 Cambridge & Counties Bank Limited Charnwood Court New Walk Leicester LE1 6TE Tel: Fax: Registered Office: 42 Castle Street, Cambridge, CB3 0AJ United Kingdom Company Registration No: Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and Prudential Regulation Authority. Financial Services Register No:

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