The Charity Bank Savings Account

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1 The Charity Bank Savings Account Application form for individuals Please complete in block capitals and return this form to: Charity Bank, Fosse House, 182 High Street, Tonbridge, Kent TN9 1BE FOR OFFICE USE Account number I/we would like to open the following account Monthly saving option 33 days notice We would like to open the I/we would like to make regular monthly account with payments of 93 days notice (Minimum 10) I/we have completed the enclosed 365 days notice direct debit mandate form Please enclose cheque payable to Charity Bank your own name 2. Details of applicant(s) Full name Permanent residential address First applicant Second applicant Post code How long at that address? If less than three years, supply previous address separately (applies to all signatories) Contact telephone number address of birth Country and place of birth National Insurance number Country of residence for Tax purposes Full name Permanent residential address Third applicant Fourth applicant Post code How long at that address? If less than three years, supply previous address separately (applies to all signatories) Contact telephone number address of birth Country and place of birth National Insurance number Country of residence for Tax purposes

2 3. Tax If you are eligible to receive interest without tax deducted you will need to complete an R85 form. For joint accounts please complete a separate form per applicant. Are you eligible to receive interest without tax deducted? Yes No Please send me an R85 form You can download the form from the HMRC website at Interest donation Please tick this box if you would like to waive the interest you earn on the Charity Bank savings product, to keep our loans affordable for charitable organisations. 4. Use of information Charity Bank will use your information to provide the products or service you have requested. We will not disclose your information to any outside organisation except as part of providing that product or service or when legally advised to do so. We will not share your details for marketing by third parties. We keep the Charity Bank community up to date with our news, offers and events (including visits to borrowers and our annual open meeting), information about our products and services and stories about the charities and social enterprises we support. If you do not wish to receive such information, including invitations to events and news updates, please indicate here Please indicate how you would prefer to receive communications via post via Where did you hear about Charity Bank? 5. Declaration Please tick that each signatory has read the following before signing I have read the account terms and conditions set out in the Deposit Account Terms and Conditions and agree to be bound by them. Please acknowledge receipt of the Deposit Guarantee Scheme: Information Sheet. I agree to Charity Bank using the information contained in this form for processing the application and managing the account, including carrying out an electronic search. I understand that the information may be held electronically and also that it may be retained after the account is closed. I am aware that under the Data Protection Act 1998 I can request a copy of any personal information held about me in the Bank s records and also ask for any errors to be corrected. 6. Signatures (of all account signatories) Signatory one Signatory two Signatory three Signatory four How many signatures are required to operate the account? The Charity Bank Limited, Fosse House, 182 High Street, Tonbridge, Kent TN9 1BE. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and theprudential Regulation Authority No Member of the Financial Services Compensation Scheme (FSCS). Company registered in England and Wales No v

3 Deposit Guarantee Scheme: Information Sheet (New accounts) Basic information about the protection of your eligible deposits Eligible deposits in The Charity bank Ltd are protected by: the Financial Services Compensation Scheme ( FSCS ) 1 Limit of protection: 75,000 per depositor per bank / building society / credit union. 2 If you have more eligible deposits at the same bank / building society / credit union: If you have a joint account with other person(s): Reimbursement period in case of bank, building society or credit union s failure: To contact The Charity Bank Ltd for enquiries relating to your account: To contact the FSCS for further information on compensation: More information: Acknowledgement of receipt by the depositor: All your eligible deposits at the same bank / building society / credit union are aggregated and the total is subject to the limit of 75, The limit of 75,000 applies to each depositor separately working days. 4 The Charity Bank Ltd Fosse House 182 High Street Tonbridge Kent TN9 1BE Tel: Financial Services Compensation Scheme 10th Floor Beaufort House 15 St Botolph Street London EC3A 7QU Tel: or Please refer to the tick box on the application form. The Charity Bank Limited, Fosse House, 182 High Street, Tonbridge, Kent TN9 1BE. Authorised by the Prudential Regulation Authority and regulated by thefinancial Conduct Authority and the Prudential Regulation Authority No Member of the Financial Services Compensation Scheme (FSCS). Company registered in England and Wales No v040116

4 Additional information 1 Scheme responsible for the protection of your eligible deposit Your eligible deposit is covered by a statutory Deposit Guarantee Scheme. If insolvency of your bank, building society or credit union should occur, your eligible deposits would be repaid up to 75,000 by the Deposit Guarantee Scheme. 2 General limit of protection If a covered deposit is unavailable because a bank, building society or credit union is unable to meet its financial obligations, depositors are repaid by a Deposit Guarantee Scheme. This repayment covers at maximum 75,000 per bank, building society or credit union. This means that all eligible deposits at the same bank, building society or credit union are added up in order to determine the coverage level. If, for instance a depositor holds a savings account with 80,000 and a current account with 20,000, he or she will only be repaid 75,000. In some cases eligible deposits which are categorised as temporary high balances are protected above 75,000 for six months after the amount has been credited or from the moment when such eligible deposits become legally transferable. These are eligible deposits connected with certain events including: (a) certain transactions relating to the depositor s current or prospective only or main residence or dwelling; (b) a death, or the depositor s marriage or civil partnership, divorce, retirement, dismissal, redundancy or invalidity; (c) the payment to the depositor of insurance benefits or compensation for criminal injuries or wrongful conviction. More information can be obtained under 3 Limit of protection for joint accounts In case of joint accounts, the limit of 75,000 applies to each depositor. However, eligible deposits in an account to which two or more persons are entitled as members of a business partnership, association or grouping of a similar nature, without legal personality, are aggregated and treated as if made by a single depositor for the purpose of calculating the limit of 75, Reimbursement The responsible Deposit Guarantee Scheme is the Financial Services Compensation Scheme, 10th Floor Beaufort House, 15 St Botolph Street, London, EC3A 7QU, Tel: or , It will repay your eligible deposits (up to 75,000) within 20 working days until 31 December 2018; within 15 working days from 1 January 2019 until 31 December 2020; within 10 working days from 1 January 2021 to 31 December 2023; and within 7 working days from 1 January 2024 onwards, save where specific exceptions apply. The Charity Bank Limited, Fosse House, 182 High Street, Tonbridge, Kent TN9 1BE. Authorised by the Prudential Regulation Authority and regulated by thefinancial Conduct Authority and the Prudential Regulation Authority No Member of the Financial Services Compensation Scheme (FSCS). Company registered in England and Wales No

5 Additional information Where the FSCS cannot make the repayable amount available within 7 working days, it will, from 1 June 2016 until 31 December 2023, ensure that you have access to an appropriate amount of your covered deposits to cover the cost of living (in the case of a depositor which is an individual) or to cover necessary business expenses (in the case of a depositor which is not an individual or a large company) within 5 working days of a request. Again, there are specific exceptions to this obligation. In the case of a depositor which is a large company, where the FSCS cannot make the repayable amount available within 7 working days, it will, from 3 July 2015 until 1 December 2016, ensure that you have access to your covered deposits within fifteen working days of a request containing sufficient information to enable it to make a payment, save where specific exceptions apply. If you have not been repaid within these deadlines, you should contact the Deposit Guarantee Scheme since the time to claim reimbursement may be barred after a certain time limit. Further information can be obtained under Other important information In general, all retail depositors and businesses are covered by Deposit Guarantee Schemes. Exceptions for certain deposits are stated on the website of the responsible Deposit Guarantee Scheme. Your bank, building society or credit union will also inform you of any exclusions from protection which may apply. If deposits are eligible, the bank, building society or credit union shall also confirm this on the statement of account. The Charity Bank Limited, Fosse House, 182 High Street, Tonbridge, Kent TN9 1BE. Authorised by the Prudential Regulation Authority and regulated by thefinancial Conduct Authority and the Prudential Regulation Authority No Member of the Financial Services Compensation Scheme (FSCS). Company registered in England and Wales No

6 Exclusions list (up to and including 31 December 2016) A deposit is excluded from protection if: (1) The holder and any beneficial owner of the deposit have never been identified in accordance with money laundering requirements. For further information, contact your bank, bank building society or credit union. (2) The deposit arises out of transactions in connection with which there has been a criminal conviction for money laundering. (3) It is a deposit made by a depositor which is one of the following: credit institution financial institution investment firm insurance undertaking reinsurance undertaking collective investment undertaking pension or retirement fund 1 public authority, other than a small local authority. The following are deposits, categories of deposits or other instruments which will no longer be protected from 3 July 2015: deposits of a credit union to which the credit union itself is entitled deposits which can only be proven by a financial instrument 2 unless it is a savings product which is evidenced by a certificate of deposit made out to a named person and which exists in a Member State on 2 July 2014) deposits of a collective investment scheme which qualifies as a small company 3 deposits of an overseas financial services institution which qualifies as a small company 4 deposits of certain regulated firms (investment firms, insurance undertakings and reinsurance undertakings) which qualify as a small business or a small company 5 refer to the FSCS for further information on this category For further information about exclusions, refer to the FSCS website at 1 Deposits by personal pension schemes, stakeholder pension schemes and occupational pension schemes of micro, small and medium sized enterprises are not excluded 2 Listed in Section C of Annex 1 of Directive 2014/65/EU 3 Under the Companies Act 1985 or Companies Act See footnote 3 5 See footnote 3 The Charity Bank Limited, Fosse House, 182 High Street, Tonbridge, Kent TN9 1BE. Authorised by the Prudential Regulation Authority and regulated by thefinancial Conduct Authority and the Prudential Regulation Authority No Member of the Financial Services Compensation Scheme (FSCS). Company registered in England and Wales No

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