Scottish Hydro-Electric Community Trust application

1. Type of application

(Please select the appropriate category)
This application relates to a*
Please provide your charity reference number*

2. Applicant details
Full Name*

First NameLast Name
Position held*
Organisation's name*
Principal business/activities*
Contact address*

Street Address

Street Address Line 2

CityCounty / Region

PostcodeCountry
Daytime phone*
Fax number
Email

3. Property details
Property details where connection is required
Address where connection is required*

Street Address

Street Address Line 2

CityCounty / Region

PostcodeCountry
Is there an existing power source?*

YesNo
Please specify (maximum 35 words)

0/35
Is the connection for an existing property or for a new build*

ExistingNew Build
Is the property in use at present?*

YesNo
Are you or will you be the owner of the property/new build?*

YesNo
If YES, please provide an estimate of value of the property when completed £*
If NO, please state owner's address*

Street Address

Street Address Line 2

CityCounty / Region

PostcodeCountry
Is the property rented?*

YesNo
Domestic property details
Will the property be your sole residence once connected?*

YesNo
If NO, please give details of other property owned
Address of other property owned*

Street Address

Street Address Line 2

CityCounty / Region

PostcodeCountry
Please provide Council Tax Band*
Please provide estimated value £
Property where connection is required
Are you currently living in the property where connection is required?*

YesNo
How long have you lived there?
Years*
Months*
Please provide Council Tax Band*
Please provide estimated value £
If less than 5 years, please give your previous address
Previous address*

Street Address

Street Address Line 2

CityCounty / Region

PostcodeCountry
Length of time at previous address
Years*
Months*
Were you the owner of this address?*

YesNo
Please provide Council Tax Band*
Please provide estimated value £
If NO, please give details of current address
Current address*

Street Address

Street Address Line 2

CityCounty / Region

PostcodeCountry
Are you the owner of your current address?*

YesNo
Please provide Council Tax Band*
Please provide estimated value £*
How long have you lived there?
Years*
Months*
If less than 5 years please give your previous address
Previous address*

Street Address

Street Address Line 2

CityCounty / Region

PostcodeCountry
Length of time at previous address
Years*
Months*
Were you the owner of this address?*

YesNo
Please provide Council Tax Band*
Please provide estimated value £*

4. Connection details
This application relates to a*

Standard ConnectionConnection using renewable sourcesUpgrade using renewable sources
When is connection required?*
Have you had a quote from Scottish and Southern Energy Power Distribution plc?*

YesNo
If YES, what is the Scottish and Southern Energy Power Distribution reference number?*
If NO, have you received a quote from another Distributor?*

YesNo
How much were you quoted, including VAT?*
What type of Renewable source is being used?*
Are you eligible for any Payback Options for using the above renewable source*

YesNo
If YES, please outline full payback entitlement*

5. Investment / costs
Are there any additional investors involved in the Project*

YesNo
If yes please provide name, registered address and company number of investor*
Have you applied for planning permission?*

YesNoNot applicable
If yes, please provide Council name and reference number*
If yes, what stage is approval at?*

OutlineFull approval

6. Applicant's Income Details

(All applicants must complete this section of the form)
Please provide a note of your GROSS annual HOUSEHOLD income £*
Please state your Occupation:*
I am a UK tax resident and not tax resident elsewhere:

YesNo
If NO, please provide the following details
Jurisdiction(s) of tax residence, including Tax Identification Number with respect to each Jurisdiction:
Date of Birth:
Please confirm the status of your Charity/CommunityGroup as either*

A Financial InstitutionAn Active Non-Financial EntityA Passive Non-Financial Entity
* Please refer to HMRC guidance as either a Financial Institution (see IEIM400600) or a Non-Financial Entity (NFE) (see IEIM404040) to determine status.
Was your organisation established or is it resident for tax outside of the UK:

YesNo
If Yes, please provide the following details:
Country of establishment/tax residency:
Tax Identification Number:
Please provide a breakdown of your monthly income (NET) and expenditure
Income
Details*
Amount £*
Details 2
Amount 2 £
Details 3
Amount 3 £
Details 4
Amount 4 £
Details 5
Amount 5 £
Details 6
Amount 6 £
Expenditure
Details*
Amount £*
Details 2
Amount 2 £
Details 3
Amount 3 £
Details 4
Amount 4 £
Details 5
Amount 5 £
Details 6
Amount 6 £
Mortgage
Do you have a mortgage on the property where connection is required and if so how much? (Please state full figure and NOT monthly payment.)*
Please Provide details of other significant assets or liabilities
Assets (e.g. This should include the value of any land, property, motor vehicles, investments, savings etc)
Liabilities (e.g. Include the value of any outstanding loans, debts etc).
Please submit most recent charitable accounts to SHECT@sse.com
If you are a Non-Profit Making Community Owned Project please state where your assets would go in the event of dissolution:

7. Further information
Have you applied to other bodies for a grant?*

YesNo
If yes please state amount of grant £*
If Yes, please indicate how much and from whom (MAXIMUM 100 WORDS*

0/100
THE TRUSTEES REQUEST THAT YOU PROVIDE FURTHER INFORMATION RELEVANT TO YOUR APPLICATION, EXPLAINING WHY GRANT ASSISTANCE IS REQUIRED AND WHY YOU HAVE SELECTED THIS SITE. AS MUCH INFORMATION AS POSSIBLE SHOULD BE INCLUDED IN THIS SECTION TO ALLOW THE TRUSTEES TO DETERMINE YOUR ELIGIBILITY FOR AN AWARD. TRUSTEES WILL NOT CONSIDER INCOMPLETE APPLICATIONS. (MAXIMUM 200 WORDS) *

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Schedule 1: Breakdown of total/estimated expenditure on your project
Site, Foundations and access £
Legal fees £
Water/sewage connection £
Electricity connection £
Joinery (including kit costs) £
Brickwork £
Electrical £
Plumbing £
Decorating £
Heating £
Planning, warrant, & professional fees £
Kitchen/bathroom fittings £
Other costs £
please specify, e.g. self build/trade works etc
please specify, e.g. self build/trade works etc
Total estimated costs of complete property £
Enter the message as it's shown*
For details of how your personal information is used and stored, please refer to the Privacy Policy on this website, or alternatively please email shect@sse.com or telephone 01738 455113 to request a copy.
By submitting this form for consideration by the Trustees you are declaring that the information provided is true, complete and accurate and accept that the Trustees decision is final and subject to such conditions as the Trustees may require.
Should be Empty:

1. Type of application

2. Applicant details

3. Property details

Property details where connection is required

Domestic property details

If NO, please give details of other property owned

Property where connection is required

How long have you lived there?

If less than 5 years, please give your previous address

Length of time at previous address

If NO, please give details of current address

How long have you lived there?

If less than 5 years please give your previous address

Length of time at previous address

4. Connection details

5. Investment / costs

6. Applicant's Income Details

Please provide a breakdown of your monthly income (NET) and expenditure

Income

Expenditure

Mortgage

Please Provide details of other significant assets or liabilities

Please submit most recent charitable accounts to SHECT@sse.com

7. Further information

Schedule 1: Breakdown of total/estimated expenditure on your project

By submitting this form for consideration by the Trustees you are declaring that the information provided is true, complete and accurate and accept that the Trustees decision is final and subject to such conditions as the Trustees may require.