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 Name Last Name
Position held *
Organisation's name *
Principal business/activities *

Contact address *

Street Address
Street Address Line 2
City	County / Region
Postcode	Country

Daytime phone *
Fax number
Email

4. Connection details
This application relates to a *

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

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

Yes No
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 *

Yes No
If yes please outline full payback entitlement *

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

Yes No
If yes please provide name, registered address and company number of investor *
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 £
Have you applied for planning permission? *

Yes No Not applicable
If yes, please provide Council name and reference number *
If yes, what stage is approval at? *

Outline Full approval

6. Applicant's Income Details
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:

Yes No
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 Institution An Active Non-Financial Entity A 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:

Yes No
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
Liabilities
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? *

Yes No
If yes please state amount of grant £ *
If Yes, please indicate how much and from whom (MAXIMUM 100 WORDS *

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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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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

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

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

Breakdown of total/estimated expenditure on your project

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

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.