Exploring Strategy

LOAN ENQUIRY SUMMARY
PLEASE USE BLOCK CAPITALS

Please complete and return this form to:
The Charity Bank Ltd
194 High Street
TONBRIDGE
TN9 1BE

This form can be completed in a compatible word processing programme.
A separate form is available on the web site in a pdf format if you would prefer to complete the details by hand.

PROPOSED NEED

APPLICANT

Name of organisation

Charity number

Company / i&ps, cic number (where applicable)

Legal form

(eg trust, association, company limited by guarantee, i&ps, cic number)

Address

Post code
Name of contact person
Position of contact
( e.g. trustee, chair, director, fund-raiser, treasurer etc.)
Telephone
Fax
E-mail address
Website (if any)
Best contact time:

Local authority name

Amount needed

To be repaid in (years, month)

Date you need the commitment by:

Date you need the funds by:

Short description of how loan or guarantee is to be used, together with an outline of additional funds/own funds committed to the requirement. Do include your own “sweat equity” contribution e.g. redecoration using own labour

Location of project (if different from address above)
.

Sources and timing of repayment

.

How/where did you hear about Charity Bank?

Who are your main funders? Amount Until

ALTERNATIVE FUNDING

Name of your bank/building society:

Name of account:
Sort code:
Account number:

Has the bank been approached? 0 Yes 0 No (please tick as appropriate)
If no, why not?

If yes, what did they say?

Name and address of your organisation's solicitors:

Post code:

Name and address of your auditor (if audited):

Post code:

Brief description of your organisation's work (if not covered elsewhere)

|I certify that the information supplied with this application is correct to the best of my knowledge |
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|Name: |
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|Signature: |
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|Position within organisation |
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Charity Bank information and communications
Charity Bank has a policy of full transparency regarding loans and use of funds. Following a successful loan application, we would normally list your charity, the work it does and the nature of the loan on our web site and in printed material. We may also wish to use your charity as an example of excellence in charitable activity in our communications material. o Please tick if you do not want us to mention your organisation.

IMPORTANT
ADDITIONAL DOCUMENTATION AND INFORMATION REQUIRED
The following information, where relevant, should accompany your application and be sent to Charity Bank.

We will make every effort to process your application as rapidly as possible and we are aware of the amount of work you have put into it. However, failure to enclose the information listed below will result in unfortunate delay. We know every case is different, and this list should be taken as indicative of the information we need to assess your application.

Tick box when enclosed o Business/Development plan (if available and appropriate)

o Last 3 years’ audited, or other, accounts

o Short CV’s of key personnel, all Trustees and all Directors, to include the length of current service and their background skills/experience

o A certified copy of the Memorandum and Articles of Association and Certificate of Incorporation, or Trust Deed, or equivalent

o NB Incorporated organisations must have the ‘Power to Borrow’ and, where necessary, ‘To Charge Assets’. Unincorporated organisations may have general powers but will need a specific power to charge assets where appropriate.

o Financial projections for the current and next financial year, including cash flow forecasts and annual budgets

o Internal management accounts for the financial year to date

o Copies of Bank/Building Society statements for the last three months for all accounts held

o A copy of the most recent Annual Report

o Fundraising plan/strategy, and/or fundraising appeal brochure, where appropriate

o Valuation of property, if available/applicable. Please also provide the full postal address of the property to be acquired and/or charged where appropriate.

o Evidence of legal form Companies limited by share capital: Certified up-to-date copies of Memorandum and Articles of Association, and Certificate of Incorporation, to be certified by the company secretary.

• Companies limited by guarantee with charitable status: Certified up-to-date copies of Memorandum and Articles of Association, and Certificate of Incorporation to be certified by the company secretary

• Charitable Trust/Charitable unincorporated association: Copy of Trust Declaration/Deed, Constitution

• Industrial and Provident Association: Copy of Rules, and of registration or equivalent with Registrar of Friendly Societies: copy of letter to Inland Revenue acknowledging charitable status

• Housing Association: Verification of registration with the appropriate body such as Registrar of Friendly Societies and with the Housing Corporation

• Local action/voluntary group, unincorporated societies: Copy of membership rules and constitution

In every case: The organisation should be able to produce either a copy of its registration with the Charity Commission or, if it is exempt from registration (for example an Industrial and Provident Society), confirmation that it is recognised as a charity. A Social Firm should include its Memorandum and Articles of Association which should confirm its Charitable Objectives and that any profits are either retained or distributed solely for charitable purposes.

Data Protection Charity Bank and other organisations in which Charities Aid Foundation has a majority stake (the family) will use your information to provide the charitable products / service you have requested. We will not disclose your information to any outside organisation except as part of providing that product / service or when legally advised to do so. From time to time the family may offer you other products or services or invite you to events that may be of interest to you.

o Please tick here if you do not wish to be contacted.

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