Fillable Savings Account Application Form POD003 Share account only (Skipton Building Society)

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Savings Account Application Form POD003 Share account only (Skipton Building Society)

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Page 1 of 612/12/19
Continued overleaf
Ref: 315385
Type of account
For use by private individuals only. An additional application form should be completed where there are more than two account
holders of the proposed account. For use by UK residents only. Corporate Bodies, Companies resident in the UK, Trustees for
partnerships, charities and unincorporated clubs/associations should not complete this form but should ask for the appropriate form.
Section 1: Account information
Important Notice: Before completing this form please read carefully the specic terms and conditions relating to the
savings account you are opening (the account terms) as we shall seek to rely on them. In addition, please read the
notes under Customer Identication section 7. Please complete this form and then read the Agreement to assign
windfalls to charity and the Declarations and sign the form at the end. If you do not understand any point or require
assistance in completing this form, please call Skipton Direct on 0345 850 1722.
Savings Account
Application Form
Share account only - deposit account prohibited by statute.
Only to be completed by individuals on their own behalf
Section 2: Account holder(s) details
Account holder 1
Title Surname
First name and other initials
Account holder 2
Title Surname
First name and other initials
NOTE: If an account is to be opened by an Attorney, please complete a Savings Account Registration Form.
Names - If more than 2 account holders are required, please complete an additional application form (maximum of 4 on
an account). Only the rst named account holder will be recorded in the Society’s records as the Representative Joint
Shareholder for the account.
Please complete for all people named on the account - Please note that we are unable to accept c/o addresses and P.O.
Box Numbers.
For oce use only (Complete once open)
Account number
/
Date of birth (DD/MM/YYYY)
/ /
Date of birth (DD/MM/YYYY)
/
Please pay my interest monthly annually
National Insurance No. National Insurance No.
Address
Postcode
How long have you lived at this address
Years
Address
Postcode
How long have you lived at this address
Years
Email Email
POD003
Page 2 of 612/12/19
Continued overleaf
Ref: 315385
Telephone Numbers
Day Day
Evening Evening
Mobile Mobile
Place of birth
Countries in which you
are tax resident
Countries in which you
are tax resident
Taxpayer Identication
Number (TIN)
Taxpayer Identication
Number (TIN)
Town
Country
Nationality
Country of residence
Occupation
Section 2: Account holder(s) details (continued)
Account holder 1
Telephone Numbers
Place of birth
Town
Country
Nationality
Country of residence
Occupation
Account holder 2
NoYesAre you tax resident only in the UK?
If ‘No’ please list below all the countries in which you are tax
resident and provide your relevant Tax Reference Number or
Taxpayer Identication
Number (TIN)*
If ‘No’ please list below all the countries in which you are tax
resident and provide your relevant Tax Reference Number or
Taxpayer Identication
Number (TIN)*
This section must be completed for each person named above. We are unable to open an account without these details.
Section 4: Tax Resident Details
Account holder 1
NoYesAre you tax resident only in the UK?
Account holder 2
Telephone
Post
Email
We’ll remind you of your right to update your marketing preferences from time to time. You can change them at any time by going
into a branch, logging in and going to ‘My Account’ (if you’re registered for Skipton Online), calling us on 0345 850 1700 or writing
to FREEPOST SKIPTON BUILDING SOCIETY (please use block capitals). Please be assured the Freepost address is correct
despite its simplicity.
Your preferences
We would occasionally like to share information with you about our products, services, news and oers.
Let us know how you’d like us to keep you updated about these below:
Section 3: Keeping you up to date about products and services
Text message
Yes
Yes
Yes
Yes
No
No
No
No
Telephone
Post
Email
Text message
Yes
Yes
Yes
Yes
No
No
No
No
Applicant 1 Applicant 2
Page 3 of 612/12/19
Continued overleaf
Ref: 315385
Section 8: Customer identication
We are unable to open a new account without sucient identication.
If you are an existing customer of the Society you will not be required to supply any identication. In all other cases we may use
an electronic verication system. In certain circumstances we may require further proof of your identity and address.
N.B. For all accounts not opened in person, cheques must be drawn from a personal current account or if issued by a
Bank or Building Society, must bear your name and account number from which the funds are drawn.
Please state here how you would like your interest to be paid, refer to the product information for the available interest
options.
Section 7: Interest instructions
Select one of the following:
Please add the interest to the account
Please transfer the interest into Skipton account number
Please pay the interest direct to the Bank/Building Society account below:
Account holders’ name(s) Account number
Sort code
Bank/Building Society name and/or Account reference
I authorise you to transfer £
from my/our Skipton Account Number
Please indicate the number of signatures required for each withdrawal.
(Please enclose your passbook)
Section 9: Agreement and Declarations
Before you sign this form, it is important that you read the declarations in this section carefully as we shall seek to rely on
them. If you do not understand any point or require assistance, please call Skipton Direct on 0345 850 1722.
Agreement to assign windfalls to charity
Note: This Agreement does not apply to you if:
(i) you have held shares in the Society (other than permanent interest bearing shares) at all times since 29th February 2000 or
(ii) you have already entered into an agreement in either the same or similar terms with the Society and have held shares in the
Society (other than permanent interest bearing shares) continuously since the date the account for which you were then
applying was opened or
Section 6: Savings Details
Opening Investment
Cheque(s) £ Card £ Total £
NOTE: Cheques should be payable to SKIPTON BUILDING SOCIETY RE: THE ACCOUNT HOLDER(S)
What are you saving for?
Cash £
Section 5: Tax Citizenship Details
If ‘No’, are you a citizen of the
United States of America?
If ‘Yes’ please provide your USA Tax Identication Number (TIN)* If ‘Yes’ please provide your USA Tax Identication Number (TIN)*
No
Yes
If ‘No’, are you a citizen of the
United States of America?
No
Yes
Are you a citizen only of the UK? NoYes Are you a citizen only of the UK? NoYes
This section must be completed for each person named above. We are unable to open an account without these details.
Account holder 1 Account holder 2
TIN TIN
*The TIN is the number by which the tax authority in your country of tax residence identies you. If you have more than two tax
liabilities please provide the additional information on a separate piece of paper.
Page 4 of 612/12/19
Continued overleaf
Ref: 315385
Section 9: Agreement and Declarations (continued)
(iii) you are, in respect of the account for which you are now applying, in one of the other groups of people that the Society has
decided should be exempt*.
Where more than one of you is signing this form, the above Note and, if applicable, the rest of this Agreement apply to each of
you separately.
1. I agree with the Society that I will assign to the selected charity my right to receive any windfall benets. I authorise the
Society and any successor to pass any windfall benets direct to the selected charity (or to any other registered charity
which the selected charity may nominate) without giving any notice to me. I understand that the selected charity will have
the benet of this Agreement, and that neither it nor the Society will release me from it or vary its terms, even if the Society
decides at some stage in the future that new shareholding members generally will not be required to enter into similar
agreements. I authorise the Society to give the selected charity any information about me and any account that I have with
the Society (either now or in the future) but only if the selected charity reasonably needs it for any purpose arising out of this
Agreement. I understand that if the Society no longer exists following a merger with another building society, this Agreement
will still apply between me and the other society.
2. In this Agreement:
(a) “selected charity” means the Skipton Building Society Charitable Foundation or, if it ceases to be registered as a charity,
any other registered charity selected by it;
(b) “windfall benets” means any benets which I may become entitled to as a shareholding member of the Society under
the terms of any future transfer of the Society’s business to a successor (i.e. on a conversion or take-over), where the
transfer to the successor is publicly announced within ve years of the day on which I become a holder (either sole or
joint) of the account for which I am now applying (or such shorter period as applies to me if I am in one of the groups
of people that the Society has decided do not need to agree to the usual ve year period*). The expression “windfall
benets” does not include either (i) the right to have savings in a share account with the Society replaced by savings in
a deposit account with the successor or (ii) if I am in one of the groups of people that the Society has decided may keep
some or all benets*, those benets which the Society has decided I may keep; and
(c) “successor” means any company or other corporate body to which the Society transfers its business under Section 97
of the Building Societies Act 1986 (or under any provision which amends or replaces it).
* Details of these groups and (where applicable) the shorter periods that apply and the benets that may be kept are available
from the Society. The number and composition of the groups may be changed from time to time but no change will apply
retrospectively.
Declarations
(a) I conrm that I have read the Important Notice at the start of this form and have received:
(i) the account terms and
(ii) The Savings Terms and agree to be bound by them and the Rules of the Society (copies of which are available upon
request) and any subsequent conditions and Rules for the time being in force.
(b) I conrm that I am aware that the type of account I am opening is a share account and I understand that only the rst named
account holder will initially be recorded in the Society’s records as the Representative Joint Shareholder for the account.
Subject to the Rules of the Society, only the Representative Joint Shareholder will have voting rights.
(c) I declare that any share(s) acquired by me under this account will not be held as a bare trustee (or in Scotland as a simple
trustee) for a body corporate, or for persons who include a body corporate.
(d) If any provision relating to this account is unenforceable for any reason this will not aect the enforceability of any other
provision.
Your Personal Data
How We Use Your Personal Data
For the purposes of Data Protection, Skipton Building Society is the Data Controller responsible for the collection, use, sharing, holding
and protection of your personal data.
Skipton respects your privacy and is committed to protecting your personal data.
We endeavour to ensure that all personal data is kept condential, accurate, up to date, available to you and held and transferred
securely. We put in place a range of security measures to help protect your data.
We only collect, use, share and hold your personal data when we have a lawful basis that allows us to.
We hold personal data for a period determined by our regulatory, legal and business requirements and this will continue beyond the
closure of your account.
By providing your personal data and applying for this savings account you will be taking steps to enter into a contract with us.
We use personal data about you to:
• identify you
• check the eligibility of products and services you apply for or have with us and review this on an ongoing basis
• process, manage and administer your applications, enquiries, accounts, transactions, relationships, products and services
• link this application to your customer record and other accounts, products and services you hold with us
• manage your experience with us
• protect you and provide security
• provide colleague training to help improve the quality of our service and for general quality assurance and communication monitoring
• prevent crime, money laundering, protect you and others from fraud and for public safety
• communicate with you about the products and services you hold with us
• send marketing communications, by the methods you have agreed to
Page 5 of 612/12/19
Continued overleaf
Ref: 315385
• undertake research and gain insights into market trends, consumer behaviour, our competitors and changes in technology
• meet our legal, regulatory, auditing, tax and accounting obligations
Who We Share Your Personal Data With
To help process, administer and manage your application, accounts and relationships with us we will share your personal data, where
needed, with a range of other parties including:
• your authorised representatives and joint account holders
• central and local government departments including HMRC
• credit reference, fraud prevention, law enforcement agencies and tracing agents
• other nancial organisations including payment services providers
• external auditors
• research and insight agencies
• mailing houses and printers
• information technology service providers
Your Rights
In respect of your personal data, you have rights to:
• be informed about the personal data we collect, use, share and hold about you. The purpose of this privacy notice is to do this
• request details of the personal data we hold about you
• have inaccurate or incomplete personal data corrected
• request the erasure of your personal data
• restrict the collection, use, sharing and retention of your personal data in some circumstances
• request the electronic transfer of your personal data to you or another service provider
• object to the collection, use, sharing and holding of your personal data
• complain to the Information Commissioner’s Oce
For more information about how we use your personal data, who we share it with and why, how long we keep it, the lawful bases that
apply, and your rights and how to exercise them please refer to our full Privacy Notice at skipton.co.uk, ask at your local branch, call us
on 0345 850 1700 or write to our Data Protection Ocer at Skipton Building Society, Skipton, North Yorkshire, BD23 1DN.
Section 9: Agreement and Declarations (continued)
Section 10: Electronic Payment Statement
When there’s an electronic payment out of your account we’ll produce a statement detailing the electronic transactions for
the monthly period.
If you’ve registered with us online you can view information about your electronic transactions at any time.
Where you have provided an email address or are already registered online, you’ll receive a notication email conrming your
Electronic Payment Statement is available for you to view online.
If you are not registered online and have opted not to receive Electronic Payment Statements, you will still be able to view any
available statements online by registering and logging into your account.
You can also update your preferences online. All you have to do is log in to Skipton Online and select Login/Sign up. Your
account(s) will be listed on the homepage.
Account holder 1 Account holder 2
Do you wish to be supplied with
an electronic payment statement? Yes No
Do you wish to be supplied with
an electronic payment statement? Yes No
Page 6 of 612/12/19 Ref: 315385
Skipton Building Society is a member of the Building Societies Association. Authorised by the Prudential Regulation Authority and regulated by
the Financial Conduct Authority and the Prudential Regulation Authority, under registration number 153706, for accepting deposits, advising
on and arranging mortgages and providing Restricted nancial advice. Principal Oce, The Bailey, Skipton, North Yorkshire BD23 1DN.
Call in
branch
Talk to us today
0345 850 1722
Visit
skipton.co.uk
For oce use only (must be completed in BLACK)
Sta number
Membership Classication
(1 for individuals, 8 for Attorney)
Terms and Conditions have
been supplied (please tick)
Date (DD/MM/YY) Checked by
/ /
Account holder 1
Existing customer
ID checked and veried, copy sent to Tower ID checked and veried, copy sent to Tower
Existing customer
Account holder 2
Financial Services Compensation Scheme (FSCS) Acknowledgement
Account holder 1 Account holder 2
Usual signature Usual signature
/
Date (DD/MM/YY)
/ /
Date (DD/MM/YY)
/
I can conrm that I have received the FSCS Information Sheet.
Section 11: Customer Identication
Continued overleaf
Page 1 of 208/10/19 315040
Basic information about the protection of your eligible deposits.
Eligible deposits in Skipton Building Society are protected by: The Financial Services Compensation Scheme (“FSCS”)
1
Limit of Protection: £85,000 per depositor per bank / building society / credit union
2
If you have eligible deposits at the same bank / building
society / credit union:
All your eligible deposits at the same bank / building society / credit union are
‘aggregated’ and the total is subject to the limit of £85,000
2
If you have a joint account with other person(s): The limit of £85,000 applies to each depositor separately
3
Reimbursement period in case of bank, building society
or credit union’s failure:
15 working days
4
Currency of reimbursement:
Pound sterling (GBP, £) or, for branches of UK banks operating in other EEA
Member States, the currency of that State
To contact Skipton Building Society with enquiries relating to
your account:
Skipton Building Society
Principal Office, The Bailey, Skipton, North Yorkshire, BD23 1DN
Tel: 0345 850 1700
To contact the FSCS for further information on compensation:
Financial Services Compensation Scheme
10th Floor Beaufort House, 15 St Botolph House, London
EC3A 7QU
Tel: 0800 678 1100 or 020 7741 4100
Email: ICT@fscs.org.uk
More information: http://www.fscs.org.uk
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 £85,000 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 nancial obligations, depositors
are repaid by a Deposit Guarantee Scheme. This repayment covers at maximum £85,000 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
£85,000.
In some cases eligible deposits which are categorised as ‘temporary high balances’ are protected above £85,000 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 benets or compensation for criminal injuries or wrongful conviction.
More information can be obtained under http://www.fscs.org.uk.
3
Limit of protection for joint accounts
In case of joint accounts, the limit of £85,000 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 £85,000.
4
Reimbursement
The responsible Deposit Guarantee Scheme is the Financial Services Compensation Scheme, 10th Floor Beaufort House , 15 St Botolph,
London, EC3A 7QU, Tel: 0800 678 1100 or 020 7741 4100, Email: ICT@fscs.org.uk. It will repay your deposits (up to £85,000); within 15
Please retain for your record keeping purposes.
Financial Services
Compensation Scheme
Information Sheet
Page 2 of 2
Call in
branch
Talk to us today
0345 850 1700
Visit
skipton.co.uk
Skipton Building Society is a member of the Building Societies Association. Authorised by the Prudential Regulation Authority and regulated by the Financial
Conduct Authority and the Prudential Regulation Authority, under registration number 153706, for accepting deposits, advising on and arranging mortgages
and providing Restricted nancial advice. Principal Oce, The Bailey, Skipton, North Yorkshire BD23 1DN.
08/10/19 315040
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 specic exceptions apply.
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.
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 http://www.fscs.org.uk.
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 conrm this on
the statement of account.
Financial Services Compensation Scheme – Exclusion List
A deposit is excluded from protection if:
(1) The holder and any benecial owner of the deposit have never been identied in accordance with money laundering
requirements. For further information, contact your 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 • reinsurance undertaking
• nancial institution • collective investment undertaking
• investment rm • pension or retirement fund
6
• insurance undertaking • public authority, other than a small local authority
For further information about exclusions, refer to the FSCS website at www.FSCS.org.uk.
6
Deposits by personal pension schemes, stakeholder pension schemes and occupational pension schemes of micro, small and
medium sized enterprises are not excluded
Page 1 of 227/09/19 Ref: 314865
Faster Payments authorised
bank account details
Branch: Please scan and send to Tower - Investment (Actioned)
Account holder 1
Name
/
Date of birth (DD/MM/YYYY)
/
Account holder 2
Name
/
Date of birth (DD/MM/YYYY)
/
Section 2: account holder details
Section 4: signature (must be signed by the minimum number of signatories)
Account holder 1 Account holder 2
Signed Signed
/
Date (DD/MM/YY)
/ /
Date (DD/MM/YY)
/
Section 3: Faster Payments bank and building society account details
Account Holder’s Name
Account Number Sort code
Name of Recipient Bank
Payment Reference
Account Holder’s Name
Account Number Sort code
Name of Recipient Bank
Payment Reference
1 Nominated details for Faster Payment 2 Nominated details for Faster Payment
Add RemoveAdd Remove
Section 1: account details
List your 9 digit Skipton Building Society account number(s)
New
account
Withdrawal
required
Fixed
Bond account
POD004
For oce use only
Are the nominated bank details in the customer’s name?
If no please add a timeline explaining why.
Yes No
1.Details completed by:
2.Customer Signature Veried by:
3.Customer Signature Veried by:
Colleague No. DateName
For branch use only
Page 2 of 227/09/19
Call in
branch
Talk to us today
0345 850 1700
Visit
skipton.co.uk
Skipton Building Society is a member of the Building Societies Association. Authorised by the Prudential Regulation Authority and regulated by the Financial
Conduct Authority and the Prudential Regulation Authority, under registration number 153706, for accepting deposits, advising on and arranging mortgages
and providing Restricted nancial advice. Principal Ofce, The Bailey, Skipton, North Yorkshire BD23 1DN.
Ref: 314865
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Savings Account Application Form POD003 Share account only (Skipton Building Society)

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