Individual Savings Account (ISA), Collective Investment Account (CIA), Collective Retirement Account (CRA) and Collective Investment Bond (CIB)

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1 ONGOING Adviser FEE Authorisation Individual Savings Account (ISA), Collective Investment Account (CIA), Collective Retirement Account (CRA) and Collective Investment Bond () l Initial fees for lump sums, direct debits and cash transfers l Ad hoc fees for re-registration transfers l Switch fees l Servicing fees *APAFA0100F* July 2017 With this form you can: set up new fee instructions ucras and s on Charge Basis 1 will then convert to Charge Basis 2, switching off any existing commission amend existing fee instructions choose to convert to Charge Basis 3 u CRA only. l Switch and servicing fees deducted from a:, will be deemed partial surrenders and count towards your 5 tax deferred allowance. CIA, will be deemed disposals for CGT purposes unless they are deducted from cash deposit. l The 5 tax deferred allowance on a should be calculated using the net investment amount, ie after any initial fee has been deducted l The notes at the end of the form will help you complete it; they also explain how we will carry out your instructions. l Complete the details in each applicable section carefully; we cannot be held responsible for any consequences if they are incorrect. Errors or omissions by you or financial adviser will not be corrected retrospectively. Please tickcomplete this form, as applicable, using BLOCK CAPITALS and blue or black ink. 1 FULL NAMES OF INVESTS Tel 2 Financial advice received Have you received financial advice in respect of the instructions given in this form? (tick) If yes, please tick to confirm the basis on which the advice was given. u your financial adviser will help you answer this If you do not complete this section, we will assume you have received advice on an independent basis. Yes Independent No Restricted 3 Your investments The fees authorised on this form will apply to EACH of the investments you list below where available. If you wish different fees to apply to different accountsbonds, you must complete a separate form for each one. Complete the accountbond numbers and tick to indicate the products each number relates to. AccountBond number* AccountBond number* AccountBond number* AccountBond number* * If this instruction relates to a new accountbond please provide the online application number instead. 1 of 6

2 4 Adviser fee details uthe notes accompanying this form explain how these fees will be met TickComplete as required Existing commission arrangements will not convert to fees when an accountbond converts from Charge Basis 1; if fees are required, please complete the relevant sections below as applicable. If you wish to cancel an existing fee instruction using this form, enter 0 or 0 in the boxes for the fee in question. It will be cancelled for the whole accountbond. LUMP SUM INITIAL FEE (ISACIA) of the lump sum CASH TRANSFER FEE (ISACIA) of the transfer value l If the cash transfer fee is requested as a monetary amount, it will be deducted as an ad hoc fee; if requested as a it will be deducted as an initial fee. More information is in the notes accompanying this form. RE-REGISTRATION FEE (ISACIA) of the value of the re-registered units l This fee will be deducted as an Ad Hoc Fee when re-registration of all the funds is complete; more information is in the notes accompanying this form. of the lump sumtransfer value LUMP SUMTRANSFER GLOBAL INITIAL FEE (CRA) u after deduction of any immediate tax-free cash l For CRA only, a Global Initial Fee applies, in respect of ALL lump sum and transfer payments included in the online application specified. The notes accompanying this form explain how the Global Initial Fee will be met. l If selected as a percentage, the fee will apply to the balance invested into your account after any immediate tax-free cash has been deducted, not the total lump sumtransfer payment. direct debit Initial Fee Direct debits paid by you, the investor: each direct debit Direct debits paid by a third party: each direct debit Direct debits paid by your employer: u CRA only each direct debit Fund Switch Fee Up to: from each switch l Any Switch Fee you authorise here will override any existing Switch Fee instruction on your accountbond. Servicing Fee each year This is an annual amount which will be divided by the payment frequency selected and paid to your adviser accordingly. Tick the frequency required Monthly Quarterly Half-yearly Yearly Add VAT on top of the Servicing Fee? Yes l Any servicing fee you authorise here will apply to the entire accountbond and will override any existing Servicing Fee instruction on your accountbond. l If you change how often an existing servicing fee is paid, so that it is more frequent, the new frequency will not prompt a pro rata fee payment for your adviser for the previous frequency. l We will only pay an ongoing adviser fee to your authorised financial adviser. If you are receiving discretionary fund management services from a third party, your adviser may pay all or a proportion of the fee to the third party as payment for these services, and where relevant, to cover any associated VAT. 5 Converting to Charge Basis 3 ucra only Tick here if you wish to convert your CRA from Charge Basis 1 or 2 to Charge Basis 3. u I SAs and CIAs are on Charge Basis 3 already. s listed in section 3 cannot convert to Charge Basis 3; s on Charge Basis 1 will automatically convert to Charge Basis 2 when this form is submitted. 6 ProductService Charge and Adviser Servicing Fee deductions We will sell units to meet the ProductService Charge and Adviser Servicing Fees (if applicable) as follows: l Managed Portfolio Service (MPS) investors proportionally from all funds. l Other investors from the funds you choose below. Largest fund Proportionally across all funds From the following fund(s) (in proportion to their bid values): SK March 2018 (W Ongoing Fee Form) 2 of 6

3 7 Declaration and authority The declaration is made by each investorsignatory IN RESPECT OF EACH ACCOUNTBOND DETAILED IN SECTION 3. a) I instruct Old Mutual Wealth to: i) deduct any fees detailed in this form from each of my accountsbonds shown in section 3 and pay them to my financial adviser firm ii) stop commission payments to them where applicable in respect of these accountsbonds. b) I understand that: i) any current commission payments will stop immediately, and the agreed fee(s) will be paid in line with my accountbond Terms and Conditions ii) the fee(s) agreed will be deducted from my accountbond as outlined in this form iii) if VAT applies and if I have ticked Yes to VAT in section 4, the amount of any Servicing Fee shown will be increased to include VAT at the rate prevailing when the fee is deducted iv) if I select a percentage fee, the amount paid to my financial adviser firm will vary as follows: Servicing Fee the amount may go up or down depending on the value of my account on the date the fee is calculated Switch Fee will be based on the value of the switch proceeds Direct Debit Initial Fee will change if my direct debit amount changes v) I will need to reauthorise any future increases to fees vi) the adviser fee(s) will apply to all investments I hold in my accountsbonds stated in section 3. c) I confirm that: i) my financial adviser has explained the effect that selling units from my accountsbonds to pay Adviser Charges will have on the future value of my investment ii) any fee(s) authorised in this form in relation to a Collective Retirement Account are solely in relation to advice andor services my financial adviser has provided or will be providing in relation to that account and do not relate to any other advice or services my adviser has provided iii) I have the authority to approve instructions for each accountbond shown in section 3. iv) where the fees (other than initial fees) relate to my CIA or, before I signed this form my financial adviser explained the tax implications of Old Mutual Wealth deducting these fees. d) I understand that: i) I can amend or cancel a Servicing Fee or Fund Switch Fee by giving at least 10 working days notice to Old Mutual Wealth ii) I cannot cancel a fee once it has been deducted from my accountbond; instead I would need to contact my financial adviser to discuss whether a refund is payable in full or in part. iii) a servicing fee cannot be deducted or paid on a pro rata basis following cancellation. All investorsauthorised trusteesauthorised signatories for the accountsbonds must sign below. Date (ddmmyyyy) *APAFA0100X* Date (ddmmyyyy) Date (ddmmyyyy) Date (ddmmyyyy) SK March 2018 (W Ongoing Fee Form) 3 of 6

4 8 F YOUR FINANCIAL ADVISER Adviser fees will be subject to the limits outlined in our Remuneration Guide. CRA only - Please sign the following declaration if fees have been requested from a CRA. I confirm that any fee(s) authorised in this form in relation to a Collective Retirement Account are solely in relation to advice andor services I have provided or will be providing to the client in relation to that account and do not relate to any other advice or services I have provided. Date (ddmmyyyy) Company name *APAFA0100X* Send the completed form as follows: l By post: to Old Mutual Wealth, Old Mutual House, Portland Terrace, Southampton SO14 7AY l By send a scanned copy to ask@omwealth.com : We cannot accept photographs of instructions. l By PROMPT: our tool for financial advisers to upload documents direct to us; advisers can contact us for further details. Please be aware that calls and electronic communications may be recorded for monitoring, regulatory and training purposes and records are available for at least five years. Old Mutual Wealth is the trading name of Old Mutual Wealth Limited which provides an Individual Savings Account (ISA) and Collective Investment Account (CIA) and Old Mutual Wealth Life & Pensions Limited which provides a Collective Retirement Account (CRA) and Collective Investment Bond (). Old Mutual Wealth Limited and Old Mutual Wealth Life & Pensions Limited are registered in England and Wales under numbers and respectively. Registered Office at Old Mutual House, Portland Terrace, Southampton SO14 7EJ, United Kingdom. Old Mutual Wealth Limited is authorised and regulated by the Financial Conduct Authority. Old Mutual Wealth Life & Pensions Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Their Financial Services register numbers are and respectively. VAT number SK March 2018 (W Ongoing Fee Form) 4 of 6

5 ONGOING ADVISER FEE AUTHISATION Individual Savings Account (ISA), Collective Investment Account (CIA), Collective Retirement Account (CRA) and Collective Investment Bond () QUESTIONS AND ANSWERS These are for you to keep; please read them before completing and sending your instruction to us. It is important that you complete the form with your current financial adviser. Please advise us if, after sending us the form, you then change your financial adviser. 1. Can I authorise fees on this form for more than one accountbond? Yes you can, provided all of the fees you are authorising are the same for each accountbond you list in section 3. If you want to authorise different fees for your accountsbonds, you must complete a separate form for each one. 2. How will fees be deducted from my accountbond? Initial Fee (Lump Sums) ISACIA this fee will be deducted from the gross amount of your investment before the balance is invested into your choice of funds. global Initial Fee (lump sums and transfers) CRA Any Global Initial Fee selected will apply to all lump sums and transfer payments included in the online application specified. Where you have agreed the fee as a specific amount of money, we will deduct it from the first payment submitted for your application, up to 7 of the payment value. If the initial fee has not been fully met from the first payment, we will deduct the shortfall from the subsequent payments, up to 7 from each, until the fee is met. If selected as a percentage, the initial fee will apply to the balance invested into your account after any immediate tax-free cash has been deducted, not on the total lump sumtransfer payment. Cash Transfer Fee ISACIA if the fee is requested as a percentage, it will be treated as an initial fee and deducted from each cash transfer payment before the balance is invested into your choice of funds. If the fee is requested as a monetary amount, it will be deducted as an Ad hoc Fee by selling proportionally from all funds in your account once all transfer payments have been received. Re-registration Fee ISACIA by deduction of the required monetary amount as an Ad hoc Fee by selling units proportionally from all funds in your account once we receive confirmation that all re-registrations are complete. If the fee is requested as a percentage, we will convert this to the nearest monetary equivalent, based on the total value of the re-registered units, and deduct it when the entire transfer is complete. Initial Fee (Direct Debits) this fee will be deducted from the gross amount of each of your direct debit payments before the balance is invested into your choice of funds. Fund Switch Fee this fee is the maximum payable when you or your financial adviser switch funds in your accountbond. You or your adviser will need to stipulate the actual fee payable for each switch, up to this maximum limit, at the time a switch instruction is given. We will deduct the Fund Switch Fee from the proceeds of the sold funds then invest the balance into the new choice of funds. Note: Fund Switch Fees are not paid for: switches resulting from phased investment or automatic rebalancing; switches that have not been instructed as a result of financial advice; or switches made by the portfolio manager as part of the WealthSelect Managed Portfolio Service. Servicing Fee this fee is paid regularly to your financial adviser by selling units as stated in section 6*. You state how much and how often it is to be paid. (if the frequency section is left blank, we will assume monthly ). Where the fee is agreed as a percentage, the fee paid may go up or down depending on the value of your accountbond on the day the fee is calculated. When the fee is due, it will be calculated based on the annual percentage, then divided by the frequency selected and paid accordingly. Your financial adviser will tell you about the VAT treatment of this fee and how it might affect your payments. *If you do not specify a choice, and in the absence of any existing instructions, we will sell units: CRA - proportionally from all crystallised funds in your account. Where there are insufficient crystallised funds, we will deduct units proportionally from your uncrystallised funds. ISA, CIA & from your largest fund. 3. If I convert my CRA to Charge Basis 3, what effect will it have? If your CRA was previously on Charge Basis 1, any commission payments to your financial adviser (where applicable) will stop. All fund manager rebates will be reinvested into your account. Your account will be subject to the Charge Basis 3 Terms and Conditions. It will no longer be subject to the Investor Charge. Instead the Old Mutual Wealth Product Charge will apply, which is explained in the Terms and Conditions. Your account cannot subsequently change to a different Charge Basis. Your financial adviser will be able to explain how this will affect your personal circumstances. 5 of 6

6 QUESTIONS AND ANSWERS (continued) 4. What happens if I ve make a mistake on the form? If you notice the mistake before sending us the form, either complete a new form or cross out the incorrect details and sign any changes. If we have already received the form and carried out your instructions, we might be able to change or cancel the fee, subject to certain restrictions; see Q5 for more information. 5. Can I change or cancel a fee once it s been set up? Yes, subject to the restrictions outlined in the notes below. We need at least 10 working days notice to change or cancel a Servicing Fee or Fund Switch Fee. We cannot change or cancel a fee once it has been deducted from your accountbond; instead you would need to contact your financial adviser to discuss whether a refund is payable in full or in part. 6. Who has to sign the form? All investors named on the accountbond, including trusteesauthorised signatories (where applicable). 7. What is required if the form is being signed by an attorney? The attorney must add as attorney after hisher signature. We need to see the original Power of Attorney, if not already sent to us. We can accept a copy provided it is certified as a true copy of the original, in ink on each page by a solicitor or by you as the donor (ie the person giving the power). We also need proof of the attorney s identification if not already provided (contact us for details of what documents we can accept as proof). 8. What if I have more questions? Your financial adviser should be your first point of contact. However, if you would like to speak to us, please call our Customer Contact Centre on Freephone or us at ask@omwealth.com and we will be happy to help. Please be aware that calls and electronic communications may be recorded for monitoring, regulatory and training purposes and records are available for at least five years. Old Mutual Wealth is the trading name of Old Mutual Wealth Limited which provides an Individual Savings Account (ISA) and Collective Investment Account (CIA) and Old Mutual Wealth Life & Pensions Limited which provides a Collective Retirement Account (CRA) and Collective Investment Bond (). Old Mutual Wealth Limited and Old Mutual Wealth Life & Pensions Limited are registered in England and Wales under numbers and respectively. Registered Office at Old Mutual House, Portland Terrace, Southampton SO14 7EJ, United Kingdom. Old Mutual Wealth Limited is authorised and regulated by the Financial Conduct Authority. Old Mutual Wealth Life & Pensions Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Their Financial Services register numbers are and respectively. VAT number SK March 2018 (W Ongoing Fee Form) 6 of 6