SIPP TOP UP APPLICATION FORM (for existing customers only)

Transcription

1 FundsNetwk Self Invested Personal Pension provided by Standard Life. Standard Life Assurance Limited is the provider and administrat of the scheme and Standard Life Trustee Company Limited is the trustee of the scheme. The FundsNetwk platfm is a service provided by Financial Administration Services Limited (referred to herein as FundsNetwk ), which is a Fidelity International Company. When we refer to Standard Life we mean Standard Life Assurance Limited. The FundsNetwk SIPP provided by Standard Life is available exclusively to individual invests, through FundsNetwk. It is not available direct from Standard Life. SIPP TOP UP APPLICATION FORM (f existing customers only) (f transfer, single regular payments) Fm Code WHO THIS FORM IS FOR You should use this fm if you wish to make single payments, transfer payments set up a regular payment to an existing plan. Both you and your adviser are required to complete this fm. If you wish to go into drawdown, you should complete FSIPP35. If you are a beneficiary transferring in a drawdown fund, you must complete a separate fm (this fm FSIPP30) f each person you inherit from. DOCUMENTATION CHECK LIST Befe sending off this fm, mark an X in the relevant boxes below I have enclosed a cheque, with this application fm, payable to FIDELITY. Please indicate the amount of the cheque PLANHOLDER AND ADVISER DETAILS Complete all of this section 1 I have completed all the appropriate sections TRANSFERS 2 Complete this section if you wish to make a transfer payment(s) I have read through all the declarations and signed where necessary I have read and understood the SIPP Key Features Document (FSIPP17) which fms part of my agreement with Standard Life. MEMBER AND/OR EMPLOYER PAYMENTS 3 Complete this section if you your employer wish to make any regular single payment(s) Please send your completed application to: Fidelity International (IMS) PO Box 80 TONBRIDGE TN11 9YA PAYING YOUR ADVISER AND INVESTING YOUR PAYMENTS Complete all of this section 4 IMPORTANT TICE, DECLARATIONS AND 5 SIGNATURE Complete all of this section FSIPP30 Page 1 of 15

2 TES ON HOW TO COMPLETE THIS APPLICATION FORM By filling in this fm you are applying to enter into a contract with Standard Life. Standard Life will provide you with a copy of this fm and the terms and conditions of the contract on request. Until your application has been accepted by Standard Life, their liability is limited to a return of the payments you have made. It is a serious offense to give false statements. The penalties are severe and could lead to prosecution. You must tell us all the material facts. These are facts that a reasonable consumer would consider to be material in such a contract. You must tell us if any infmation changes befe your plan starts. You must give honest and accurate answers to all of our questions. If you do not do this then the terms of your contract may be affected, your plan may be declared void. FILLING IN THIS FORM Please use BLOCK CAPITALS to fill in this fm and f any additional instructions you give us. Do not use crection fluid if you make a mistake. If you need to crect a mistake, please initial any changes you make. You should remember that the adviser is acting on your behalf not only by giving you advice, but also regarding the completion of this fm. Your adviser will be able to help you complete the SIPP Application Fm and provide me guidance as required. Your adviser will also be able to provide you with any of the additional documents mentioned in the application fm. FOR ADVISER USE ONLY Please use this checklist to ensure that all required sections of this fm have been completed befe submitting an application. Completion of this checklist does not guarantee the application is in good der. Section 1 - Personal Details Section 3 - Payment Infmation Regular Payment (MSP) Title Who is paying? Gross amount Name Address Employee Employer Frequency Start date NI Employer paying Employee DDM fully completed DOB Gross amount f Marital Status single payments Section 4a, 4b, 4c - Paying your adviser Occupation Employment status Eligibility Section 3d - Making payments through your employer Net amount of payment Frequency ( Q2 ) Date ( Q3) Completed crossed through (n/a)date ( Q3) Sections 4d, 4e, 4f, & 4g - Investment Details Fund choice selected and fund codes given Section 5 - Declaration Signed and dated in full Page 2 of 15

3 The SIPP FSIPP30 Please complete in BLOCK CAPITALS using BLACK INK. PLEASE TE: Any applications received that are not completed crectly may incur delays may have to be returned to you. Please complete in BLOCK CAPITALS using BLACK INK. 1a Planholder s Details Fm Code Planholder and Adviser Details The infmation supplied will be held in the strictest confidence and is subject to the provisions of Data Protection legislation. Source Code Title (Mr/Mrs/Miss/Ms/Other e.g. Dr/Rev) Surname B First Name(s) in Full Applicant s Permanent Residential Address ( Care Of and PO Box not acceptable.) House Name and/ Number and Street, City, County and Country Details Home Telephone Number Daytime Telephone Number (in case of query) Postcode Postcode National Insurance Number (Will be 9 characters: 2 letters, 6 numbers followed by the letter A, B, C, D.) Are you a UK National only? (Please mark an X in the box) Are you a UK National and National of one me other countries? (Please mark an X in the box and list all other countries below) Are you a National of Non-UK countries only? (tick box and list all other countries below) Nationality 1 Nationality 2 Nationality 3 Nationality 4 From 3rd January 2018 in der to invest in exchange traded products (Investment Trusts Exchange Traded Funds) we are required to capture a national ID f clients f one of their nationalities f repting purposes. If your client is a UK Citizen, this is the National Insurance Number. If your client is dual national a national of another country then another identifier may be required. Please refer to our guide f capturing nationalities. We are allowing capture of this infmation online so your clients can invest in existing new exchange traded products after 3rd January National Identifier address Date of Birth Existing Client Fidelity Account Client Number (if known) Gender (please mark an X in the relevant box) Male Female Marital Status (please mark an X in the relevant box) Married/Civil Partnership Single Separated Divced/ Widowed/ Dissolved Civil Surviving Civil Partnership Partner Are you taking your benefits immediately? The minimum age that you can take your benefits from is age 55. If you are transferring as part of a block transfer you may be able to take your benefits earlier than 55. Speak to your adviser f further details. If you are setting up drawdown with proceeds as a beneficiary, you may not be able to buy an annuity. If the plan is being set up to receive transfers from other pension providers are you a dependant of the person who was the iginal member of the scheme from which the transfer is taking place? Name of Original Member A civil partnership is a legal contract between two partners of the same sex. If No, at what age would like to start taking your benefits? If Yes, please give the name and dates of birth and death of the iginal member. Date of Birth of Original Member Date of Death of Original Member Were you a dependent of the iginal member? Page 3 of 15 Please Turn Over

4 1a Planholder s Details (continued) Are you currently (please mark an X in the relevant box) Employed Self-Employed Not Employed If you fall into me than one categy please mark X in the most appropriate box If other, please specify Full Time Carer f a person Carer f a person Education Pensioner under age 16 over age 16 Under 16 Other 1b To be eligible f this plan, you must answer Yes to one of the following questions: 1. Are you resident in the UK f tax purposes? If No, go to question 2. If Yes, go to Section 1c. If you are in any doubt as to whether not you are resident in the UK you should check with your UK tax inspect. 2. Are you a Crown Servant perfming duties abroad, If No, please speak to your adviser. married to in a civil partnership with such a Crown Servant? 1c 1d If you are in any doubt as to whether not you are a Crown Servant perfming duties abroad, you should check with your payroll department. If you move abroad after taking out a SIPP, there may be restrictions on moving money into FundsNetwk funds. This section should only be completed by financial advisers. Please enter the appropriate details here and avoid supplying infmation on separate sheets. The Contact Name we require is the name of the Registered Individual who advised on the Self Invested Personal Pension. Agency Name Eligibility Occupational Pension Schemes 1. Are you a member of your employer s occupational pension scheme? An occupational pension scheme is an employer s pension scheme which promises to provide you with a pension and / a lump sum on retirement. It does not include: (i) any personal pension scheme, group personal pension scheme, even if your employer pays into it; (ii) any stakeholder pension scheme, group stakeholder pension scheme, even if your employer pays into it; (iii) any scheme which pays benefits only on your death; (iv) any scheme which is not registered with HM Revenue & Customs. The scheme is not necessarily run directly by your employer. It may be a scheme f employees within a particular trade industry run by a representative body and to which your employer pays. 2. Have you opted out of an occupational pension scheme are you planning to opt out of an occupational pension scheme in favour of making payments to this plan? 3. Have you chosen not to join an occupational pension scheme which you are currently eligible to join, which you will be able to join at the end of a specified waiting period, in favour of making payments to this plan? Adviser Details - to be completed by your adviser Contact Name Unique Adviser Number FCA Firm ref No. I confirm that I am registered with the FCA to conduct business and my authisation number is: Address Telephone Number(s) Page 4 of 15 OFFICE USE ONLY

5 Fm Code e 1. Basis of sale Sales Advice Details - to be completed by your adviser Whole of market 2. Please confirm that advice has been given Other 3. I confirm that any Adviser Charges paid from this pension plan meet the HMRC requirements to be authised member payments and therefe will be as a result of a genuinely commercial remuneration arrangement I have with the planholder, will be an appropriate amount f the advice services provided and will only be f advice services given in relation to this pension plan - please mark an X in this box. By completing this section, you are confirming that you are taking responsibility f submitting this piece of business f your client. Financial Adviser details and signature Business writer name(s) If other please specify Agency name(s) Agency code FCA authisation number Name of regulat Adviser s signature Signaty s name Date Position Contact s name (in case of query) Telephone Office Telephone Mobile address Page 5 of 15 OFFICE USE ONLY

6 Imptant Notes on Transferring Benefits 2. Transfers You only need to complete this section if you wish to transfer benefits from another pension scheme policy. You should understand the potential risks of pension transfers, which are summarised in the Key Features Document (FSIPP17). If you are transferring me than 1 plan, please photocopy pages 6 & 13 f each additional transfer and when complete, sign and date page 13 and attach all the pages to this fm. Assets from another pension scheme policy can be transferred in-specie. This means transferring the ownership of the asset instead of its cash value. If you wish to transfer assets in specie, please provide us with a list of the assets you wish to transfer. This will allow us to check that the assets on the list are acceptable to us. If the assets are not acceptable to us, we will advise both your current provider and your adviser. Your adviser will provide you with further advice if this is the case. Please refer to the Key Features Document (FSIPP17) f infmation on the charges f this type of transfer. Transfer payments can be made by BACS, cheque telegraphic transfer and should be made payable and sent to Standard Life. If the transfer payment includes funds in drawdown, a Drawdown to Drawdown Transfer Certificate (SLSIP32A) should be completed by the transferring scheme administrat. We cannot process the drawdown to drawdown transfer until we receive this. We cannot accept a mixture of Flexible and Capped Drawdown in one plan. You may need to open me than one plan. If you do not receive plan documentation from Standard Life within 5 weeks of submitting your transfer application, please contact your existing provider f a progress rept. (Please note; pension transfers can take upwards of 5 weeks on average to complete. However, depending on your existing provider, the transfer may take up to 6 months to complete.) 2a Reference / Policy Number Transferring Scheme Name Details of the Plan from which you are Transferring Your reference number policy number is available from your previous employer pension manager and is nmally shown on your annual statement of benefits. Name and address of the administrat of the transferring scheme Telephone Number Postcode Contact Name at Administrats 1. Is this a full partial transfer? Full Partial 2. What is the estimated total value of this transfer payment? How much of this is in drawdown? None All 3. Is this transfer payment part of a block transfer? If Yes, please call Fundsnetwk on f further infmation. A block transfer is an option where at least 2 members transfer their benefits from one scheme to another. (Not all members of the scheme must transfer). Both the ceding and new scheme must be the same f both members and the transfer should be made as one payment to the new scheme. This protects the members rights to a tax-free lump sum over 25 an early retirement age. This protection can only apply to one block transfer. 4. Are any of the assets to be transferred in-specie? Eligible funds can be transferred in-specie from Small Self Administered Schemes, Self Invested Personal Pensions Executive Personal Pension Schemes. 5. Is any part of your transfer payment subject to a pension attachment (earmarking) der? If yes, we will not nmally accept transfer payments which are subject to a pension attachment (earmarking) ders. Please speak to your financial adviser. 6. Does any part of your transfer payment relate to pension benefits which you received from an ex-spouse/ex-civil partner on divce/dissolution of civil partnership (also known as a pension credit)? 7. Was any part of your ex-spouse/ex-civil partner s pension already in payment at the time of the divce/dissolution of the civil partnership? 8. Is the scheme plan you are transferring from an occupational pension scheme? Page 6 of 15 Please Turn Over If yes, please answer question 7. If no, go straight to question 8. If yes, we ll ask the transferring scheme to confirm what proption of the transferred funds this restriction applies to. A transfer from an occupational pension scheme can only be accepted if you have received financial advice (see Section 1c).

7 General Notes On Payments 3. Member and/ Employer Payments - Regular Single Payment(s) You only need to complete this section if you your employer wish to make a regular single payment(s) If you are self-employed any payments made from the partnership bank account should be reimbursed, as applicable. If you have registered f Enhanced Protection, any version of Fixed Protection, you should not make payments, so you should not complete this section. See GEN658 f further details. Please now go to Section 4. If you recycle a tax-free lump sum you may face a tax charge. Leaflet GEN449 - Recycling of lump sums explains what recycling means and what the tax consequences are. The minimum payment you can make to set up the plan is 300 a month, 3,000 a year a single payment of 10,000. (All figures shown are gross). If you your employer choose to have automatic yearly increases, then these increases apply to ALL regular payments. Single payments must be made by cheque. Remember to enclose the cheque(s) with this application fm. If you have started to take an income from another provider (that is not tax-free cash), you must tell us as it may affect your Annual Allowance. Please refer to to Infmation about tax relief, limits and your pension (GEN658) f me infmation. 3a Details of your Payments You only need to complete this section if you are making regular single payments to your plan. Otherwise go to section 3b. Regular Payments 1. Please state the regular GROSS amount you wish to pay into your plan. 2. How often do you want to make the payments stated above? Monthly Yearly You must make regular payments by Direct Debit. Regular monthly payments must be due on the same day each month. Regular yearly payments must be due on the same day and month each year. The amount you pay will be less than the gross amount that you have agreed to pay. This is because Standard Life reclaim basic-rate tax on your behalf. If you pay tax at the higher additional rate, you can claim the rest of the relief through your tax return. You can make occasional payments at any time. You can stop, restart, increase decrease your payment at any time. You will not be charged f this. 3. Please choose a date f your first regular payment between the 1 st and 28 th of the month. The first payment date must be a date after the date you submit the application fm. If the due date falls on a weekend bank holiday, your account will be debited within two wking days. Depending on which investments you have chosen to make regular payments into, your payments may not be invested into your chosen funds until later in the month. Single Payments 3b If making a single payment please state the GROSS amount. Cheques must be f the NET amount (i.e. less basic rate tax) and made payable to Fidelity. Please state the (NET) cheque amount. Employer s Name Employer s Details You only need to complete this section if payments to your plan are being made through your employers bank account. Otherwise go to Section 3e. Fm Code Company Address Building Name and/ Number and Street, City, County and Country Details Postcode Postcode 3c Details of your Employer s Payments You need only complete this section if your employer is making payments to your plan including salary sacrifice payments. Otherwise go to section 3d. (Salary sacrifice is the process of giving up part of your nmal salary in return f an employer payment to your pension plan). Regular Payments 1. Please state the regular GROSS amount your employer wants to pay into this plan. 2. How often will your employer make the payments stated above? 3. Please choose a date f your employer s first regular payment between the 1 st and 28 th of the month. Contribution Controls Contribution controls legislation will apply to all your employer s payments. This means that Standard Life must make a rept to The Pensions Regulat if any payments are not made by your employer. Any payments made in respect of one month must be received by the 19 th of the following month the 22nd f electronic payments. The legal requirements on employers who are subject to contribution controls legislation mean that Direct Debit can only be used as a payment method if we receive payments at the same frequency as you are paid. Single Payments 4. If your employer wants to make a single payment please state the GROSS amount. Your employers cheque must be f the Gross amount and made payable to Fidelity. Page 7 of 15 Monthly Yearly

8 3d Making Payments through your Employer You only need to complete this section if you will be making payments through your employer by salary deduction. Otherwise go to Section 3e. Salary deduction is where your own net payments are deducted from your salary and passed to Standard Life by your employer. This removes the need f a direct debit instruction on your personal account. 1. Please state the total NET amount of any payments. 2. How often will your employer make the payments? Monthly Yearly Single 3. Please choose a date f your first regular payment between the 1 st and 28 th of the month. 4. On which date will your employer start deducting payments? 5. How often will payments be deducted? Weekly Monthly Yearly Other 6. If Weekly which day of the week will they be deducted on? 7. If Monthly which date (between 1 st and 28 th ) We need to be able to tell when each regular payment is deducted from your salary, e.g. f a regular payment due to be paid to us in January, please advise the date(s) payment will be deducted from your salary. 8. If Other, please give details. 3e Automatic Yearly Increases You only need to complete this section if you wish any regular payments (including existing ones) to increase automatically each year. If there are no regular payments being made, please go to section 3f. If you choose this option, Standard Life will automatically apply the increases on the anniversary of the first payment date, unless you specify otherwise. If the date you choose falls within 3 months of the date Standard Life sets up your plan, Standard Life will not increase the payments until your chosen date in the following year. You can only choose this option if you are paying by Direct Debit. Please note, if you invest in mutual funds then the increase amount will not be automatically invested in the selected mutual funds. Instead it will be placed in the SIPP Bank Account. You must select where you want to invest the increase amount after the increase payment has been collected. 1. Do you wish all payments to increase in line with national average earnings? If No, answer question 2. If Yes, go to question Choose a percentage between 1 and 10 of your previous year s payments. 3. When do you want the first automatic increase to occur? OFFICE USE ONLY Page 8 of 15 Please Turn Over

9 3f Direct Debit Instruction Name(s) of Account Holder(s) THIRD PARTIES ARE T ACCEPTED OTHER THAN FROM YOUR EMPLOYER. Fm Code Complete the Direct Debit instruction to instruct your bank/building society to make payments from your account. Please ensure that the instruction is signed and dated and the Direct Debit Guarantee is detached befe this fm is returned to us. Where there is me than one payer making a regular payment (employer member) a separate Direct Debit Instruction is required. Please photocopy this page of the Application Fm as necessary. Instruction to your Bank Building Society to pay by Direct Debit. Please pay Standard Life Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Standard Life and, if so, details will be passed electronically to my Bank/Building Society. Banks and Building Societies may not accept Direct Debit Instructions f some types of accounts. Name and Address of Bank Building Society To: The Manager Bank/Building Society Account Number Originat s Identification Number: Branch St Code Originat s Reference Number (Office Use Only) Signature (YOU MUST SIGN HERE). Date We have provided an additional Direct Debit instruction below f additional payments from another Bank Building Society account. Complete the Direct Debit instruction to instruct your bank/building society to make payments from your account. Please ensure that the instruction is signed and dated and the Direct Debit Guarantee is detached befe this fm is returned to us. Where there is me than one payer making a regular payment (employer member) a separate Direct Debit Instruction is required. Please photocopy this page of the Application Fm as necessary. Instruction to your Bank Building Society to pay by Direct Debit. Please pay Standard Life Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Standard Life and, if so, details will be passed electronically to my Bank/Building Society. Banks and Building Societies may not accept Direct Debit Instructions f some types of accounts. Name(s) of Account Holder(s) THIRD PARTIES ARE T ACCEPTED OTHER THAN FROM YOUR EMPLOYER. Name and Address of Bank Building Society To: The Manager Bank/Building Society Account Number Originat s Identification Number: Branch St Code Originat s Reference Number (Office Use Only) Signature (YOU MUST SIGN HERE). 3g Money Laundering Regulations To comply with the Money Laundering Regulations, FundsNetwk and/ Standard Life are required to verify the identity of our customers. We do this by carrying out an online identity check with a reference agency. This is not a credit check and will not affect your credit rating. The agency will verify your identity against public recds and confirm whether you have a credit histy (but will not disclose any infmation to us about your actual browings). The agency will add a note to your credit file to show that an identity check was requested by Standard Life. If successful, a copy of the results will be held by Standard Life to evidence that your identity has been verified. We regret that we cannot offer an alternative unless the online check does not confirm your identity, in which case we will carry out a manual check. Date Page 9 of 15 OFFICE USE ONLY

10 4 How you Want to Pay your Adviser 4a 4. Paying your Adviser and Investing your Payments Please tell us what you want to pay from your plan to your financial adviser. We will use the infmation you provide in this section to pay your financial adviser. By signing the declaration in Section 5 of this fm, you are: agreeing to the payment of the adviser charges documented below, and authising Standard Life to accept all future instructions from your adviser f payment of adviser charges that you have agreed to pay them from your plan. You do not need to complete the infmation in Sections 4a, 4b 4c if: your financial adviser is billing you directly f their services, your financial adviser is not charging you f their services. If either of these two options applies, cross this box and then go to Section 4d. Imptant note Drawdown and/ your tax-free lump sum If you have chosen drawdown, we will calculate Initial Adviser Charges you have chosen to pay your financial adviser on the value of the benefits you are taking befe the tax-free lump sum is paid. This will not reduce the amount of tax-free lump sum you can take. If you are taking your benefits in stages then you should confirm the monetary amount of charges you have chosen to pay. Adviser Charge f Regular Payments (Regular Initial Adviser Charge) Complete this section if you will be making regular payments to your plan and have agreed a charge f advice with your adviser (either as one payment spread over a period of time). Spread payment of Regular Initial Adviser Charge (please complete one of the following options) If you re only making one payment to your adviser, you can enter 1 here eg 100 a month f 1 month. a month f months a year f a quarter f years quarters a half-year f half-years 4b Adviser Charge f Single and Transfer Payments (Initial Adviser Charge) Complete this section if you (and/ your employer) will be making a single payment transfer payments to your plan and you have agreed a charge f advice with your adviser. Initial Adviser Charges will be deducted as each transfer payment is processed once drawdown has been processed. Please state the amount of Initial Adviser Charge per payment as either a monetary amount percentage of that payment. Single payment from you Single payment from your employer Each transfer payment If you are transferring me than one pension and would like to apply different adviser charges to each transfer payment, please provide separate written instructions. 4c Ongoing Adviser Charge Complete this section if you have agreed to pay your adviser f ongoing advice in relation to your plan. The Ongoing Adviser Charge can either be a set amount a percentage of your plan value. 1. Set Amount every month every year every quarter every half-year 2. Percentage of plan value of your plan value a year This percentage can be taken once a year split across a different time period: Monthly Yearly Quarterly Half-Yearly General Notes on Investment Instructions We will process all payments as per the instructions you have given in the Application Fm. Where we cannot achieve this we will contact your adviser. As we do not know when the money will be available we cannot guarantee any asset fund prices. When providing your investment instructions please ensure the total investment adds up to 100. When making regular monthly payments to your plan, please ensure that the investment split has been applied to the total monthly amount. Remember that the total monthly amount of your investment may be reduced if your adviser is taking adviser charges. There must be sufficient money within the SIPP Bank Account to pay f your investment instructions. Please also ensure you keep a minimum level of money available in your account to pay f any charges. FundsNetwk recommend that a minimum of 12 months of charges are kept in the SIPP Bank Account. Page 10 of 15 Please Turn Over

11 4d Transfer/Single Payment Investment Instructions Imptant Notes: FUND CODE DETAILS ARE MANDATORY and must be completed in der f us to process your instructions. When completing Fund Name infmation please ensure that you specify either an income an accumulation version of your chosen fund. If you do not include this infmation, your fund choice will default to the accumulation version. You can find details of all investment options including Fund Codes at by asking your adviser. A European Union directive requires fund managers to produce a key infmation document f most funds. This document sets out key infmation about the fund including the objectives and risks of the fund, what it invests in and its charges. It is imptant that you read the key infmation document befe selecting the fund. All key infmation documents where applicable are available at fidelity.co.uk. Fund Code FundsNetwk SLIP Fund Name Transfer/Single Payments () Discretionary Investment Manager (If you wish to appoint a Discretionary Investment Manager they must be from our panel). SIPP Bank Account Where I have chosen an income fund(s), I would like this income paid into the SIPP Bank Account. (please mark an X in the box) Fm Code e Any Other Investment Instructions Imptant Notes: Other Investments which are referred to as non-ce investments in the Key Features Document (FSIPP17) are investments other than your investment in FundsNetwk funds, the Standard Life Investment Policy and the SIPP Bank Account which are all Ce Investments. To enable us to make any Other Investments you must tell us the full name of the investment you wish to purchase, the provider s name and percentage of payment you want to invest. If you wish to invest in any other insurance company s product where a fmal application fm is required, we will need a blank application fm (from that provider), along with the completed SIPP Application Fm. Once we have completed the fm, we will send it direct to the product provider with the appropriate funds. There may be a delay in carrying out any investment instructions until all documentation has been received. If you want to invest in commercial property, please provide details in this section and attach the Property Infmation Questionnaire (SLSIP83) along with this application. When you are transferring any assets in-specie, please recd details of which transfer payment(s) they relate to and what their estimated value is. Investment Description Transfer/Single Payments () SIPP Bank Account I have chosen an income fund and would like my income to be paid into the SIPP Bank Account (please mark an X in the box) The SIPP Bank Account is a bank account owned and used by Standard Life Trustee Company Limited (the scheme trustee). The SIPP Bank Account is provided by HSBC Bank plc. The rate of interest f this account is typically 1 below the Bank of England base rate. Please ask your financial adviser f further details. This account can be used to provide: any money required to purchase any investments any tax-free lump sum, income required immediately any money that is required to pay any charges fees a facility to maintain cash on deposit. Please ensure that you set aside enough money in the SIPP Bank Account f your purposes. Page 11 of 15

12 4f Regular Payment Investment Instructions Imptant Notes: There is a minimum investment limit of 50 per fund f regular monthly payments. You may need to restrict your fund selection. If there are not enough funds to carry out your instructions, we will contact your adviser. You can find details of all investment options including Fund Codes at by asking your adviser. A European Union directive requires fund managers to produce a key infmation document f most funds. This document sets out key infmation about the fund including the objectives and risks of the fund, what it invests in and its charges. It is imptant that you read the key infmation document befe selecting the fund. All key infmation documents where applicable are available at fidelity.co.uk. Fund Code FundsNetwk SLIP Fund Name Regular Payments () SIPP Bank Account Where I have chosen an income fund(s), I would like this income paid into the SIPP Bank Account. (please mark an X in the box) Fm Code Page 12 of 15 OFFICE USE ONLY Please Turn Over

13 5a Data Protection Notice Imptant, please read 5. Imptant Notice, Declarations and Signature All parties named on this fm have a right to know that FundsNetwk and Standard Life hold personal data about them and the purposes f which it will be used. Please give them an opptunity to read this notice. FundsNetwk and Standard Life will collect personal infmation in der to consider the application and, if the application is successful, to provide our services and manage our relationship and Standard Life s business and services. If the application does not proceed, the infmation may be held on our recds f up to seven years befe it is deleted. The infmation collected may be disclosed to other Standard Life Aberdeen group companies (Standard Life Aberdeen plc and its subsidiaries), to professional advisers, to third party service providers and, where appropriate and lawful to do so, to other ganisations. Your infmation may be held disclosed in countries outside the European Economic Area which may not have the same standard of data protection laws. Where this occurs, we will take appropriate steps to adequately protect it. If you are an employee and your employer is making payments to your plan, we may disclose infmation to them about the payments they have made. If you would like to request a copy of the personal data we hold about you, please write to FundsNetwk, Oakhill House, 130 Tonbridge Road, Hildenbough, Kent, TN11 9DZ. 5b Declaration & Signature you must sign and date the fm below Imptant notes HM Revenue & Customs warning This application will also be used as an application f tax relief at source. If you give false infmation you may be prosecuted. Declaration by Standard Life If Standard Life Assurance Limited accepts this application, it hereby agrees as administrat and provider in terms of the rules of the Fidelity Self Invested Personal Pension Scheme to administer the Scheme as required by the rules. Your Declaration 1. I, the person named in Section 1a of this application, request that the benefits described in arising from payments specified in the application be provided f me under the Fidelity Self Invested Personal Pension Scheme, and in consideration of its acceptance I undertake to be bound in all respects by the rules of the Scheme in fce from time to time. 2. I declare that to the best of my knowledge and belief, the statements made in this application whether in my handwriting not, are crect and complete. 3. I declare that I have read the SIPP Terms and Conditions (FSIPP62) and SIPP Key Features Document (FSIPP17) and agree to be bound by them. 4. I request the trustee to appoint the investment manager(s), if any, named in Section 4d of this application. 5. I agree to my financial adviser receiving the adviser charge(s) described in Sections 4a to 4c and authise Standard Life to accept all future instructions from my adviser to pay the charges that I have agreed with my adviser. 6. I have read the Data Protection Notice contained in Section 5a. 7. I agree to the FundsNetwk client terms of business. 8. I confirm that I have regular access to the internet to use the website to obtain fund infmation and agree to the provision of this infmation via this medium have otherwise been provided with paper versions of this infmation. 9. I confirm that I have been provided with the key infmation documents applicable to my chosen funds at by asking my adviser. If I am applying to make regular single payments 10. I declare that the total payments to any registered pension scheme, in respect of which I am entitled to relief under section 188 of the Finance Act 2004, will not exceed the higher of the basic amount my relevant UK earnings, within the meaning of section 189 of that Act, f that tax year. (The basic amount f the current tax year is 3,600 gross. This may change in future tax years.) 11. I declare that I will tell Standard Life if an event occurs (such as those listed in my Key Features Document) as a result of which I will no longer be entitled to relief f my payments under section 188 of the Finance Act I will do so befe the end of the tax year in which the event occurs, within 30 days of the event if this is later. If I am applying to make a transfer payment My declarations to the administrats of the transferring schemes named in Section I authise and instruct you to transfer funds from the plan(s) as listed in Section 2 directly to Standard Life. Where you have asked me to give you any iginal policy document(s) in return f the transfer of funds and I am unable to do so, I promise to accept responsibility f any claims, losses and expenses of any nature which you may incur as a result of having made the transfer(s) listed in Section 2 of this application. 13. I authise you to release all necessary infmation to Standard Life to enable the transfer of funds to Standard Life. 14. I authise you to obtain from and release to the financial adviser named in this application any additional infmation that may be required to enable the transfer of funds. 15. If an employer is paying contributions to any of the plans as listed in Section 2, I authise you to release to that employer any relevant infmation in connection with the transfer of funds from the relevant plan(s). 16. Until this application is accepted and complete, Standard Life s responsibility is limited to the return of the total payment(s) to the administrat of the transferring scheme. 17. Where the payment(s) made to Standard Life represent(s) all of the funds under the plan(s) listed in Section 2, then payment made as requested will discharge the administrat of the transferring scheme of all claims and responsibilities in respect of the plan(s) listed. 18. Where the payment(s) made to Standard Life represent(s) part of the funds under the plan(s) listed in Section 2, then the administrat of the transferring scheme will be discharged of all claims and responsibilities only in respect of the part of the plan(s) represented by the payment(s). My declarations to Standard Life Assurance Limited & the administrats of the transferring schemes 19. I promise to accept responsibility in respect of any claims, losses and expenses that Standard Life and the administrat of the transferring scheme may incur as a result of any increct infmation provided by me in this application of any failure on my part to comply with any aspect of this application. If I am applying to take income drawdown 20. I understand that I have the right to change my mind the first time I apply a pension date to my plan to take income drawdown. If I am transferring funds already in drawdown 21. I understand that Standard Life will create a separate arrangement f each part of the drawdown transfer payment that is subject to a separate review date. 22. I understand that Standard Life must continue to apply the same income year to the transfer payment that applied under the transferring scheme, and to apply the same maximum income until the income is recalculated. Signature (YOU MUST SIGN HERE Please ensure all relevant sections are completed as per the instructions on this fm) 5c Date Authising your Adviser to Give Investment Instructions and/ to Provide Infmation about the Lifetime Allowance on your Behalf 1. I authise Standard Life to accept instructions from the adviser named in Section 1d to buy sell non-ce investments (as defined in section 4) under my plan. This authisation will apply until Standard Life receives a written instruction from me changing withdrawing my Authisation. 2. I authise Standard Life to accept infmation provided from the adviser named in Section 1d regarding the amount of the Lifetime Allowance I have used up and the value of retirement benefits I have already taken I am about to take from other pension schemes policies. Signature (YOU MUST SIGN HERE Please ensure all relevant sections are completed as per the instructions on this fm) Date Please ensure that you have completed all sections of this fm befe you submit an application. This application fm is issued by Standard Life Assurance Limited. FSIPP30 If you have any queries about this fm please ask your adviser ring FundsNetwk ServiceLine on Please send your completed fm to your adviser to FundsNetwk, PO Box 80, Tonbridge, Kent TN11 9YA. The FundsNetwk service is offered and managed by Financial Administration Services Limited. The FundsNetwk SIPP is provided and administered by Standard Life Assurance Limited. Financial Administration Services Limited (a Fidelity International Group company) is registered in England and Wales (No ) Registered office Oakhill House, 130 Tonbridge Road, Hildenbough, Tonbridge, Kent, TN11 9DZ. Standard Life Assurance Limited registered in Scotland (SC286833) is the provider and scheme administrat of the Fidelity Self Invested Personal Pension Scheme and Standard Life Trustee Company Limited, registered in Scotland (SC076046) is the trustee. The registered office of each company is at Standard Life House, 30 Lothian Road, Edinburgh EH1 2DH. Standard Life Assurance Limited is authised by the Prudential Regulation Authity and regulated by the Financial Conduct Authity and the Prudential Regulation Authity. Calls may be monited and/ recded to protect both you and us and help with our training. Call charges will vary. Page 13 of 15

14 OFFICE USE ONLY Imptant: Please tear off and keep safely. The Direct Debit Guarantee This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. If there are any changes to the amount, date frequency of your Direct Debit, Standard Life will notify you 5 wking days in advance of your account being debited as otherwise agreed. If you request Standard Life to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an err is made in the payment of your Direct Debit, by Standard Life your bank building society, you are entitled to a full and immediate refund of the amount paid from your bank building society. - If you receive a refund you are not entitled to, you must pay it back when Standard Life asks you to. You can cancel a Direct Debit at any time by simply contacting your bank building society. Written confirmation may be required. Please also notify us. Page 14 of 15

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