Intelligent Money is authorised and regulated by the Financial Conduct Authority FCA number and is registered in England and Wales under

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1 TRANSFER OUT APPLICATION FORM Intelligent Money is authorised and regulated by the Finanial Condut Authority FCA number and is registered in England and Wales under Company Registration The Registered Offie address and address for all orrespondene is, The Shire Hall High Pavement Nottingham. NG1 1HN. Telephone Number Fax Number

2 The Intelligent Money Transfer-Out Appliation Form APPLICATION GUIDE SECTIONS 1-10 to be ompleted by the member SECTIONS to be ompleted by the reeiving sheme If the transfer is to a qualifying reognised overseas pension sheme please ontat us on or enquiries@intelligentmoney.om before proeeding further. Important Information We are required by HM Revenue and Customs to state that it is a serious offene to make false statements or false laims the penalties are severe and ould lead to proseution. Please ensure this form is ompleted as fully as possible, inomplete forms ould ause delays and Intelligent Money will not aept liability for any delay in transfer. The transfer proess an be lengthy espeially transfers that require assets to be transferred in speie this is due to Intelligent Money having to rely on third parties as part of the proess. If a transfer in speie has been requested we will hek whether the investments an be transferred in speie before the transfer proess starts. Where an in speie transfer has been requested we will firstly transfer the assets, only one this has been done will we be able to lose the plan and transfer the ash balane to the new provider. If any investment funds have been suspended or have eased trading a transfer an only proeed one the fund has been wound up or if trading reommenes. The fund ould also be transferred in speie subjet to reeiving approval from the reeiving sheme. Details about the harges assoiated with the transfer out proess are available within our key features doument. As part of the transfer out proess investment providers and managers may also make a harge to sell and lose down portfolios, details about these harges an be obtained from your finanial adviser or from the investment provider. From time to time further distributions will made from the platform after the transfer has been ompleted in most ases the amounts will be sent to the new sheme however Intelligent Money will not transfer amounts that are less than 5. If you have any queries onerning this form please do not hesitate to ontat us on or enquiries@intelligentmoney.om

3 The Intelligent Money Transfer-Out Appliation Form APPLICANT DETAILS 1. Personal Details Title: Surname: First Name: Date of Birth: National Insurane Number: 2. Reason for Transfer Please detail below the reason for transfer suh as fees, administrative issues, investment flexibility, onsolidating pensions, annuity purhase et. 3. Transfer of Funds Please speify below the funds that are to be transferred Unrystallised: Full unrystallised amount Speified Amount* Not being transferred *Please speify amount Crystallised: Full rystallised amount Not being transferred Please note we are unable to do a partial transfer out of rystallised funds to another provider. 4. Existing Investment Holdings Please speify below whether your investments are to be sold prior to transfer or if they are to be transferred in speie. In Speie transfer Sold prior to transfer

4 The Intelligent Money Transfer-Out Appliation Form If you hoose to transfer in speie only seleted funds please list below the funds to be transferred, funds not listed will be sold prior to transfer. Investment Provider Fund Name Amount Please note disinvestment instrutions will only be submitted to the platform or fund managers upon reeipt of fully ompleted disharge forms. Please also ensure that you hek with the reeiving sheme that they an aept the assets to be transferred in speie and let us have this aeptane with the disharge forms. For partial transfers out please list below the funds to be sold and/or transferred in speie. Investment Provider Fund Name Amount 5. Commerial Property If you hold ommerial property please onfirm if this is to be inluded in the transfer and whether it is to be sold prior to transfer or transferred in speie. In Speie transfer Sold prior to transfer Please note if the property is being transferred in speie we will not be able to transfer ash until the property transfer has been ompleted and in all ases a soliitor from our panel will be appointed to at on behalf of Intelligent Money. 6. Inome Withdrawal If you are in reeipt of inome drawdown we will ontinue to pay inome until the transfer has been ompleted. Our payroll department will run a P45 after the last payment and the relevant parts will be sent to both you and the new provider. 7. Contributions If you are urrently ontributing to your sheme by diret debit please onfirm if you wish for the olletions to ontinue until the transfer has been ompleted or if they are to be anelled upon reeipt of the disharge forms: Continue Canel If ontributions are being made by standing order these will need to be anelled by you as we are unable to do so.

5 The Intelligent Money Transfer-Out Appliation Form 8. Cash Transfer Details Please onfirm how you wish for the ash to be transferred to your new pension sheme: BACS CHAPS Please note that there is a 30 harge for a CHAPS transfer whih will be deduted from your fund prior to transfer If no option is seleted we will automatially send ash to your new sheme by BACS. 9. Finanial Adviser Details Please provide details of the finanial adviser advising you on this transfer Name of IFA: IFA Firm: FCA Registration Number: Telephone Number: Address: 10. Member Delaration I an onfirm I onsent to the transfer detailed in this appliation form I understand and agree that: To the best of my knowledge and belief the information given on this form is orret and omplete It is an offene to make false statements and that the penalties are severe and ould lead to proseution The payment I have requested disharges Intelligent Money s liability in respet of the transferred funds In onsideration of suh payment I agree to indemnify Intelligent Money against all ations, proeedings, laims, demands, osts and expenses whatsoever in respet of or arising out of the payment made Signed by Member: Print Name: Date:

6 The Intelligent Money Transfer-Out Appliation Form NEW PROVIDER DETAILS 11. Sheme Details Please provide the following details of the new arrangement the member is transferring to: Name of Sheme: Plan Referene: Type of Sheme*: HMRC Referene Number: * If the reeiving sheme is a QROPS please ontat us on Sheme Administrator Details Please provide the following details of the sheme administrator: Name of Sheme Administrator: Address of Sheme Administrator: Sheme Administrator FCA Number: 13. Payment Details Please provide the following details to enable us to make a payment of the ash balane when available: Aount Name: Sort Code: Aount Number: Payment Referene: 14. Payment Details If an in speie transfer has been requested by the member please onfirm the re-registration details for the following types assets: Trustee Investment Plans Trustee Name: Address: Unit Trusts/OEICS et. Registration Name: Referene: Address: Designation:

7 Disretionary/Share Dealing Aount Contat Name: Address: Telephone Number/ Commerial Property If the member has a ommerial property to transfer please provide details of the soliitor you are appointing Contat Name: Soliitors Name: Telephone Number: There may be other assets not listed above that will need to be transferred in speie please supply re-registration details under separate over. Aeptane of assets to be transferred must be provided with this disharge form It may not always be possible to transfer in speie a holding, we will onfirm to you if this is the ase for any assets this applies to that a member holds. 15. Reeiving Sheme Delaration On behalf of the reeiving sheme we onfirm that the transfer value will be applied to provide pension benefits for the member in aordane with HM Revenue and Customs rules and guidane and that our sheme is a registered pension sheme aepted under Chapter 4 of the Finane At 2004 and is apable of reeiving transfers. To the best of my knowledge and belief, the information given on this form is orret and omplete Signed: Name: Date:

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