Online ISA Power of Attorney Application Form

Transcription

1 Online ISA Power of Attorney Application Form Please complete all missing information using BLACK INK and BLOCK CAPITALS Please read these notes before you fill in this form The account will be operated strictly in accordance with the instructions confirmed within the Power of Attorney document. The Power of Attorney document must accompany the application. This must be the original copy or original solicitor certified copy. The account must be for the donor s personal use - not for or on behalf of a business, charity, club or association. The funds must belong to the donor. The donor must be 16 or over, a UK resident and use a UK address for all correspondence. All attorneys must be 18 years or over. For legal reasons we must check the identity of all attorneys if they do not have an account with Virgin Money already (see below). Please note, we will also need to check the identity of the donor. The account can only be operated by post via our Main Office. Virgin Money is obliged to confirm the identity of all investors. Please refer to the Confirmation of identity form within the Helpful information section of the Savings homepage at virginmoney.com or contact us for further information. I wish to open a Cash ISA for the tax year 6 April 2017 to 5 April 2018 and to contribute to it in each year year until further notice (subject to the terms and conditions of the account). Note: this is an option and not an obligation. Which account are you applying for? Please write the name of the account you wish to apply for: Please write the issue number of the account you wish to apply for: Our Fixed Rate Cash E-ISAs only allow deposits up to 30 days after the account is opened, therefore if you wish to add to your Cash ISA every tax year they are not suitable. Personal details Donor In line with HM Revenue & Customs regulations any changes to this application form must be initialled. Title Surname Forename(s) Date of birth D D M M Y Y Y Y Donor residential address Postcode Date moved to current address M M Y Y Y Y Home phone number (inc area code) Other phone number

2 Nationality Dual nationality 1 Dual nationality 2 Country of birth Country of citizenship 1 Country of citizenship 2 Country of citizenship 3 Gender M F Employment status Full-time Part-time Self Employed Contractor Homemaker On benefits Unemployed Student Retired Other Occupation Do you have a National Insurance number? (Please place a 3 in the box.) Yes No If you have a National Insurance number it must be entered to comply with HM Revenue & Customs requirements. You should be able to find your National Insurance number on a payslip, forms P45 or P60, a letter from HM Revenue & Customs, a letter from the DWP or pension order book. Where are you resident for tax purposes? Please place a 3 in one box only. For example, if you re a US citizen or resident, please select UK and another country and enter United States within Country of tax residency. United Kingdom only (if marked with a 3, go to the next section) United Kingdom and another country If applicable, please list up to two additional countries in which you are tax resident outside the United Kingdom, along with the corresponding Tax Identification Number (TIN)/Tax Reference Number. Country of tax residency Tax Identification Number (TIN)/Tax Reference Number Country of tax residency Tax Identification Number (TIN)/Tax Reference Number If you already have a Virgin Money Savings Account, please provide the account number in this box How will the account be funded? Salary/Pension Transfers from other accounts in your name Family/Gift Inheritance Current savings Sale of property Investment income Gambling/Lottery win Benefits Student Loan/Grant Rental income Other

3 1st Attorney In line with HM Revenue & Customs regulations any changes to this application form must be initialled. Title Surname Forename(s) Date of birth D D M M Y Y Y Y Address Postcode Home phone number (inc area code) Other phone number If you already have a Virgin Money Savings Account, please provide the account number in this box 2nd Attorney In line with HM Revenue & Customs regulations any changes to this application form must be initialled. Title Surname Forename(s) Date of birth D D M M Y Y Y Y Address Postcode Home phone number (inc area code) Other phone number If you already have a Virgin Money Savings Account, please provide the account number in this box 3rd Attorney In line with HM Revenue & Customs regulations any changes to this application form must be initialled. Title Surname Forename(s) Date of birth D D M M Y Y Y Y Address Postcode

4 Home phone number (inc area code) Other phone number If you already have a Virgin Money Savings Account, please provide the account number in this box Nominated bank account All withdrawals from the E-ISA must be sent to a nominated bank account. This account must be suitable for receipt of electronic payments (i.e. a Current Account). Bank or building society deposit type accounts cannot be used as the nominated account. Please check with the bank or building society that they are able to accept electronic payments. Please advise us of the details of the account you wish to use. This must be an account in the name of the donor. Payee s name Payee s reference (if applicable) Bank s name Bank s branch Sort code / / Account number I wish to apply for a Cash ISA Please indicate below how you wish to open your Cash ISA by placing an X in the relevant box(es). By cash (Store only) By cheque.. Please confirm the amount Please confirm the amount By transfer from an existing Virgin Money account in the donor s name Please make cheques payable to Virgin Money plc for the account of (insert account holder name(s)) and crossed A/c Payee only. Please ensure that the Power of Attorney document and, if applicable, the existing passbook(s) are enclosed.. Any closing interest will normally be added to the transfer amount. account number Please confirm the transfer amount (to transfer full write balance, TO CLOSE ) Alternatively, place a 3 inside this box to receive your closing interest by cheque. The terms and conditions, any notice period, and other withdrawal restrictions applicable to your existing account may apply. By transfer from an existing ISA with another provider. Please ensure you complete and return a separate ISA Transfer Authority Form for each ISA you wish to transfer.

5 How do you want your interest to be paid? Please complete one option only by placing a 3 inside the box. If you make a mistake, fill the entire box, and mark the correct box. Added to this account Annually Monthly To another Annually Account number Virgin Money account in the Monthly name of the donor To the donor s bank/building society account Annually Monthly Payee s name Payee s reference (if applicable) Bank s name Bank s branch Sort code / / Account number Using your personal information The personal information you supply to us as well as information we already hold, may be used in a number of ways, for example: To assess and process this and future applications; To verify your identity; To prevent fraud and money laundering; To manage your account(s); For management of arrears and debt collection; For audit purposes, research and statistical analysis; and To identify other products and services which might be suitable for you (with your consent). (a) We may share your information with, and obtain information about you from credit reference agencies or fraud prevention agencies as outlined above. This may include details of any previous or subsequent names. (b) If false or inaccurate information is provided and fraud is identified, details will be shared with fraud prevention agencies and this information may be accessed and used by law enforcement to prevent fraud and money laundering. For further details as to how your information held by fraud prevention agencies may be used please see below. (c) In addition to the above we will not ordinarily disclose information to other organisations except to help prevent fraud and money laundering, where we are required by law, permitted under the Data Protection Act, required by the Financial Services Compensation Scheme (and its verification solution provider) or in order to process your application. Where we pass on information, it will be looked after with the same level of care. You declare that you are entitled to disclose information about all joint applicants and/or anyone else referred to by you and authorise us to search, link and/or record information at credit reference agencies about you and anyone else referred to by you. For further information on how your information may be used by credit reference agencies, fraud prevention agencies, and ourselves, visit our website or contact Freepost, Virgin Money, The Data Protection Officer, NEA3780, Newcastle upon Tyne NE3 4ZE. You can obtain a copy of the information we hold about you by writing to the above address. You also have a right to have any inaccuracies deleted or corrected.

6 Help us to make you better off We would like to keep you up-to-date by post, telephone, or other electronic means with the latest money help and news, as well as customer offers including those from around the Virgin Group and our other partners. If you would rather we did not do this, please tick the box below. It is easy to change your mind at any time, and we promise not to bombard you. I would prefer NOT to be contacted Declaration If there is more than one attorney all must read and sign this declaration, if the donor is able to sign he/she should also read and sign this declaration. The attorney(s) are signing on behalf of the donor. I declare that: All subscriptions made, and to be made, belong to me. I am 16 years of age or over. I have not subscribed and will not subscribe more than the overall subscription limit in total to a Cash ISA, a Stocks and Shares ISA, an Innovative Finance ISA and a Lifetime ISA in the same tax year. I have not subscribed and will not subscribe to another Cash ISA in the same tax year that I subscribe to this Cash ISA. I am resident in the United Kingdom for tax purposes or, if not so resident, either perform duties which, by virtue of Section 28 of Income Tax (Earnings and Pensions) Act 2003 (Crown Employees Serving Overseas), are treated as being performed in the United Kingdom, or I am married to, or in a civil partnership with, a person who performs such duties. I will inform Virgin Money if I cease to be so resident or to perform such duties or be married to, or in a civil partnership with, a person who performs such duties. I confirm I have read the literature for this account and agree to be bound by the terms and conditions of this account. I authorise Virgin Money: To hold my cash subscriptions and any interest earned on those subscriptions. To make on my behalf any claims to relief from tax in respect of ISA investments. Statements I/We understand that funds withdrawn will be used for the purpose for which the Power of Attorney is granted. I/We request that Virgin Money open an account in the name detailed above in accordance with the terms and conditions and that the account is administered according to the details given above. I hereby declare that this investment is made in accordance with the appropriate declaration above. Financial Services Compensation Scheme (FSCS) declaration I have received and read the Financial Services Compensation Scheme booklet which contains an Information sheet and Exclusions list and provides details of the protection provided by the FSCS. I DECLARE THAT THIS FORM HAS BEEN COMPLETED TO THE BEST OF MY KNOWLEDGE AND BELIEF. WARNING FALSE STATEMENT INFORMATION MAY RESULT IN PENALTIES OR PROSECUTION.

7 Confirmation Please sign to confirm you have read and agree to the Using your personal information and Declaration sections above. Donor signature (if able to sign) 1st Attorney signature Date signed Date signed D D M M Y Y Y Y D D M M Y Y Y Y 2nd Attorney signature 3rd Attorney signature Date signed Date signed D D M M Y Y Y Y D D M M Y Y Y Y Confirmation of identity Virgin Money takes suitable steps to check the identity of its investors and may telephone to confirm application details. We regret that it will not be possible to open an account unless suitable proof of identity is provided funds will be returned if suitable proof of identity is not provided. Alternative format If you require this in an alternative format such as Braille, large print, audio or interpreter services, please call our Disability Awareness Team on Lines are open 9am to 5pm business days. Calls are charged at your service provider s prevailing rate. Alternatively, our text phone number is or you can contact us at disability.awareness@virginmoney.com. These contact details should not be used for general enquiries relating to your account. Please return this form to Operations, Virgin Money plc, Jubilee House, Gosforth, Newcastle upon Tyne NE3 4PL.

8 For office and store use only Date rec & reg Input checked Cashier Code Date Cheque Sort code Account number 1 2 For office use only Customer number Account number NA45 NA45 (Ex) NA46 NA46 (Ex) NA47 NA47 (Ex) NA59 NA59 (Ex) NA03 (Ex) OP03 Virgin Money plc Registered in England and Wales (Company No ). Registered Office Jubilee House, Gosforth, Newcastle upon Tyne NE3 4PL. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. VM22339V2 (Valid from )

9 Information sheet and Exclusions list The Financial Services Compensation Scheme

10 Virgin Money is covered by the Financial Services Compensation Scheme (FSCS). To help you understand the protection the scheme offers, this booklet contains details provided by the Prudential Regulation Authority. Please read the Information sheet on pages 2 and 3 carefully. The scheme does have a small number of exclusions and these are listed on page 4. Information sheet Basic information about the protection of your eligible deposits Eligible deposits in Virgin Money plc are protected by: Limit of protection: If you have more eligible deposits at the same bank/ building society/credit union: If you have a joint account with other person(s): Reimbursement period in case of bank, building society or credit union s failure: Currency of reimbursement: To contact Virgin Money plc for enquiries relating to your account: To contact the FSCS for further information on compensation: More information: the Financial Services Compensation Scheme ( FSCS ) 1 85,000 per depositor per bank/building society/ credit union 2 The following trading names are part of your bank/ building society/credit union: Virgin Money plc Virgin Money All your eligible deposits at the same bank/ building society/credit union are aggregated and the total is subject to the limit of 85, The limit of 85,000 applies to each depositor separately working days 4 Pound sterling (GBP, ) or, for branches of UK banks operating in other EEA Member States, the currency of that State. Virgin Money plc Jubilee House Gosforth Newcastle upon Tyne NE3 4PL Tel: * Financial Services Compensation Scheme 10th Floor Beaufort House 15 St Botolph Street London EC3A 7QU Tel: or ICT@fscs.org.uk 2

11 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 financial obligations, depositors are repaid by a Deposit Guarantee Scheme. This repayment covers a maximum of 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. This method will also be applied if a bank, building society or credit union operates under different trading names. Virgin Money plc also trades under Virgin Money. This means that all eligible deposits with one or more of these trading names are in total covered up to 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 benefits or compensation for criminal injuries or wrongful conviction. More information can be obtained under 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, Reimbursement The responsible Deposit Guarantee Scheme is the Financial Services Compensation Scheme, 10th Floor Beaufort House, 15 St Botolph Street, London, EC3A 7QU, Tel: or , ICT@fscs.org.uk. It will repay your eligible deposits (up to 85,000) within 20 working days until 31 December 2018; within 15 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 specific 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 or operating 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 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 confirm this on the statement of account. 3

12 Exclusions list A deposit is excluded from protection if: (1) The holder and any beneficial owner of the deposit have never been identified 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 financial institution investment firm insurance undertaking reinsurance undertaking collective investment undertaking pension or retirement fund 1 public authority, other than a small local authority. For further information about exclusions, refer to the FSCS website at 1 Deposits by personal pension schemes, stakeholder pension schemes and occupational pension schemes of micro, small and medium sized enterprises are not excluded. * Calls to 03 numbers cost the same as calls to 01 or 02 numbers and they are included in inclusive minutes and discount schemes in the same way. Calls may be monitored and recorded. Virgin Money plc - Registered in England and Wales (Company No ). Registered Office - Jubilee House, Gosforth, Newcastle upon Tyne NE3 4PL. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority VM8584V3 4