FORESIGHT ACCELERATED INHERITANCE TAX SOLUTION APPLICATION FORM AUGUST 2018 1
Important Before completng ths form, please carefully read the Investor Gude and Customer Agreement marked August 2018 and seek ndependent advce. Defntons used n the Investor Gude and Customer Agreement apply heren. Who can apply You can only apply f you meet the elgblty crtera for the Foresght Accelerated ITS and the relevant Insurance Cover Opton and your fnancal ntermedary has certfed that partcpaton n the Foresght Accelerated ITS meets your objectves, you have the expertse, experence and knowledge to understand the rsks and that you are able to bear the assocated rsk nvolved n partcpatng n the Foresght Accelerated ITS. We reserve the rght to accept Applcaton Forms wthout an Advser Certfcate f we are otherwse satsfed wth all applcable legal and regulatory requrements. Fnancal advce, assessment and customer due dlgence procedures You must arrange for a fnancal ntermedary authorsed by the FCA to carry out: () a sutablty assessment n accordance wth COBS 9 to ensure that you have the requste knowledge and experence to partcpate n the Foresght Accelerated ITS, and that t meets, and s sutable for, your needs n lght of your fnancal stuaton and nvestment objectves; and () the customer due dlgence procedures requred by the Money Launderng Regulatons 2007 wthn the gudance for the UK Fnancal Sector ssued by the Jont Money Launderng Steerng Group. Your fnancal ntermedary must complete the Advser Certfcate n Secton 9 n confrmaton of the above ponts. Applcatons not accepted If any applcaton s not accepted, the amount pad on applcaton wll be returned to the applcant, wthout nterest, and less any charges ncurred n returnng such mones. You wll fnd these useful cons throughout the document to help you complete the form: Declaraton Useful nformaton Please note All felds marked wth * are mandatory and must be completed. We regret we wll not be able to accept applcatons mssng these detals. 2 Foresght Accelerated ITS
Secton 1: APPLICANTS Applcant 1: *Ttle (Mr/Mrs/Mss/Ms/Dr/Other) Crcle as approprate *Resdental Address: *Date of Brth: *Natonal Insurance No.: Emal: Tel No (day): Tel No (evenng): Correspondence address (f dfferent from above): Prevous Address (f moved n the last three years): Postcode: Please tck ths box f you are resdent for tax purposes n any jursdcton other than the UK Prevous Postcode: Where applcable, please provde confrmaton of the non-uk jursdctons n whch you are resdent for tax purposes, along wth your correspondng tax payer dentfcaton number (TIN) or equvalent: Country: TIN/Equvalent: Country: TIN/Equvalent: Applcant 2 (f applcable): *Ttle (Mr/Mrs/Mss/Ms/Dr/Other) Crcle as approprate *Resdental Address: *Date of Brth: *Natonal Insurance No.: Emal: Tel No (day): Tel No (evenng): Prevous Address (f moved n the last three years): Prevous Postcode: Where applcable, please provde confrmaton of the non-uk jursdctons n whch you are resdent for tax purposes, along wth your correspondng tax payer dentfcaton number (TIN) or equvalent: Country: TIN/Equvalent: Country: Please tck ths box f you are resdent for tax purposes n any jursdcton other than the UK TIN/Equvalent: The Foresght Accelerated ITS s only sutable for ndvduals and, n respect of jont applcatons, s restrcted to two ndvduals. Foresght may (f necessary) dsclose nformaton to HMRC or other tax authortes n order to satsfy ts FATCA and/or CRS oblgatons. Foresght may also undertake any electronc searches necessary for the purpose of verfyng the applcant s dentty and/or any personal nformaton suppled. 3
Secton 2: YOUR INVESTMENT I/We would lke to nvest (ncludng any advser charges detaled n Secton 6) The mnmum nvestment you can make s 25,000 and the maxmum nvestment depends on the Insurance Cover Opton you select (see Secton 3). How would you lke to make your nvestment? Bank transfers should be pad to: Sort code: 80-22 - 60 A/c No: 14730960 A/c Name: The Cty Partnershp Foresght Accelerated ITS Reference: Your surname and ntals Bank: Bank of Scotland SWIFT: BOFSGBS1SDP IBAN: GB60 BOFS 8022 6014 7309 60 I/We have transferred funds from a bank account n my/our name nto the above bank account I/We enclose a cheque or bankers draft drawn on a UK clearng bank or buldng socety n my/our own name, made payable to The Cty Partnershp - Foresght Accelerated ITS Secton 3: INSURANCE For jont applcatons, the total amount that you would lke to nvest wll be splt equally between the applcants. Please carefully read the Investor Gude and Customer Agreement (n partcular the elgblty crtera and exclusons n respect of each Insurance Cover Opton set out on pages 16 to 21 of the Investor Gude and clause 20 of the Customer Agreement) before completng the followng secton. Each applcant should tck only one box. INSURANCE COVER OPTIONS Insurance Cover Opton A Immedate lfe nsurance cover on nvestment for death by any cause B Immedate lfe nsurance cover on nvestment for death by accdent only n the frst 100 days and thereafter for death by any cause C Immedate lfe nsurance cover for death by accdent only Maxmum nvestment 1 mllon per applcant 1 mllon per applcant 5 mllon per applcant Age crtera Aged between 62 and 85 (nclusve) Aged between 86 and 89 (nclusve) Aged between 40 and 89 (nclusve) Applcant 1 Please tck only one box per applcant Applcant 2 Please tck only one box per applcant If you wsh to take out more than one Insurance Cover Opton per applcant please use the supplementary Multple Insurance Cover Optons addendum. 4 Foresght Accelerated ITS
Secton 4: INSURANCE - ELIGIBILITY Please carefully read the Investor Gude and Customer Agreement (n partcular the elgblty crtera and exclusons set out on pages 16 to 21 of the Investor Gude and clause 20 of the Customer Agreement and, n respect of Insurance Cover Opton A or Insurance Cover Opton B (as relevant), the declaraton set out on page 20 of the Investor Gude and clause 20.3.2 of the Customer Agreement) before completng the followng declaratons. If Insurance Cover Opton A or Insurance Cover Opton B has been selected, all tck boxes n ths secton must be tcked by you for the applcaton to be accepted. If nsurance Cover Opton C has been selected, only the frst and thrd boxes need be tcked. Jont applcants should each tck ther respectve relevant boxes. I confrm that, as at the date ths Applcaton Form s completed, sgned and dated n Secton 8 below: I am an ndvdual aged wthn the relevant age crtera for the Insurance Cover Opton I have selected (see page 17 of the Investor Gude and clause 20.3.1 of the Customer Agreement for full detals) Applcant 1 Applcant 2 I have no knowledge that I am sufferng from a Termnal Illness (see page 20 of the Investor Gude and clause 20.3.2 of the Customer Agreement for full detals) I hereby gve consent upon my death to the release of my medcal records, ncludng any post-mortem examnaton as may be necessary to enable the Insurer to adjudcate any clam thereunder as s requred. Secton 5: INSURANCE - DECLARATION OF TRUST Please tck the followng box(es) to confrm your agreement to the below declaratons and confrm your benefcares below: APPLICANT 1 APPLICANT 2 (For jont applcatons only) If applyng as jont applcants and your respectve benefcares detals are dfferent please complete the addtonal detals on a separate copy of ths page. DECLARATION OF TRUST By sgnng ths Applcaton Form, I, wth effect from the date upon whch an nvestment s acqured for my Portfolo, hereby automatcally assgn my benefcal nterest n the Insurance Polcy to Foresght as trustee accordng to the terms of the settlement detaled n Schedule 2 of the Customer Agreement and acknowledge that Foresght accepts the role of trustee of that settlement on the terms and condtons detaled n Schedule 2 of the Customer Agreement. EXPRESSION OF WISHES In ths expresson of wshes, I desre to make known to Foresght (as trustee of the Settlement) my wshes about whom I would lke Foresght to consder should beneft from the Settlement. I understand that ths expresson of wshes s not bndng on Foresght and Foresght wll stll have the freedom to decde who amongst the class of my Benefcares s to beneft from the Settlement. Benefcares must be aged 18 or over. Please only provde detals of benefcares that you would lke Foresght to consder should beneft from the proceeds of the Insurance Polcy. The nvestments you hold through the Foresght Accelerated ITS at the tme of your death wll be subject to separate nstructons gven to us by the personal representatves of your estate. BENEFICIARY 1 *Ttle: *Address: BENEFICIARY 2 (f applcable) *Ttle: *Address: *Date of Brth: *Date of Brth: If you requre more sectons please provde these on a copy of ths page. Foresght wll contact the Benefcares lsted above to arrange payment f and when applcable. 5
Secton 6: ADVISER CHARGES (f applcable) Ths secton s for you to complete the detals of any charges that you have agreed wth your authorsed fnancal ntermedary and that you wsh Foresght to facltate. UPFRONT CHARGES FIXED AMOUNT OR PERCENTAGE % If you request us to facltate upfront charges on a percentage bass, these wll be calculated as a percentage of the amount you would lke to nvest (as stated at the start of Secton 2). ONGOING CHARGES FIXED AMOUNT OR PERCENTAGE % If you request us to facltate ongong charges as a percentage bass, these wll be calculated as a percentage of the value of your Portfolo when calculated. Secton 7: CORRESPONDENCE Drect (I would lke to receve paper copes) Advser only (All correspondence wll be sent to my advser, who wll update me) Secton 8: SIGNATURES AND ACKNOWLEDGMENTS Once you have completed the prevous sectons, read the below carefully and sgn as the person(s) lsted n Secton 1. By sgnng ths form, I/we hereby rrevocably declare that I/we:. wsh to subscrbe the amount shown n Secton 2 n the Foresght Accelerated ITS; have read and understood the Investor Gude and Customer Agreement dated August 2018 and the rsk factors set out n t; have read and understood the nvestment objectves of the Foresght Accelerated ITS; v. am/are applyng on my/our own behalf; v. am/are (f I/we have completed Secton 6) declarng and valdatng to Foresght and the Recevng Agent the amount of the facltaton charge(s) specfed theren and am/are agreeng to the makng of a facltaton payment of that amount; v. acknowledge that the amount set asde from my/our subscrpton n connecton wth ntal product and advser charges wll not be nvested n the Foresght Accelerated ITS and wll not subsequently beneft from BPR, and that all ndcatons of possble returns stated n the Investor Gude are based on amounts nvested n the Foresght Accelerated ITS after the settng asde of any such fees; v gve the declaratons set out n Sectons 4 and 5; and v confrm that, to the best of my/our knowledge and belef, the partculars I/we have gven are correct. SIGNATURE OF APPLICANT 1 SIGNATURE OF APPLICANT 2 Date: Date: Foresght respects your prvacy and are commtted to protectng your personal nformaton. If you would lke to fnd out more about how Foresght use and look after your personal nformaton, please refer to ts prvacy notce, whch can be found at www.foresghtgroup.eu/prvacy-cookes/ 6 Foresght Accelerated ITS
Secton 9: ADVISER DETAILS AND DECLARATION Ths secton s to be completed by your authorsed fnancal ntermedary. *Frm Name: Drectly authorsed by FCA Or Authorsed by network *Frm FCA Reference Number (FRN): Name of network: *Advser emal: ADVISER DETAILS *Ttle: *Indvdual FCA Reference Number (FRN): *Network partner ref. No.: *Correspondence contact name: *Frm address for correspondence: Telephone: Correspondence emal: BANK ACCOUNT DETAILS FOR ADVISER CHARGES (If applcable) If you requre us to pay these charges to your network, please advse accordngly. Account name: Sort code: Bank/buldng socety: Account number: Emal(s) for confrmaton of ongong advser charges: Specal Instructons/Notes If you have any specal nstructons/notes, please provde them n a coverng letter wth ths Applcaton Form. We certfy to FORESIGHT GROUP LLP and CITY PARTNERSHIP (UK) LIMITED as follows n relaton to the applcant(s) set out n ths Applcaton Form: 1. We, confrm that we have appled customer due dlgence measures on a rsk-senstve bass n respect of the applcant to the standard requred by the Money Launderng Regulatons 2007 wthn the gudance for the UK fnancal sector ssued by the Jont Money Launderng Steerng Group and that n the event that Foresght, the Promoter and/or the Recevng Agent requre addtonal nformaton n order to accept the subscrpton, we wll provde t to them wthn two busness days of recevng ther request or, f we don t have the nformaton requred, arrange for the nformaton to be provded to them. 2. We further confrm that, where we have provded advce to the applcant n connecton wth an nvestment n the Foresght Accelerated ITS, such nvestment (and the nsurance element) s consdered to be a sutable nvestment for the applcant n ther current crcumstances. 3. We confrm that the nvestor s makng an applcaton under the Foresght Accelerated ITS for the prmary purpose of an Investment and/or BPR relef and not prmarly as a means of accessng the nsurance element. By submttng ths Applcaton Form:. We confrm that our detals ncluded n ths Applcaton Form are true and accurate;. We make the above confrmatons regardng customer due dlgence, sutablty of the nvestment and motve of the applcant;. We confrm our acceptance of the Foresght Group s Terms and Condtons for Fnancal Advsers (whch can be accessed at www.foresghtgroup.eu/retal-nvestors); and v. We undertake to forthwth notfy the Company and/or the Promoter f any changes to our detals provded above and/or f the applcant ceases to be our clent n respect of hs or her nvestment n the Company. Foresght respect your prvacy and are commtted to protectng your personal nformaton. If you would lke to fnd out more about how Foresght use and look after your personal nformaton, please refer to ts prvacy notce, whch can be found at www.foresghtgroup.eu/prvacy-cookes *Advser Sgnature: *Date: 7
What happens next? Before you submt ths applcaton, please make sure: You have read the Investor Gude and Customer Agreement marked August 2018 n full You have completed all parts of the Applcaton Form You have sgned and dated the Applcaton Form (Secton 8) Your advser has completed, sgned and dated the Advser Certfcate (Secton 9) You have arranged payment or attached a cheque/bankers draft to the Applcaton Form Once you have completed the Applcaton Form, send the completed document to: The Cty Partnershp (UK) Lmted, 110 George Street, Ednburgh EH2 4LH Your funds wll be nvested after the two week cancellaton perod You wll receve confrmaton when your nvestment has been made Reportng for the sx-month perods to the end of March and September wll be sent to you n June and December, respectvely Have a queston? We would always recommend speakng to a qualfed fnancal advser before makng any nvestment decson. Foresght s not able to provde advce about whether ths nvestment opportunty s sutable for you. However, f you have any questons about the Foresght Accelerated Inhertance Tax Soluton, or how to complete ths Applcaton Form we d be happy to help. Please contact us by phone or emal. +44 (0)20 3667 8181 nvestorrelatons@foresghtgroup.eu Foresght Group LLP The Shard 32 London Brdge Street London SE1 9SG www.foresghtgroup.eu Foresght AITS