SIPP benefit form flexi-access and capped drawdown

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SIPP benefit form flexi-access and capped drawdown This form can be used to: take a pension commencement lump sum (PCLS) take a pension commencement lump sum and set up drawdown payments Alternatively, if you want to: change income levels from your existing drawdown fund, please email benefits@investcentre.co.uk convert from capped drawdown to flexi-access drawdown without taking any further PCLS, please complete our capped to flexi-access drawdown conversion form. take uncrystallised funds pension lump sum(s) (UFPLS), please complete our uncrystallised funds pension lump sum form. Taking benefits from your pension is an important decision. We recommend that you take advice from a regulated financial adviser before making your decision and completing this form. Pension Wise service You are also entitled to free, impartial guidance on your options from the Government-backed Pension Wise service. You can access this online at www.pensionwise.gov.uk, book a telephone appointment by calling 0800 280 8880 or arrange a face-to-face meeting through your local Citizens Advice Bureau. This is not a substitute for full, regulated financial advice. Future pension contributions Once you access your pension benefits the amount of tax-relievable contributions you can make to all money purchase pensions each year, including your SIPP, may be reduced. If you only take one or more of the following types of benefit, you will continue to have an annual allowance of 40,000 (unless you are a high earner and are affected by the tapered annual allowance) pension commencement lump sum (PCLS) a lifetime annuity that cannot decrease in value income under capped drawdown If you take any of the following types of benefit, your annual allowance will be reduced to 4,000 income under flexi-access drawdown uncrystallised funds pension lump sum (UFPLS) a lifetime annuity that can decrease in value If you want to make large contributions in the future, you should carefully consider how you access your benefits. Please complete and return this form to AJ Bell Investcentre, 4 Exchange Quay, Salford Quays, Manchester M5 3EE. Please use BLOCK CAPITALS only and blue or black ink, ticking boxes where appropriate. If you would like a copy of this, or any other item of our literature, in large print, Braille or audio format, please contact us on 0345 83 99 060 or by email at enquiry@investcentre.co.uk.

Personal information Please provide the following information about yourself. Title Dr/Mr/Mrs/Miss/Ms/Other Surname Forename(s) Permanent residential address Postcode Your SIPP reference (if known) SCC Country Date of birth Start date for benefits Immediate Other This is the date we will use to calculate your benefits. We will write to you separately when benefit payments will commence. Please note that we cannot backdate the start date for your benefits. Amount of fund to be accessed Please complete one box below to indicate the amount, or percentage, of your fund that you wish to take benefits from. This amount, or percentage, must be the total of the amount to be applied to provide a pension and the amount of any pension commencement lump sum linked to that pension. Please do NOT enter only the percentage to be taken as a pension commencement lump sum. All of my fund or or of my fund Income requirements Please confirm your income requirements by choosing one of the following three options: 1. income required We will pay your tax-free pension commencement lump sum only. This will be 25 of the fund to be accessed (as stated above) unless transitional protection applies or you have used up all your lifetime allowance. 2. Whole of fund We will pay your tax-free pension commencement lump sum plus the balance of your fund as a single taxed income payment. Your account will be closed. 3. Income required We will pay your pension commencement lump sum plus income as requested below: Maximum income under capped drawdown (only available for capped drawdown customers who select option 1 in the next section) or other p.a. before tax. To be paid monthly quarterly half-yearly annually one-off payment If you are in capped drawdown the amount must be less than the maximum allowed by HMRC. If you wish to take a higher level of income you should select option 2 in the following section to convert to flexi-access drawdown. 2

Existing capped drawdown customers only: If you already hold capped drawdown funds in your SIPP please select one of the following two options: 1. I have funds in capped drawdown and I want to add further funds to my capped drawdown arrangement. 2. I have funds in capped drawdown which I want to convert to flexi-access drawdown and then add further funds to that flexi-access drawdown arrangement (please note there is an additional charge for this). Evidence of age Please note that we reserve the right to request a copy of your birth certificate and, if you are a married woman, your marriage certificate, before any benefits can be paid. Alternatively, you can send us a copy of your current signed passport or driving licence, showing your date of birth and full name. Copies MUST be certified by an independent person (not a family member), who must also provide their full name, address and daytime contact telephone number. We will use age verification systems to confirm your date of birth. We will request further evidence if our searches are unable to verify this information. Payment details Please provide details of the bank/building society account to which you wish your income and pension commencement lump sum (if any) to be paid. Name of bank/building society Branch address Postcode Account number Sort code Account in the name of Roll number (if applicable) Account type Important notes: 1. If you have previously taken benefits from your SIPP, it is likely that we will already have a tax code for you, and we will continue to apply it to your taxable benefits. If you have not previously taken benefits, we will not have a tax code for you in which case you will need to find a current tax year P45 from your previous employment and forward it to us along with this form. We will apply the tax code from the P45 on a Month 1 basis. If you do not have a current tax year P45, we are legally obliged to apply the emergency tax code on a Month 1 basis. We will advise our Tax Office, which will in turn contact your Tax Office to confirm your correct tax code. We can only change your tax code if instructed to do so by HMRC. You may wish to contact your Tax Office to obtain the correct tax coding notice. 2. Before any payments are made, we reserve the right to request a bank statement for the account you wish payments to be made to. Alternatively, you can send us a paper bank statement when you submit this form. We will not accept a screen shot or photograph of an online statement. The statement must be no more than 3 months old and include your name, address, name of your bank, sort code and bank account number. We will use verification systems to confirm the bank account details provided and will request further evidence if our searches are unable to verify the information. Once your pension commencement lump sum has been calculated we will make the payment by BACS, which takes four working days to clear in your bank account. Alternatively, we can make payment by CHAPS (same day transfer) at an additional cost. Please tick the box if you would like us to make payment by CHAPS. Protection a) Have you registered for enhanced, primary or any of the fixed or individual protections? If, have you previously provided us with a copy of your protection certificate or online service protection summary from HMRC and details of all benefits crystallised to date outside of AJ Bell Investcentre? If these details have not been provided you must complete our separate transitional protection and insufficient lifetime allowance form. Please send this to us along with a copy of your protection certificate or online service protection summary from HMRC. b) Do you have a protected pension age? If, what is the protected pension age? 3

Available lifetime allowance Do you have sufficient unused lifetime allowance (in other words, is your unused lifetime allowance more than the value of the benefits being crystallised under your SIPP)? If, you must also complete our separate Transitional protection and insufficient lifetime allowance form and send this to us together with your completed benefit form. Death benefit expression of wishes The scheme administrator will use your remaining pension fund to provide benefits for your spouse, civil partner, dependants, members of your family, or other beneficiaries. The nomination below ensures that the widest possible range of people are eligible to receive death benefits. (Please read our death benefit expression of wishes guide for help with completing this form.) Please note that if you are unsure about the implications of making the nomination and related expression of wishes, or if you would like any advice about the effect of doing so, you should consult a financial adviser or other appropriately qualified professional. mination In the event of my death, I nominate all individuals who are Eligible Benefits Recipients (as defined in the scheme trust deed and rules) as the persons to whom you should consider allocating any death benefits from my SIPP. Expression of wishes In the event of my death, my wishes are that you consider allocating the death benefits from my SIPP to my Eligible Benefits Recipients as follows: Total 100 te: If you wish to nominate a trust to receive the death benefits payable from your SIPP, please ensure you provide full details of the trust in the section, i.e. The ees of the <Name of > established on <date>. 4

Customer s declaration and undertaking I hereby request and consent to the payment of benefits as set out in this form and agree that: a) It is my responsibility, in conjunction with my adviser, to ensure that there is sufficient cash within my SIPP to pay benefits as they fall due. b) The basis used for valuing investments held under my SIPP for benefit crystallisation purposes will be determined by the scheme administrator, taking into account HMRC requirements. In particular, I understand that the value used for some types of investment (e.g. UK quoted stocks and shares) for this purpose may be different to that shown on my valuation statements. I declare that: i) The information contained in this form and any supporting information contained in the Transitional protection and insufficient lifetime allowance form is, to the best of my knowledge and belief, true, complete and not misleading. ii) As a consequence of payment of the pension commencement lump sum requested by this form (if any), the amount of contributions paid by me, or on my behalf, to any registered pension scheme is not, and will not be, significantly greater than it would otherwise have been. iii) I agree that I will indemnify the scheme administrator against any liability to pay any tax or other charges which arise out of the provision of false or misleading information. iv) I understand the risks associated with taking benefits, as set out in the AJ Bell Investcentre SIPP benefits guide. v) My adviser has provided me with sufficient information for me to understand the effect that this benefit request will have on my SIPP. Customer s name Date Customer s signature Adviser s declaration and undertaking I hereby confirm that I have given advice to the customer named above in accordance with the instructions contained in this form and have provided an illustration of the benefits their remaining fund can provide. (You do not need to provide an illustration if the entire pension fund is being withdrawn.) Adviser s name Date Adviser s signature Adviser s firm SCA number AJ Bell Management Limited (company number 03948391), AJ Bell Securities Limited (company number 02723420) and AJ Bell Asset Management Limited (company number 09742568) are authorised and regulated by the Financial Conduct Authority. All companies are registered in England and Wales at 4 Exchange Quay, Salford Quays, Manchester M5 3EE. See website for full details. AJBIC/SIPP/BF-FACD-A/20171227