Sterling ISA Additional permitted subscription application form Additional payments for existing customers from 31 December 2012
Your application You should only complete this form after you have reviewed the potential cost and charges you ll incur from making the investment. Please see the Sterling Charges Summary document for details. Please make sure you complete all relevant sections and return your application to us at Sterling Centre, PO Box 461, Bishops Cleeve, Cheltenham, Gloucestershire GL52 8ZN. If your application is incomplete we will not be able to place the deal and may return it to you. Data Protection Sterling ISA Managers Limited is committed to ensuring that the way we collect, hold, use and share information about you complies fully with data protection legislation. Before completing this application you should read a copy of our leaflet Your privacy is important to us, as this explains how your data will be used. Please tick the box to confirm you have a copy of this leaflet before answering any questions. If you don t have a copy of our leaflet or would like more information please ask your adviser. New payments to accounts started before 15 January 2007 will have a minimum return on death for 10 years from the date of the first new payment made after 31 January 2010. New payments to accounts started on or after 15 January 2007 have a minimum return on death for 10 years from the start of the account. New payments to accounts started after 28 April 2011 will be provided with a Minimum Return Life Cover Plan (the Life Cover Plan) by Zurich Assurance Ltd. Subject to the terms and conditions of the Life Cover Plan, this may provide a life cover payment on death within 10 years of opening your account based on the value of your account. Have you received a personal recommendation from your adviser to submit this application? Yes No Personal details (Investor) Only complete this section if there is a change to your information If personal details have changed please complete a new verification of identity certificate. Existing Account Please write your existing ISA number here. You will only need to complete the personal details if there is a change to your information. Title Forenames Surname Permanent residential address Date of birth D D M M Y Y Y Y Nationality Male/Female National Insurance number Daytime telephone Mobile telephone Evening telephone If you do not have a National Insurance number, please tick this box Email address 2
ISA payment details If payment is received by BACS or CHAPS without a valid payment reference, the payment will be returned to the issuing bank. Additional permitted subscription allowance lump sum payment Lump sum payment for the current tax year Additional permitted subscription allowance lump sum payment details Please indicate how you want to make your lump sum payment. Cheque CHAPS Please make cheques payable to Sterling ISA Managers Limited and write your name and address on the back of the cheque. Your bank may charge you a fee for a CHAPS payment (sometimes called Telegraphic Transfer). BACS BACS may take 3 working days to reach the Sterling account. If you are paying by CHAPS or BACS, you will need to contact Sterling on 0370 909 6010 for a payment reference. Please confirm payment reference. This will ensure we can match up your payment with your application. Stocks & Shares APS allowance subscription information Please also complete the transfer authority form at the back of the application. If you want to transfer more than one Additional permitted subscription allowance, please complete a separate transfer authority for each. Note: If there are more than two transfers please photocopy this page and clearly number the transfer. Additional permitted subscription transfer Transfer type Cash Sterling / Zurich ISA account number(s) belonging to the deceased Estimated additional permitted subscription allowance, if known Additional permitted subscription allowance transfer from another ISA manager Transfer type Cash Product provider/manager name Account number/member ID Estimated additional permitted subscription amount 3
Sterling panel funds We will assume the same fund split as your last investment if no fund selection is made. If you re making investments to any protected profit funds without advice, we may ask you to complete an appropriateness test. Please write the fund name and associated code clearly and in full. The minimum investment into any fund is 1. You can invest in up to 100 different funds (including wider market funds). The investment objective of each Sterling panel fund is explained in the Sterling panel funds guide. Please write the funds you wish to invest in. Investment amounts must be stated as whole percentages. Please ensure that total investments add up to 100 (including wider market funds). Fund code Fund name Lump sum Wider market funds We will assume the same fund split as your last investment if no fund selection is made. Please write the fund name and associated code clearly and in full. A valid SEDOL number is required in all cases. SEDOL code is the unique identifying code given to each fund. Please refer to the Sterling charges summary for details. Please write the funds you wish to invest in. Investment amounts must be stated as whole percentages. Please ensure that total investments add up to 100 (including Sterling panel funds). SEDOL code Fund name Lump sum 4
Declaration ISA Declaration By signing this declaration, I declare that: all subscriptions made, and to be made, belong to me and I am 18 years of age or over; I/We have reviewed the Sterling Charges Summary document providing projected costs and charges associated with making this investment; 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, and an innovative finance ISA in the same tax year; I have not subscribed and will not subscribe to another stocks and shares ISA in the same tax year that I subscribe to this stocks and shares ISA, and I am not a citizen, national or resident of the United States of America. 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 & 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 Sterling ISA Managers Limited if I cease to be so resident or to perform such duties or cease to be married to a person or be in a civil partnership with a person who performs such duties. I authorise Sterling ISA Managers Limited to: a) hold my cash subscription, ISA investments, interest, dividends and any other rights or proceeds in respect of those investments and any other cash; and b) make on my behalf any claims to tax relief in respect of ISA investments; and c) on my written request, transfer or pay to me, as the case may be, ISA investments, interest, dividends, rights or other proceeds in respect of such investments or any cash; and d) deduct from my Sterling Stocks and Shares ISA, all charges and other sums in line with the Sterling Stocks and Shares ISA Terms and conditions. I apply to subscribe to a Sterling Stocks and Shares ISA for tax year 2 0 / 2 0 and each subsequent year until further notice. And, if the investment is being made on behalf of a donor of a power of attorney: I confirm that I am acting on behalf of the donor of a power of attorney and for the donor s own benefit in my capacity as an attorney as the donor is either physically or mentally incapable of acting for themselves, and to the best of my knowledge and belief the power of attorney is still valid and has not been revoked. Signed Date This section to be completed by the adviser Adviser details Adviser details Your name Adviser firm FCA code Address Telephone E-mail address Mobile telephone Your Sterling account number I confirm this business has been solicited, sold, signed and completed in the UK and that all persons involved in transacting this business are authorised or exempt persons as defined in the Financial Services and Markets Act 2000 and are permitted to conduct this type of business. Signed Date 5
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Confirmation of verification of identity certificate (only complete if personal details have changed) Please complete the certificate and complete a separate certificate for all parties to the contract (for example, joint applicants, trustees, settlors, deputies, attorneys acting under power of attorney and third parties where you have been required to undertake identification). To be completed by an FCA Regulated or EU Regulated Introducer Name of applicant*/trustee*/third party*/ Attorney*/Deputy* (in full) Title Surname Address Forenames Telephone number Date of birth Nationality Plan number to which this certificate relates: Previous address if moved in last three months * Delete as applicable. Beneficial owners must also be identified if different from the applicants. Please tick the standard evidence box if the case is a face to face sale to a UK resident. Otherwise, the exceeds standards box should be ticked and supporting documentation sent in. I/We certify that: (a) the information above was obtained by me/us in relation to the customer; (b) the evidence I/we have obtained to verify the identity of the customer: (tick one only) meets the standard evidence set out within the guidance for the UK Financial Sector issued by JMLSG; or exceeds the standard evidence (written details of the further verification evidence taken are attached to this confirmation). This certificate cannot be used to verify the identity of any customer that falls into one of the following categories: those who are exempt from verification as being an existing client of the introducing firm prior to the introduction of the requirement for such verification; those who have been subject to simplified due diligence under the Money Laundering Regulations; or those whose identity has been verified using the Source of funds as evidence. If you have not verified the identity of the applicant please give reasons below: Note this certificate must be signed by an officer of the Introducer Firm, who is authorised to confirm the accuracy and effectiveness of the firm s customer identification verification records, to which this certificate relates. Adviser name, address and telephone number Adviser code We cannot accept photocopies of completed certificates. Telephone number Financial Services Register number Name of person completing this certificate Job title Signature Date 7
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Additional permitted subscription application and transfer form (Sterling/Zurich ISA to Sterling ISA only) Investor Details Investor full name Investor permanent residential address Town Country Investor date of birth Investor national insurance number or confirmation that the investor does not have one Details of the Deceased Deceased full name Permanent residential address of the deceased at their date of death Town Country Deceased date of birth Deceased national insurance number (if known) Date of death Date of marriage or civil partnership between the investor and the deceased Deceased s existing ISA account number(s) Please note if multiple ISAs were held by the deceased with the ISA manager their value will be combined to form one APS allowance. APS Allowance Subscription Information I (the investor) wish to subscribe from my APS allowance in respect of the deceased and wish to make my subscription to a Stocks & Shares: In cash. Please be aware that once a subscription to an APS allowance has been made, any future subscriptions under that APS allowance MUST be made to this ISA manager and be accompanied by an APS Subscription. 9
Additional permitted subscription application and transfer form (continued) APS Eligibility Declaration This section must be completed to confirm the investor named on this application is eligible to make an additional permitted subscription to an ISA in respect of the deceased named on this application. I (the investor) declare that: I am the surviving spouse/civil partner of the deceased I was living with the deceased within the meaning of Section 1011 of the Income Tax Act 2007 at the date of the deceased s death (we were not separated under a court order, under a deed of separation, or in circumstances where the marriage or civil partnership had broken down) the subscription is made under the provisions of regulation SODA of the ISA regulations (additional permitted subscription) the subscription is being made in the case of in specie subscriptions, within 180 days of beneficial ownership passing to me (where the deceased died in the period beginning with 3 December 2014 and ending on 5 April 2015, this is treated as occurring on either 6 April 2015, or, the actual date of distribution, which ever is the later), and in the case of cash subscriptions, within 3 years of the date of death, or if later, 180 days of the completion of the administration of the estate (where the deceased died in the period beginning with 3 December 2014 and ending on 5 April 2015, the deceased is treated as dying on 6 April 2015). I am aged 18 years of age or over All subscriptions made, and to be made, belong to me. I authorise Sterling ISA Managers Limited to hold my cash subscription, ISA investments, interest, dividends and any other rights or proceeds in respect of those investments and any other cash and to make on my behalf any claims to relief from tax in respect of ISA investments. I agree to the ISA terms and conditions. I declare that this APS application form has been completed to the best of my knowledge and belief. Signed Date 10
Additional permitted subscription allowance Transfer authority (transfers to Sterling) Investor Details Investor full name Investor permanent residential address Town Country Investor date of birth Investor national insurance number or confirmation that the investor does not have one Details of the Deceased Deceased full name Permanent residential address of the deceased at their date of death Town Country Deceased date of birth Deceased national insurance number (if known) Date of death Date of marriage or civil partnership between the investor and the deceased Deceased s existing ISA account number(s) Please note if multiple ISAs were held by the deceased with the ISA manager their value will be combined to form one APS allowance. APS Allowance Transfer Information Name of deceased ISA manager Address of deceased ISA manager Town Country Please be aware that an APS allowance can only be transferred once and only where no subscriptions have been made under that APS allowance. Once transferred subscriptions may only be made in cash. 11
Additional permitted subscription allowance Transfer authority (continued) APS Eligibility Declaration This section must be completed to confirm the investor named on this authority is eligible to transfer an additional permitted subscription allowance in respect of the deceased named on this authority. I (the investor) declare that: I am the surviving spouse I civil partner of the deceased I was living with the deceased within the meaning of Section 1011 of the Income Tax Act 2007 at the date of the deceased s death (we were not separated under a court order, under a deed of separation, or in circumstances where the marriage or civil partnership had broken down) I have not subscribed to and will not subscribe to the additional permitted subscription allowance with the existing ISA provider of the deceased in respect of the deceased named on this application I intend to make an additional permitted subscription application to Sterling ISA Managers Limited. I authorise the existing ISA provider of the deceased as specified above to provide Sterling ISA Managers Limited with any information, written or non-written, concerning the APS allowance and former ISA in respect of the myself (the investor) and the deceased and to accept any instruction from them relating to the APS allowance being transferred. I declare that this APS transfer application form has been completed to the best of my knowledge and belief. Signed Date Transfer Acceptance We Sterling ISA Managers Limited are willing to accept this APS allowance transfer in line with the investors instructions above. We confirm that, subject to relevant checks, we are willing to accept an additional permitted subscription application from the investor. Name of new ISA manager 12
Additional permitted subscription eligibility declaration form Investor Details Investor full name Investor permanent residential address Town Country Investor account number Details of the Deceased Deceased full name APS Allowance Subscription Information I (the investor) wish to subscribe an additional from my APS allowance in respect of the deceased and wish to make my subscription to a Stocks & Shares ISA: Where the APS allowance has not been transferred, in specie (by the transfer of existing ISA investments that have remained with the ISA manager or his nominee) to the above amount or value as at date of death if lower. APS Subscription Eligibility Declaration I (the investor) declare that: the subscription is made under the provisions of regulation SDDA of the ISA regulations (additional permitted subscription) the subscription is being made: in the case of cash subscriptions, within 3 years of the date of death, or if later, 180 days of completion of the administration of the estate (where the deceased died in the period beginning with 3 December 2014 and ending 5 April 2015, the deceased is treated as dying on 6 April 2015). All subscriptions made, and to be made, belong to me. I agree to the ISA terms and conditions. I declare that this APS application form has been completed to the best of my knowledge and belief. Signed Date 13
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Please let us know if you would like a copy of this in large print or braille, or on audiotape or CD. NP717984005 (05/18) RRD Sterling ISA Managers Limited. Registered in England and Wales under company number 02395416. Registered Office: The Grange, Bishops Cleeve, Cheltenham, GL52 8XX. Telephone number 0370 909 6010. Zurich Assurance Ltd. Registered in England and Wales under company number 02456671. Registered Office: The Grange, Bishops Cleeve, Cheltenham, GL52 8XX. Telephone: 0345 850 8898 We may record or monitor calls to improve our service.