Data Capture Form. for the SmartSIPP

Transcription

1 Data Capture Form for the SmartSIPP This form is for your internal use only. Please do not return it to us. You will need to: complete the online SmartSIPP application return the signed application form to us send any required enclosures to us, as detailed on the application form.

2 This form is for your internal use only, please do not return to us. Use this form to gather details from your client in order to create an online SmartSIPP application. te: t all fields will directly apply to your client, therefore please ensure you only gather details relevant to their application. Contents Section Page 1 Adviser section 3 2 Client details 3 3 Client verification 5 4 Transfers 7 5 Contributions 8 6 Investment options 10 7 Taking Benefits 11 8 Post sales illustrations 13 9 Beneficiaries on death 14 2

3 1 Adviser section Adviser charges to be paid by Suffolk Life and/or the investment platform Fixed Amount (Excl.VAT) Percentage (Excl.VAT) Subject to VAT? Initial/one-off adviser charge and/or of the initial transfer value(s) / single contribution / funding Ongoing adviser charge and/or of the plan value each year in arrears and/or of the gross amount of each regular contribution received Frequency of ongoing payments: Yearly Half Yearly Quarterly Investment charges Basis for investment charges? Annual Management Charge (AMC) Total Expense Ratio (TER) Initial external investment charges / / (flat rate) Annual external investment charges / (flat rate) 2 Client details 2.1 Personal Sex Male Female Title Mr/Mrs/Miss/Ms/Dr/Other First name Middle name(s) Surname Date of birth Day/Month/Year National Insurance number Nationality Expected retirement age Status Single Married Registered civil partnership If married or in a registered civil partnership, spouse s/registered civil partner s date of birth If married, spouse s sex Male Female 3

4 2 Client details (continued) 2.2 Client s address Permanent residential address Correspondence address (if different from above) Telephone numbers address Home Work 2.3 Client s status Work status Tick one box only. 1 Employed If you have ticked this box, please give your employer s details below. Employer s name Employer s address 2 3 Receiving a pension chargeable to tax Self-employed If trading under a different name please write it in the box below Caring for one or more children under the age of 16 years Caring for a person aged 16 years or over In full time education Unemployed Other If you have ticked this box, please give details below. Tax status Tax status UK Relevant n-uk Relevant 2.4 Money Purchase Annual Allowance (MPAA) Has the client triggered the MPAA in another registered pension scheme? If yes, please confirm the date of the trigger event, and the name of the pension scheme where it occured: Date Name of pension scheme 4

5 3 Client verification 3.1 Identity Evidence of name Item Ref./Acc. Place of birth Date of birth Date of expiry Current full passport Residence permit issued to EU Nationals by the Home Office Current UK/EU photo driving licence Firearms certificate State pension or benefits book /notification letter HM Revenue & Customs tax notification Issuing authority Date of expiry Date of issue Evidence of address Item Premises entered? Date of visit Home visit Electoral roll check Most recent mortgage statement Current local authority tax bill Local authority rent card or tenancy agreement Bank/building society/credit union statement or passbook Utility bill (not mobile phone) State pension or benefits book /notification letter Current UK/EU photo driving licence Ref./Acc. Name of lender Name of issuing authority Name of issuer Name of utility company Date of check Date of issue Date of expiry 3.2 Source of funds Current occupation Annual income Source of wealth Income from employment Income from savings/investments Gift Lottery and other gambling winnings Inheritance Property sale Divorce settlement Income from a lifetime annuity Pension income from registered pension scheme(s) Other; please specify 5

6 3 Client verification (continued) 3.3 Evidence of age This section is only required if retirement benefits are to be taken, otherwise please go on to section 4. Birth certificate verification Client name Client place of birth Date of registration Registration district Parish (if applicable) and county Entry number Name of registrar/ official witness Marriage/Registered civil partnership verification Date of Marriage/registered civil partnership ceremony Client s full name Full name of client s spouse/rcp Spouse/RCP date of birth Registration district Parish (if applicable) and county Entry number Name of registrar/ official witness 6

7 4 Transfers Type of arrangement to be transferred. Personal scheme Occupational scheme Is the transfer from a defined benefit occupational scheme? If yes, you will need to confirm that a suitably authorised financial adviser recommended the transfer of the defined benefits pension scheme. We will not be able to accept the transfer without advice. If you did not give this advice, please confirm the authorised firm and individual who did give your client the advice: Firm name Adviser name FCA reference for company (FRN) Full name of scheme to be transferred Type of scheme to be transferred (e.g. PP, EPP, etc) Name of scheme administrator Policy or membership number Scheme administrator address Scheme administrator telephone number Transfer all assets? Full transfer Partial transfer Estimated transfer value On what basis is the transfer being effected? Cash only Stock (in Specie) You will need to enclose a portfolio valuation (including SEDOL numbers) with the completed application, alternatively you provide the investment information online. Which of the following statements will apply at the time of the transfer to your client s plan? ne of the scheme has begun paying benefits (uncrystallised) go on to section 5 Some of the scheme has begun paying benefits (partially crystallised) All of the scheme has begun paying benefits (crystallised) Where you have selected either 2 or 3 above, for this arrangement is the client: The original member A nominee A dependant A successor 7

8 4 Transfers (continued) What type of drawdown is this arrangement in: Flexi-access drawdown Capped drawdown Does your client want to switch to flexi-access drawdown upon transfer to Suffolk Life? If your client is staying in capped drawdown, we also require the following information about the transferring scheme: Reference date Maximum permitted income Taxable income taken to date in the current reference year Income payment type: (complete for both flexi-access and capped drawdown): ne One off Monthly Quarterly Half-yearly Yearly Whole of fund (flexi-access drawdown only) Annual/single income required following transfer Date of first payment following transfer Month/Year Were the funds crystallised before 6 April 2006? 5 Contributions 5.1 Personal contributions Net single contribution Net monthly contribution Net annual contribution For monthly contributions please also capture the following: Start date of regular contribution 15 Sort code Bank name Account number Account name 8

9 5 Contributions (continued) 5.2 Employer contributions Employer name Registered number Contact name for employer Gross single contribution Gross monthly contribution Gross annual contribution For monthly contributions please also capture the following: Start date of regular contribution 15 Sort code Bank name Account number Account name 5.3 Third party contributions Third party name Is this an individual or a company? Net single contribution Net monthly contribution Net annual contribution For monthly contributions please also capture the following: Start date of regular contribution 15 Sort code Bank name Account number Account name 9

10 6 Investment options Investment platform 1 2 Ascentric Client s Ascentric account reference number (if applicable) Cofunds Your Cofunds intermediary authorisation code Client s segment name Client s Cofunds customer reference number (if applicable) 3 FundsNetwork FundsNetwork unique adviser number (UAN) (if applicable) 4 5 LIFT-Invest Your LIFT reference number Client s LIFT reference number (if applicable) Raymond James 6 Seven Investment Management (7IM Platform) Does your client have an existing account with Seven Investment Management 7 Skandia 8 Succession Investment Platform Client s Succession Investment Platform reference number (if applicable) 9 Towergate Client s Towergate reference number (if applicable) 10 Transact Execution only Stockbrokers 1 Barclays Stockbrokers Does your client wish for you or another third party to trade via this account? 2 Stocktrade Your Stocktrade user name (if applicable) Your address (if not an existing Stocktrade user) Your client s address (if your client wishes to trade via this account or have view-only access) The following information and communications will be available online via the Stocktrade web portal. Please indicate below if your client also wishes to receive paper copies of any of the following: Contract notes Statements Corporate action notifications Who should Stocktrade contact with corporate actions? You Your client 10

11 6 Investment options (continued) Will the plan invest in assets that are not available via your chosen investment platform or execution only stockbroker? How would you like cash to be handled? Receipts of transfers, contributions and tax reclaims from contributions are to be transferred to the following investment platform account. Receipts of transfers, contributions and tax reclaims from contributions are to be transferred to the execution only stockbroker. All monies received are to remain in the SIPP bank account pending investment instructions. 7 Taking benefits 7.1 Benefit requirements How are the benefits going to be taken from your client s plan? Full crystallisation Partial crystallisation If partially crystallised, how will you specify the portion of the uncrystallised fund to be crystallised? Percentage of plan Percentage of uncrystallised fund to be crystallised Plan value Value to be crystallised By PCLS amount Pension commencement lump sum required How is any lump sum(s) to be paid? Does your client require income from their plan? Does your client want to take the whole fund (after PCLS) as a single income payment? BACS If income is required: If to the above: Faster Payments/CHAPS Gross annual income Frequency of income payments One off Monthly Quarterly Half-yearly Yearly Preferred date of first payment Month/Year Will your client be crystallising benefits from another scheme at the same time as this plan? 11

12 7 Taking benefits (continued) 7.2 Bank account details This section is required if your client wishes to receive a lump sum and/or income. Sort code Bank name Account name Account number Roll number 7.3 Lifetime allowance If your client has not taken any retirement benefits from any registered pension scheme, please go straight to the protection section below. Benefits taken before 6 April 2006 Where your client taken benefits before 6 April 2006 (pre A-Day), have they put any other retirement benefits into payment after 5 April 2006? A - Date of the first benefit crystallisation event after 5 April 2006 B For the following, you need to provide the details: at the date in A, if completed; or at today s date if B is ticked Total maximum annual drawdown pensions* Total annual pensions from other pensions and annuities *If any drawdown pensions have been converted to flexible or flexi-access drawdown, please give the amounts at the date of conversion. Provide the following details for any of these arrangements which have been converted to flexible or flexi-access drawdown: Date of conversion Income limit at conversion date Date of last income limit review before conversion Benefits taken after 5 April 2006 Where your client has taken retirement benefits, from any scheme, that came into payment after 5 April 2006, you will need to provide the following: Date of benefit crystallisation event Percentage of the lifetime allowance used when taking this benefit Qualifying Registered Overseas Pension Scheme (QROPS) If your client has transferred benefits to a QROPS after 5 April 2006, you will need to provide the following: Date of transfer Percentage of the lifetime allowance used when taking this transfer 12

13 7 Taking benefits (continued) Retirement benefits after age 75 If your client has taken any retirement benefits on or after their 75th birthday, you will need to provide the following: Date benefits were taken The amount crystallised The PCLS taken Protection Protection status: protection Fixed protection 2012 Fixed protection 2014 Individual protection Primary protection (capture the below where applicable) Date of PCLS Amount of PCLS Enhanced protection Other Benefits from chargeable amount Where the total value of benefits taken exceeds your client s LTA, the excess amount (the chargeable amount) will be subject to a tax charge. Where the excess is taken as a lump sum the tax charge is 55. Where it is taken as income, the excess is subject to a 25 tax charge and the income will be taxed at your client s marginal rate. How will benefits from any chargeable amount be taken? Lump sum Income Combination If you have ticked this box, please also capture: Percentage payable as lump sum Percentage payable as income 8 Post Sales Illustrations Underlying mid growth rate for immediate post sale projections The FCA requires projections to accurately reflect the investment potential of the plan. The maximum nominal medium growth rate is 5. Please enter the blended medium growth rate based on the asset classes selected when completing the pre-sale illustration. Alternatively, if you would prefer to use your own medium growth rate, please enter this. The immediate post sale projection will then be made at your chosen rate. 13

14 9 Beneficiaries on death 9.1 Expression of wishes Dependant minee Full name Relationship to client Date of birth Percentage payable to beneficiary Dependant minee Full name Relationship to client Date of birth Percentage payable to beneficiary Dependant minee Full name Relationship to client Date of birth Percentage payable to beneficiary Dependant minee Full name Relationship to client Date of birth Percentage payable to beneficiary 14

15 9 Beneficiaries on death (continued) Trust Name of trust Names of trustees Date of trust Percentage payable to beneficiary Charity Registered charity name Registered charity number Percentage payable to beneficiary Organisation Organisation name Percentage payable to beneficiary 15

16 Suffolk Life 153 Princes Street Ipswich, Suffolk IP1 1QJ United Kingdom Tel Fax Suffolk Life Pensions Limited is authorised and regulated by the Financial Conduct Authority (number ) and is registered in England and Wales (number ). Registered office: 153 Princes Street, Ipswich, Suffolk, IP1 1QJ, United Kingdom. Tel: Fax: We may record and monitor calls. Call charges will vary. Q August 2015