APPLICATION FORM. to be perforated

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1 RDR portfolio plus pension (investing in insured funds) APPLICATION FORM. BeFORe you start This application form can be used to make payments/transfers into a new or existing Portfolio Plus Pension (investing in insured funds). It also includes sections for an Uncrystallised Funds Pension Lump Sum and Flexi-Access Drawdown. How to complete your application When completing this application form please ensure you answer all appropriate questions and note the following: Please use BLOCK CAPITALS in all of your answers. To help you, important information has been highlighted using the symbol. Where we mention other documents, their names are in bold. They re available from your adviser or us. If you make a mistake, correct the error by crossing out (do not use correction fluid) and initialling the change. Please note, we cannot accept a transfer payment arising from: a pension pot where only part of the pot is being used for income drawdown, an arrangement representing benefits for a beneficiary of an original Member. To protect you and us from financial crime, we may be required to verify the identity of new and sometimes existing customers. This may be achieved by using reference agencies to search sources of information relating to you (an identity search). This will not affect your credit rating. If this fails, we may need to approach you to obtain documentary evidence of identity. An explanation of all terms, benefits and options within this application form can be found in the glossary on page 4, or in our Key Features or Member s Booklet. The Member s Booklet will be sent to you when your application is accepted. It is also available on request. Before you sign and date the Declaration and Member s Agreement in Part 9, you should read all of the literature your adviser has given you about Legal & General s Portfolio Plus Pension, including all the items that make up the Key Features. Remember, if you re unsure about anything, now is the time to ask your adviser or we ll be happy to help.

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3 CONTENTS PART 1 ABOUT YOU AND YOUR PLAN You must complete this part. PART 2 CONTRIBUTIONS Only complete this part for regular, single and/or employer contributions. 5 8 PART 3 TRANSFER PAYMENTS Only complete this part for transfer payments. 10 PART 4 YOUR INvesTMENT INSTRUCTIONS You and your adviser must complete this part. 12 PART 5 UNCRysTALLIsed FUNds PENSION LUMP SUM (UFPLS) 13 Only complete this part if you are a new applicant and want to take a UFPLS. If you are an existing Member and want to take a UFPLS please contact us. PART 6 FLEXI-ACCESS DRAwdOWN 14 Only complete this part if you are a new applicant and you want to start Flexi-Access Drawdown. If you are an existing Member and you want to start Flexi-Access Drawdown please contact us. PART 7 DEATH BENEFITS 18 If you are a new applicant, you should complete this part if you wish to nominate a beneficiary or set up a trust. If you are an existing Member you only need to complete this part if you wish to change your current nomination. PART 8 ADVISER DETAILS 20 Your adviser must complete this part. PART 9 DECLARATION AND MEMBER S AGReeMENT 22 You must read this part before signing and dating the form. PART 10 DIRECT DEBIT INSTRUCTION 26 Only complete this part if you wish to make regular contributions to insured funds by Direct Debit. Portfolio Plus Pension (investing in insured funds) Application Form Page 3/28

4 GLOssARY HMRC: HM Revenue & Customs. Pension credit: The part of your pension pot that has been transferred from a former spouse/registered civil partner. Registered Pension Scheme: A scheme that is registered under Chapter 2 of Part 4 of the Finance Act Relevant UK earnings: Employment income or income arising from a trade, profession, vocation or patent (held in an individual s name). Selected Retirement Date: The date you have chosen to take your pension benefits. It may not be relevant if you are already taking income drawdown. UK Resident: You live in the UK and are here for at least 183 days in a tax year. Uncrystallised Funds Pension Lump Sum (UFPLS): A lump sum payment made up of 25% tax-free cash and 75% taxed in the same way as earned income. CHECKLIST FOR AdvIseR USE ONLY Has the Employer s Contribution Authority form been completed (if applicable)? Has the corporate Confirmation of Verification of Identity form been completed (if applicable)? Has the single premium cheque been made payable to Legal & General (if applicable)? Have the discharge forms been enclosed (if applicable)? Has the bank statement been enclosed as detailed in Part 6D (if applicable)? Has the confirmation of verification of identity section (Part 8C) been completed? Have you completed the requested collection date (if applicable)? Has the insured fund choice, together with the fund code, been completed (if applicable)? Has the death benefits section been completed? Has the application form been signed and dated? Portfolio Plus Pension (investing in insured funds) Application Form Page 4/28

5 PART 1 ABOUT YOU AND YOUR PLAN A ABOUT YOU 1.1 What is your full name? Mr/Mrs/Miss/Ms/Other Surname Full first names 1.2 What is your permanent residential address, phone number and time at this address? Address Postcode Phone number address Time at this address Years Months Please give your previous residential address if you have moved within the last three months. Address Postcode Time at this address Years Months 1.3 What is your date of birth? (You must be 18 or over and under 74) DD/MM/YYYY 1.4 What is your sex? Male Female 1.5 What is your current marital status? (optional) Please tick only one box. Single Divorced/Dissolved Married/Registered Civil Partnership Widow/Surviving Registered Civil Partner 1.6 What is your National Insurance number? 1.7 What is your employment status? Please tick the most relevant box. Employed Pensioner, whose pension is taxed as pension income Caring for a person aged 16 or over Unemployed Self employed Caring for one or more children aged under or over and in full time education Other If other please specify 1.8 What is the full name and address of your employer? Name of employer Address Postcode 1.9 What is your occupation? Portfolio Plus Pension (investing in insured funds) Application Form Page 5/28

6 PART 1 ABOUT YOU AND YOUR PLAN CONTINUED 1.10 What is the nature of the business? 1.11 What is your annual income? 0 14,999 15,000 29,999 30,000 59,999 60,000 99, , , , and 1.13 do not require completion if you are only transferring the value of an existing pension pot. If so, please go to To protect you and us from financial crime we are required to obtain information about the source of your regular/ single contribution(s). Please indicate this opposite. Please tick the applicable boxes Accumulated savings from salary Pension pot* Inheritance Equity release Sale of property Sale or maturity of previous investments Divorce settlement Other Where funded by a third party please explain the circumstances If other please specify *If you are investing all or part of a cash lump sum that has been paid from another Registered Pension Scheme, please speak to your adviser first What method of payment will you use? (Please tick the applicable boxes) Cheque: To pay single contributions and/or regular annual contributions Direct Debit: To pay regular monthly or annual contributions For cheque payments please provide details of the bank/building society account to be used to make payment. (For Direct Debit payments the bank/building society details should be entered in part 10.) If the funds are being provided in the form of a bank or building society cheque/banker s draft, please provide details of the personal account or other investment from which the money was drawn. Name(s) of account holder(s) Name of bank, building society or other organisation Address Postcode Account number Sort code Portfolio Plus Pension (investing in insured funds) Application Form Page 6/28

7 PART 1 ABOUT YOU AND YOUR PLAN CONTINUED 1.14 Have you ever had a bankruptcy or sequestration order made against you? DD/MM/YYYY No If No, please go to question 1.17 Yes If Yes, please advise the date of the bankruptcy Please provide a copy of the discharge, annulment, or release. If you are unable to provide a copy of the discharge, annulment or release we will not accept your application As a result of the bankruptcy or sequestration order, is any pension payable to you vested in the Trustee in Bankruptcy or Permanent Trustee? No If No, please go to question 1.17 Yes If Yes, please go to question Has the Trustee in Bankruptcy or Permanent Trustee relinquished their interest in the pension vested in them? No If No, we will not accept transfer payments where the value is wholly or partly vested in the Trustee in Bankruptcy or Permanent Trustee. Yes If Yes, please provide us with the evidence of this, where you are transferring these pension pots to this plan. B ABOUT YOUR PLAN 1.17 Is this a new or existing Legal & General Portfolio Plus Pension plan? New Existing If existing, please confirm your arrangement number: 1.18 does not require completion if you are an existing Member or if you are only transferring a pension pot/making contributions that have or are to be designated for immediate Flexi-Access Drawdown. If so, please go to part At what age do you want to take your benefits? Years Months The age must be between 55 and 99 as this will determine your Selected Retirement Date. The minimum term to your Selected Retirement Date is five years for regular contributions and one year for single contributions and transfer values. Portfolio Plus Pension (investing in insured funds) Application Form Page 7/28

8 PART 2 CONTRIBUTIONS MINIMUM CONTRIBUTION LeveLS If you are applying to start a plan and are not meeting the minimum requirements for starting a plan in part 3 Transfer payments, you must: contribute at least 200 (gross) a month, or 2,400 (gross) a year, or pay a minimum single contribution of 5,000 (gross). If you wish to start immediate Flexi-Access Drawdown, you must pay a single contribution of at least 50,000 (gross) before any cash lump sum is taken. If you are applying to make additional contributions into your existing Portfolio Plus Pension plan or you meet the minimum payment requirements for starting a plan in part 3 Transfer payments, then you must pay any minimum additional amount from the following: 200 (gross) a month or 2,400 (gross) a year is the minimum level to start making regular contributions (there is no minimum increase for regular contributions, once this minimum level is met). Or, A single contribution of 1,000 (gross). If you are starting a plan with a single contribution of 30,000 (gross), a transfer payment of 30,000 or have an existing Portfolio Plus Pension fund value of at least 30,000, the minimum regular contribution is 100 (gross) a month or 1,200 (gross) a year. A ANNual AllowANCe You must complete this section 2.1 Have you triggered a reduced Annual Allowance (known as the Money Purchase Annual Allowance)? Yes No If yes, what date was this triggered? DD/MM/YYYY A Money Purchase Annual Allowance of 10,000 will apply once you take money from any money purchase pension pot you have, other than if you only take your tax-free cash amount, take your money under the small pension pot rules or if you continue Capped Income Drawdown. Not all of these options will be available from every pension pot. B SINGLE CONTRIBUTION To be completed if you wish to pay a single contribution 2.2 How much do you want to pay? Net (see Notes 1 and 3 on page 9) C ReguLAR CONTRIBUTIONS To be completed if you wish to pay regular contributions 2.3 How much do you want to pay? Please tick one Monthly by Direct Debit Net (see Note 2 on page 9) Yearly by Direct Debit Yearly by cheque (see Note 3 on page 9) Date of first payment (choose a date between the 1st and 28th of the month). Subsequent payments will be collected on the same date each month/year. DD/MM/YYYY Please ensure that you complete the Direct Debit instruction in part 10 (if applicable). Where it is not possible for the first payment to be collected on this date we will send you written confirmation. Portfolio Plus Pension (investing in insured funds) Application Form Page 8/28

9 PART 2 CONTRIBUTIONS CONTINUED C ReguLAR CONTRIBUTIONS To be completed if you wish to pay regular contributions 2.4 At what rate would you like your regular contributions to be automatically increased by each year? (You may only choose ONE of the options.) None In line with the annual increase in Average Weekly Earnings In line with the Retail Prices Index By a fixed percentage * * If by a fixed percentage, how much? % Only whole numbers up to a maximum of 10% Contributions will only increase each year in line with the index/factor. If there is a decrease in the index/factor then your contributions will remain the same. This is only available for regular monthly or annual contributions paid by Direct Debit. Your contributions can be indexed differently from your employer s contributions. Note 1. The net amount is the amount you want to pay. Your contract is for the gross contribution, which is the amount stated plus basic rate tax relief (at the rate applicable when you pay this contribution). If you make a single contribution on or after your 75th birthday you will not receive tax relief on your contribution. Note 2. The net amount is the amount you want to pay. Your contract is for the gross contribution, which is the amount stated plus basic rate tax relief (at the rate applicable when you pay your first regular contribution at this level). If basic rate tax changes at any time, the net amount you pay by Direct Debit will change. If you pay by cheque, you will need to amend the payments you make. If you do not change your net contribution, the gross contribution will change affecting your projected benefits. If you contribute on or after your 75th birthday you will not receive tax relief on your contributions. As your contract is for the gross contribution the amount you pay will increase. Note 3. If you are paying by cheque, please make it out for the amount stated and make it payable to Legal & General. For a building society cheque or banker s draft, your name must appear on the front of the cheque, or on the back of the cheque accompanied by the building society s or bank s official stamp and signature. If a joint account holder, cheques should be drawn by the applicant. D EMPLOyeR CONTRIBUTIONS To be completed if your employer wishes to contribute 2.5 Will your employer be contributing to your plan? No Yes If Yes, your employer needs to complete a separate Employer s Contribution Authority form. Your adviser also needs to complete a corporate Confirmation of Verification of Identity form. Please tick here to confirm BOTH these forms are attached to this application. Portfolio Plus Pension (investing in insured funds) Application Form Page 9/28

10 PART 3 TRANSFER PAYMENTS TRANSFERS OF EXISTING PENSION POTS: To be completed if you wish to transfer the value of an existing pension pot into your plan. We can accept a pot already being fully used for income drawdown. If you wish to transfer in a pot that is currently in Capped Income Drawdown, we will convert it to Flexi-Access Drawdown upon receipt. This could affect your Annual Allowance. Please see your Key Features for details. If you are currently in Capped Income Drawdown with us using only part of your pot and you want to use more of your pot for income drawdown, please contact us. If you are applying to start a plan and are not meeting the minimum requirements for starting a plan in part 2 Contributions, you must: pay a transfer value of 5,000 in respect of a pension pot not being used for income drawdown, or if you are already taking income drawdown from a ceding scheme, pay a transfer value of at least 37,500, or if you wish to start Flexi-Access Drawdown using a pot that has not previously been used for income drawdown, pay a transfer value of at least 50,000 before any cash lump sum is taken. If you are applying to pay additional transfer values into your existing Portfolio Plus Pension plan or you meet the minimum requirements for starting a plan in part 2 Contributions, then you must pay a minimum additional amount as follows: A transfer value of 1,000 in respect of a pension pot not being used for income drawdown. A transfer value in respect of a pension pot used for income drawdown of the greater of 25,000, or 37,500 less 75% of the existing Portfolio Plus Pension pot (if the existing Portfolio Plus Pension pot is not used for income drawdown). A transfer value in respect of a pension pot used for income drawdown of 25,000 if your existing Portfolio Plus Pension is already used for income drawdown. Portfolio Plus Pension (investing in insured funds) Application Form Page 10/28

11 PART 3 TRANSFER PAYMENTS CONTINUED 3.1 Transfer payments. Please complete the following details relating to your transferring scheme(s): Name of scheme trustees or administrator Their address Transfer payment 1 Transfer payment 2 Postcode Plan number Pension scheme name HMRC reference number Has your transfer payment already been used for income drawdown within your previous scheme? Yes No Yes No Please give details of the transfer payment amounts as shown: Transfer value (excluding pension credits) Pension credits Legal & General is a participating provider in the Options service from Origo and this application form includes the Common Transfer Declaration. Please go to to find out if the transferring scheme also participates in this service. Transfer payment 3 Transfer payment 4 Name of scheme trustees or administrator Their address Postcode Plan number Pension scheme name HMRC reference number Has your transfer payment already been used for income drawdown within your previous scheme? Yes No Yes No Please give details of the transfer payment amounts as shown: Transfer value (excluding pension credits) Pension credits If there are more than four transfer payments please photocopy this page, sign it and attach it to this form. Portfolio Plus Pension (investing in insured funds) Application Form Page 11/28

12 PART 4 YOUR INvesTMENT INSTRUCTIONS 4.1 Where do you want contributions/payments to be invested? You can either choose the specific funds you wish to invest in or a lifestyle profile. For details of the full range of insured funds and lifestyle profiles available, please speak to your adviser or see the Portfolio Plus Funds Guide for Insured Funds. The maximum number of insured funds you can invest in is 50 for each contribution/payment type. The plan can be invested in a maximum of 100 insured funds overall. You can avoid delaying your application by making sure that you enter the correct fund code. This can be found in the Portfolio Plus Funds Guide for Insured Funds. FUND MANAGER FUND NAME FUND CODE CONTRIBUTIONS REGULAR % SINGLE % TRANSFER VALUE (INCLUDING PENSION CREDITS) EXAMPLE Legal & General EXAMPLE EXAMPLE EXAMPLE EXAMPLE EXAMPLE Cash Fund EXAMPLE EXAMPLE EXAMPLE EXAMPLE EXAMPLE EXAMP EXAMPLE EABY EXAMPLE EXAMPLE EXAMPLE 100% EXAMPLE TOTAL 100% 100% 100% If you need more space for your fund choices, please photocopy this page, sign it, and attach it to this form. Portfolio Plus Pension (investing in insured funds) Application Form Page 12/28

13 PART 4 YOUR INvesTMENT INSTRUCTIONS CONTINUED A lifestyle profile is a stand-alone option for each contribution/payment type. It cannot be chosen if you decide to invest in any other funds within a contribution/payment type. Please note this option is not available to Members taking income drawdown. OR LIFESTYLE PROFILE CONTRIBUTIONS Regular 100% Single 100% Transfer value (including pension credits) 100% PART 5 UNCRysTALLIsed FUNds PENSION LUMP SUM (UFPLS) Only complete this section if you are applying for a new Portfolio Plus Pension and want to take a lump sum payment at the same time. If you re an existing Member and want to take a lump sum payment please contact us. Taking a payment from your pot as an Uncrystallised Funds Pension Lump Sum (UFPLS) will trigger the Money Purchase Annual Allowance which is 10,000. It will apply to all future contributions made to your money purchase (defined contribution) pension schemes. You can t take a UFPLS from any part of your pot being used for income drawdown (including pension credits). The first 25% of the value that you take will be tax free, the remaining 75% will be taxed in the same way as earned income. You can only take two of these payments each calendar year. The minimum value you can take is 5, Please tell us how much of your pot you wish to take. Please complete this section if you wish to take some or all of your pension pot (excluding pension credits originating from a pot used for income drawdown) as an Uncrystallised Funds Pension Lump Sum. a) I wish to use the whole of my pot known as a full fund Uncrystallised Funds Pension Lump Sum Please go to question 6.9 b) I wish to take the following amount of my pension pot Please go to question 6.8 Portfolio Plus Pension (investing in insured funds) Application Form Page 13/28

14 PART 6 FLEXI-ACCess DRAwdOWN Only complete this section if you are applying for a new Portfolio Plus Pension and want to start Flexi-Access Drawdown at the same time. If you are an existing Member and want to start Flexi-Access Drawdown please contact us. Taking an income from your pot used for Flexi-Access Drawdown will trigger the Money Purchase Annual Allowance which is 10,000. It will apply to all future contributions made to your money purchase (defined contribution) pension schemes. If you do not take a tax-free cash lump sum in respect of the part of the pension pot that is being used for drawdown now, you will not be able to do so in the future. A tax-free cash lump sum cannot be taken from any part of your pension pot that has previously been used for income drawdown. Please see the Portfolio Plus Pension (investing in insured funds) Terms Sheet and Guide to Income Drawdown for information on Flexi-Access Drawdown. Before completing this part, please refer to the key below, and the minimum contribution levels information on pages 8 and 10. A Your income and cash lump sum in respect of your pension pot being used now. B Your income in respect of your pension pot already used for income drawdown. C Instructions/details for parts 5 and 6. A YOUR INCOME AND CASH LUMP SUM IN RESPECT OF YOUR PENSION POT BEING USED NOW Please complete this section if you wish to use all or part of your pension pot (including pension credits) for Flexi-Access Drawdown and you are not already taking income drawdown either from an existing Portfolio Plus Pension, or from a pension pot that you are transferring. Otherwise please go to section B. The following questions require you to select one of a number of options by completing the boxes below. 6.1 Please tell us how much of your pot you wish to use for Flexi-Access Drawdown: a) I wish to use the whole of my pot known as full income drawdown. If yes then please tick the box OR b) I wish to use the following amount of my pension pot known as partial income drawdown. Please enter the amount of your pot to be used 6.2 Please indicate the amount of tax-free cash lump sum required, subject to a maximum of 25% of the pot you are using: a) Maximum HMRC limit of 25% OR b) A specified amount (if no cash lump sum is required please specify NIL) OR c) A percentage of the pension pot being used % 6.3 Please indicate the amount of gross income required: A specified amount (if no income is required please specify NIL) gross each year How would you like your income to be paid? Income frequency (please tick ONE) Monthly Quarterly Half-yearly Yearly For income paid quarterly, half-yearly or yearly: Payable (please tick ONE) In advance In arrear We require a minimum of 10 working days from receipt of all our requirements to set up Flexi-Access Drawdown. We will then start payments on either the 1st or 15th of the month, whichever is sooner. Portfolio Plus Pension (investing in insured funds) Application Form Page 14/28

15 PART 6 FLEXI-ACCess DRAwdOWN CONTINUED A YOUR INCOME AND CASH LUMP SUM IN ResPECT OF YOUR PENSION POT BEING USED NOW CONTINUED 6.4 Would you like to take an ad hoc payment? If yes how much? B YOUR INCOME IN ResPECT OF YOUR PENSION POT ALREAdy USED FOR INCOME DRAwdOWN 6.5 Please indicate the amount of gross income required: A specified amount (if no income is required please specify NIL) If you are an existing Member and have already started income drawdown and want to start or change your payments please contact us. Please answer the questions in this section ONLY if you are transferring in a pension pot already used for income drawdown, otherwise please go to section C. You will need to contact your existing pension provider to obtain answers to some of the questions below. Alternatively please speak to your adviser. If you have completed part 3 for more than one transfer payment where the pension pot has already been used for income drawdown, then please photocopy and complete this section for each additional transfer payment, sign and attach it to this form. Please also note which transfer payment from part 3 it relates to. gross each year How would you like your Income frequency income to be paid? Monthly Quarterly (please tick ONE) Half-yearly Yearly For income paid quarterly, half-yearly or yearly: Payable (please tick ONE) In advance In arrear We require a minimum of 10 working days from receipt of all our requirements to set up Flexi-Access Drawdown. We will then start payments on either the 1st or 15th of the month, whichever is sooner. 6.6 Would you like to take an ad hoc payment? If yes how much? 6.7 Did your income drawdown start before 6 April 2006? No Yes a) What is the current value of the income drawdown pot? b) What was the value of the pot when drawdown first started? c) How much Lifetime Allowance was used up by: (i) the pot used for income drawdown (excluding the associated cash lump sum) (ii) the associated cash lump sum % % Portfolio Plus Pension (investing in insured funds) Application Form Page 15/28

16 PART 6 FLEXI-ACCess DRAwdOWN CONTINUED C INSTRUCTIONS/deTAILS FOR PART 5 AND PART Where would you like your benefits to be paid from? For Flexi-Access Drawdown, a maximum of 10 insured funds can be used. Do you want your benefits paid proportionately from all funds? Yes No This option is only available if you are invested in 10 or fewer insured funds. Please go to 6.9. Please fill in the table below to indicate the specific funds that the benefits should be paid from. FUND NAME FUND CODE INCOME % TAX-FREE CASH LUMP SUM % UFPLS % TOTAL 100% 100% 100% Portfolio Plus Pension (investing in insured funds) Application Form Page 16/28

17 PART 6 FLEXI-ACCess DRAwdOWN CONTINUED D PAYMENT DETAILS 6.9 Your income and cash lump sum will be paid to you by direct credit. Where would you like it to be paid? Name of bank or building society Address Postcode Account holder s name Account number Sort code If the account you d like us to pay into is not: the bank account you are using to pay contributions as part of this application; or a bank account that has been used to pay us regular contributions for more than 6 months or a single contribution; or a previously validated account, then we ll need to see a copy of a bank statement for the account. We can accept a copy of an internet bank statement as long as it details your name and address and you sign it. Your statement should be dated within the last six months. Your income payments will be paid net of income tax under the PAYE system, in accordance with current legislation. If you have retired from your employment, please enclose your P45. Income payments cannot be paid to a third party. If you would like us to pay your cash lump sum to a third party, please contact us. E YOUR LIFETIME ALLOWANCE HMRC will tax the value of any benefits over your Lifetime Allowance using a rate of up to 55% Please tick ONE: a) I confirm that the value of all the pension income and tax-free cash I have already taken combined with the value of the benefits I am taking now are below the current standard Lifetime Allowance. OR b) The value of all the pension income and tax-free cash I have already taken combined with the value of the benefits I am taking now are above the current standard Lifetime Allowance and/or I have a certificate of protection from HMRC. If you have ticked b) you also need to complete the Lifetime Allowance Declaration, which is available on request from your adviser or us. Portfolio Plus Pension (investing in insured funds) Application Form Page 17/28

18 PART 7 DEATH BENEFITS A You should complete this part if you wish to nominate a beneficiary or set up a trust. If you have already made a nomination you only need to complete this part if you wish to change whom will receive any death benefits if you die. By completing this part you will replace any previous nomination you have made. However, please note that the nominations for pension pots being used for income drawdown and those not being used for income drawdown are separate. For example, if you have previously made a nomination for your unused pension pot, this will not apply to any pension pot being used for income drawdown and so you would need to complete 7.2 on page 19. UNused PENSION POT nomination of beneficiaries for a pension not used for income drawdown 7.1 If you die before you take your benefits and a lump sum becomes available, who do you want it paid to? (This is known as a nomination of beneficiary.) If you want the benefit to be paid to more than one person, please show in which percentages. If there are more than four beneficiaries, please photocopy this page, sign and attach it to this form. Beneficiary 1 Beneficiary 2 Full name Address Postcode Relationship to me Percentage of pot % % Beneficiary 3 Beneficiary 4 Full name Address Postcode Relationship to me Percentage of pot % % OR To trustees to be held on trust return to you. Please enclose the original trust documentation, which we will The way benefits can be paid if you die depends on a number of factors. Legal & General will pay any death benefits at its discretion taking into account the range of potential beneficiaries outlined in your Member s Booklet. If you make a nomination, Legal & General will not be bound by this form but will take this into account when deciding who to pay the benefit to. Under current rules, if you die before age 75, any benefits paid to your beneficiaries will normally be tax free. If you re aged 75 or over when you die any benefit paid to your beneficiaries will be taxed in the same way as earned income. In some circumstances there could be an additional inheritance tax liability. Portfolio Plus Pension (investing in insured funds) Application Form Page 18/28

19 PART 7 DEATH BENEFITS CONTINUED B USED PENSION POT nomination of beneficiaries for a pension pot being used for income drawdown 7.2 If you die while taking income drawdown, who would you like the remaining used pension pot paid to? If you want the benefit to be paid to more than one person, please show in which percentages. If there are more than four beneficiaries, please photocopy this page, sign and attach it to this form. Beneficiary 1 Beneficiary 2 Full name Address Postcode Relationship to me Percentage of pot % % Beneficiary 3 Beneficiary 4 Full name Address Postcode Relationship to me Percentage of pot % % The way benefits can be paid if you die depends on a number of factors. Legal & General will pay any death benefits at its discretion taking into account the range of potential beneficiaries outlined in your Member s Booklet. If you make a nomination, Legal & General will not be bound by this form but will take this into account when deciding who to pay the benefit to. Under current rules, if you die before age 75, any benefits paid to your beneficiaries will normally be tax free. If you re aged 75 or over when you die any benefit paid to your beneficiaries will be taxed in the same way as earned income. In some circumstances there could be an additional inheritance tax liability. Portfolio Plus Pension (investing in insured funds) Application Form Page 19/28

20 PART 8 AdvIseR DETAILS (TO BE COMPLETed BY AdvIseR) A BASIS OF ADVICE DECLARATION To meet Financial Conduct Was advice given? Authority (FCA) regulatory reporting requirements, Legal & General must record whether advice was given to your client regarding the sale of this product. Please tick the box opposite. Yes No Advice must be given for a new Portfolio Plus Pension and in relation to accessing the pension pot (Parts 5 and 6 of this application). B ADVISER DECLARATION The applicant is applying on their own behalf and not as a nominee, trustee or in a fiduciary capacity for any other person. I can confirm that any transfer is from a UK Registered Pension Scheme. Please process any transfer under the following details: Full name of firm Principal s Financial Services Register Firm reference number Financial Services Register Individual reference number Legal & General agency number Address Postcode C DIRECTLY AUTHORISED FIRM DECLARATION FOR CONFIRMATION OF VERIFICATION OF IdeNTITY (PRIVATE INDIVIduALS) This confirmation should not be completed by Legal & General appointed representatives. Please note that we will only accept instructions from Trustees who have had their identity verified. For any third party associated with the application (for example where an employer pays contributions) you must complete the Confirmation of Verification of Identity form for either corporate and other non personal entities or private individuals. Who has been verified? Applicant s full name Other parties Other parties I/We confirm that a) the name, address and date of birth information contained on this application was obtained by me/us in relation to the applicant, and b) the evidence I/we have obtained to verify the identity of the applicant: (Please tick ONE box) meets the standard evidence set out within the guidance for the UK Financial Sector issued by the Joint Money Laundering Steering Group, or exceeds the standard evidence (written details of the further verification evidence taken are attached to this application). Portfolio Plus Pension (investing in insured funds) Application Form Page 20/28

21 PART 8 AdvIseR DETAILS CONTINUED Explanatory notes 1. Each party, whose identity you have verified, must be named above. Where a third party is involved, for example a payer of contributions who is not the customer, the identity of that person must also be verified and a separate confirmation provided. 2. This confirmation should not be used to verify the identity of any applicant 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. Name Job title address Signed Date DD/MM/YYYY Portfolio Plus Pension (investing in insured funds) Application Form Page 21/28

22 PART 9 DECLARATION AND MEMBER S AGReeMENT The Portfolio Plus Pension (investing in insured funds) is a contract that secures benefits under the Legal & General Portfolio Plus Self Invested Personal Pension Registered Scheme. AGREEMENT FOR MEMBERSHIP OF THE LEGAL & GENERAL PORTFOLIO PLUS SELF INVESTED PERSONAL PENSION This agreement is between Legal & General (Portfolio Management Services) Limited, a company registered in England and Wales under Company Number , having its registered office at: One Coleman Street, London EC2R 5AA, termed Legal & General in this agreement, and me. This agreement sets out the terms of my membership of the Legal & General Portfolio Plus Self Invested Personal Pension (the Scheme). In addition, if A2 applies, this agreement discharges the previous scheme trustee/administrator of any liability upon completion of the transfer. There may be certain circumstances, depending on the type of scheme or the assets held within it, where the previous scheme trustee/administrator will require completion of additional forms before the transfer can proceed. A. SCHEME MEMBERSHIP Please remember that it is a serious offence to make false statements. The penalties are severe and could lead to prosecution. If you or your employer are making contributions to the Scheme, some of the details in this application will be the basis on which tax relief is allowed. The Scheme administrator agrees to administer the Scheme in accordance with the Scheme rules. A1 APPLIES TO ALL APPLICANTS (WHO ON JOINING THE SCHEME BECOME SCHEME MEMBERS) By signing this agreement, I agree to comply with the terms and conditions of the Scheme and to be bound by the provisions of the Portfolio Plus Pension (investing in insured funds) evidenced by the Portfolio Plus Pensions Member s Booklet and the Portfolio Plus Pension (investing in insured funds) Terms Sheet. 1) By joining the Scheme I agree to pay fees as requested by Legal & General in accordance with the scale of charges notified to me. These fees will normally be deducted from my Member s SIPP bank account with Bank of Scotland. By signing this agreement I agree to the deduction of fees in this manner. Should there be insufficient funds in the accounts at the time fees are due I agree that Legal & General will request payment within 30 days. Should there be insufficient funds after this time I agree that Legal & General will have recourse to selling investments as detailed in the Portfolio Plus Pension (investing in insured funds) Terms Sheet to meet the amount due. However, I understand that Legal & General will not take such action without informing me and my adviser (where applicable). 2) I agree not to allow my Member s SIPP bank account with the Bank of Scotland to become overdrawn at any time. Should my account(s) be overdrawn I understand Legal & General will inform me and if I am unable or ineligible to pay in additional contributions Legal & General at its discretion shall have recourse to selling investments as detailed in the Portfolio Plus Pension (investing in insured funds) Terms Sheet to clear the overdraft. 3) I understand that the assets are held by Legal & General (Portfolio Management Services) Nominees Limited as trustee and as such I have no legal interest in any of the assets in my pension arrangement(s). 4) I hereby agree that if I am accepted into membership of the Scheme, I will not require the withdrawal of any funds held in respect of me other than for the payment of benefits to or in respect of me in accordance with and at the time provided by the rules of the Scheme. 5) I do not currently intend, as a result of receiving a cash lump sum from this arrangement, to significantly increase contributions to one or more Registered Pension Schemes by an amount equal to more than 30% of my lump sum. (This is known as recycling for a detailed explanation see HMRC s website. The explanation is in their Registered Pension Schemes manual under Member pages: Information Requirements and Administration: Recycling of pension commencement lump sum.) If I do recycle my cash lump sum then I will inform Legal & General within 30 days as required by HMRC s regulations. 6) I confirm that: In this tax year I am resident in the UK or am a Crown servant or the husband, wife or registered civil partner of a Crown servant. The total contributions that I pay to all Registered Pension Schemes in a tax year to which I am entitled to tax relief (under section 188 of the Finance Act 2004) will not exceed the higher of the basic amount or my relevant UK earnings in that tax year. I understand that I will receive a reduced Annual Allowance once I have received my first payment of an Uncrystallised Funds Pension Lump Sum or income payment from my pot used for Flexi-Access Drawdown. The information I have given and declarations I have made in this application are, to the best of my knowledge and belief, correct and complete. I also agree this will form the basis of my application. I agree to comply with the rules of the Scheme. I agree to tell you in writing if an event occurs which results in my no longer being eligible for tax relief on my contributions by 5 April in the tax year in which the event occurs or, if later, within 30 days of the event. A2 APPLIES TO APPLICANTS/SCHEME MEMBERS (WHO WISH TO TRANSFER THE VALUE OF BENEFITS FROM ANOTHER PENSION SCHEME) 1) Applies to the previous scheme trustee/administrator I authorise and instruct you to transfer funds from the plan(s) as listed in question 3.1 directly to Legal & General (Portfolio Management Services) Nominees Limited as trustee. Where you have asked me to give you any original policy document(s) in return for the transfer of funds and I am unable to do so, I promise to accept responsibility for any claims, losses and expenses of any nature that you may incur as a result of having made the transfer(s) listed in question 3.1. I authorise you to release all necessary information to Legal & General to enable the transfer of funds to Legal & General (Portfolio Management Services) Nominees Limited as trustee. Where applicable, I authorise you to obtain from and release to the financial adviser named in this application (part 8c) any additional information that may be required to enable the transfer of funds. If an employer is paying contributions to any of the plans as listed in question 3.1, I authorise you to release to that employer any information in connection with the transfer of funds from the relevant plan(s). Until this application is accepted and complete, Legal & General s responsibility is limited to the return of the total payment(s) to the previous scheme trustees/administrator. Where the payment(s) made to Legal & General (Portfolio Management Services) Nominees Limited as trustee represent(s) all of the funds under the plan(s) listed in question 3.1, then payment made as requested will discharge the previous scheme trustees/ administrator of all claims and responsibilities in respect of the plan(s) listed. Where the payment(s) made to Legal & General (Portfolio Management Services) Nominees Limited as trustee represent(s) part of the funds under the plan(s) listed in question 3.1, then the previous scheme trustees/administrator will be discharged of all claims and responsibilities only in respect of the part of the plan(s) represented by the payment(s). 2) Applies to the previous scheme trustees/administrator and Legal & General I promise to accept responsibility in respect of any claims, losses and expenses that Legal & General, Legal & General (Portfolio Management Services) Nominees Limited and the previous scheme trustees/administrators may incur as a result of any incorrect information provided by me in the application form or of any failure on my part to comply with any aspect of the application. Portfolio Plus Pension (investing in insured funds) Application Form Page 22/28

23 PART 9 DECLARATION AND MEMBER S AGReeMENT CONTINUED 3) Applies to Legal & General I authorise and request Legal & General to contact the trustees or administrator of my previous scheme and to obtain on my behalf the necessary information concerning my pension benefits. I authorise Legal & General (Portfolio Management Services) Nominees Limited to accept the transfer payment and understand that on receipt of the transfer payment, Legal & General will apply this sum to my arrangement(s) in the Scheme and that, on acceptance of the transfer payment by Legal & General, the trustees or administrator s liability to me in respect of the previous scheme benefits ceases. The banking of the transfer payment by Legal & General (Portfolio Management Services) Nominees Limited does not constitute acceptance by Legal & General of the transfer payment. The transfer payment will only be accepted once Legal & General has received all the necessary information from the trustees or administrator of my previous scheme. A3 APPLIes TO APPLICANTS/SCHEME MEMBERS (WHO TAKE INCOME DRAwdOWN OR A UFPLS) I understand that where I have designated the whole of an arrangement for income drawdown no further contributions or transfer values can be paid into that arrangement. I confirm, if I have given details of benefits being used for income drawdown under the previous scheme in part 6, section B of this application, that I am taking income drawdown payments under the ceding scheme; that I am a member of the scheme; that I am not taking income drawdown as a beneficiary of the original member and that I understand that no further cash lump sum is available to me from the used funds. I authorise Legal & General to encash investments at the frequency of at least once every six months (or once a year where income is paid annually) to provide the income drawdown amounts specified and understand that encashments will be made in accordance with part 6. I understand that I can stop taking income drawdown under an arrangement at any time by giving one month s written notice to Legal & General. I certify that the information supplied in question 6.10 is correct. If further tax becomes payable because the information I have provided is proven to be incorrect then I understand that I will be wholly and personally liable for any resultant tax charge and penalty imposed by HMRC. B. DATA PROTECTION CONSENT Important please read: Data Protection Use of personal information: Legal & General takes your privacy very seriously. We use the personal information collected via this form and any other information that you provide to us ( your information ) for the purposes of: 1. Providing you with our products and services and dealing with your enquiries and requests; 2. Underwriting and administering your contract including processing claims; 3. Carrying out market research, statistical analysis and customer profiling; and 4. Sending you marketing information (by post, telephone, and text message) about products and services of companies in the Legal & General group and of third parties whose products and services we offer to our customers. We do not share information with third parties for marketing purposes. By signing overleaf, you agree to receive the information as described in 4, unless you tell us otherwise by ticking this box. Given the global nature of our business, we may need to transfer your information to countries outside the European Economic Area in order to provide our services to you. Disclosures We will disclose your information to other companies within the Legal & General group of companies, regulatory bodies, law enforcement agencies, future owners of our business, suppliers we engage to process data on our behalf and when necessary, to a reassurer. If you make a claim, we will share your information (where necessary) with other insurance companies to prevent fraudulent claims. Legal & General will check your details with fraud prevention agencies. If false or inaccurate information is provided and fraud is identified details will be passed to fraud prevention agencies. Law enforcement agencies may access and use this information. Legal & General and other organisations may also access and use this information to prevent fraud and money laundering, for example, when: Checking details on applications for credit and credit related or other facilities; Managing credit and credit related accounts or facilities; Recovering debt; Checking details on proposals and claims for all types of insurance; Checking details of job applicants and employees. Legal & General and other organisations may access and use from other countries the information recorded by fraud prevention agencies. You can contact Legal & General at: Group Financial Crime, Legal & General Assurance Society, Legal & General House, St Monica s Road, Kingswood, Tadworth, Surrey KT20 6EU if you want to receive details of the relevant fraud prevention agencies. If you have been dealing with an adviser, we will give them information about your product and, where appropriate, provide them with other information about your dealings with us to enable them to give you informed advice. Where you have been introduced to us by another company (for example a bank, insurer or building society), we may share your information with them to enable them to: (a) carry out market research, statistical analysis and customer profiling; and (b) send you marketing information about their products and services and products and services of companies in the Legal & General group and of third parties whose products and services Legal & General offers to its customers. By signing below, you agree to receive the information as described in (b) above by post or telephone, unless you tell us otherwise by writing to Legal & General at TPM Opt Out, Legal & General Assurance Society, Legal & General House, St Monica s Road, Kingswood, Tadworth, Surrey KT20 6EU. Access: You have the right to ask for a copy of your information in return for payment of a small fee. To obtain a copy of your information, you should write to Legal & General at SIPP Service Centre, Legal & General, City Park, The Droveway, Hove BN3 7PY. You can ask Legal & General for a copy of your filled in application form for up to 30 days after it has been set up on our records and we will send you a letter confirming the details that we have taken from this form. You can ask Legal & General for a copy of the terms and conditions of this contract at any time. Portfolio Plus Pension (investing in insured funds) Application Form Page 23/28