Full and Partial Cash-In Form

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1 Full and Partial Cash-In Form Full and Partial Cash-In Form Please use black ink and write in CAPITAL LETTERS or tick as appropriate. Any corrections must be initialled. Please do not use correction fluid as this will invalidate your withdrawal request. About This this form Form If you want a full or partial withdrawal of this plan please call us on : or , if phoning from abroad. Our lines are open between 8am to 6pm Monday to Friday. We might be able to process your request over the telephone. We will advise you on the telephone if we need you to complete this form. Before completing this form please read Section 5 Important information. This form can be used for one of the following four Options: Option 1: Partial cash-in equally across all policies within the bond/plan Option 2: Fully cash-in individual policies and partial cash-in of the remainder Option 3: Fully cash-in individual policies within the bond/plan Option 4: Fully cash-in all policies within the bond/plan Note: this cash-in form cannot be used for PruFund Investment Plan. Please read notes 1 & 2 in Section 5 Important information. Section 1 Personal details Policy Number(s) Policy Owner(s) On the Life/Lives of Your (policy owner) telephone number (This is required in case we need to contact you regarding this request). Page 1 of 6

2 Section 2 Withdrawal options Please select one of the following four Options. Note: once we have carried out your request we are unable to reverse it. Please complete only one Option. For any partial cash-in from a Plan invested in a PruFund fund please see note 9 in Section 5 Important information. Option 1: Partial cash-in equally across all policies within the bond/plan Take a partial cash-in sum of withdrawn equally across all policies within the bond or plan. Please note, where units are held in more than one fund, units will be cancelled in proportion to the value of each fund unless you state otherwise below Enter the name of the fund(s) and the percentage of the withdrawal you would like to take from the fund(s) if units are not to be cancelled proportionately from all funds held. Fund % If you take Natural Income from our Distribution Income Funds (available through the Prudential Investment Plan and the Flexible Investment Plan), and cash-in the full value of any Distribution Income Funds, the attaching units held in the Distribution Cash Fund will be cashed-in at the same time. With Reference to Option 2 Please note that unless you indicate on Page 1 in the Policy Number(s) part of Section 1 which policy numbers are to be fully cashed in, Prudential will automatically fully cash-in the maximum number of policies. (See note 2 and 3 in Section 5 Important information). Option 2: Fully cash-in individual policies and partial cash-in of the remainder Fully cash-in individual policies within a bond or plan and partial cash-in taken equally from the remaining policies to achieve a cash-in amount of: Option 3: Fully cash-in individual policies within the bond/plan Fully cash-in the following specified policies: Fully cash-in the above mentioned bond/plan Policy No(s) to be cashed-in Option 4: Fully cash-in all policies within the bond/plan Please tick Payment by cheque will normally take longer to credit an account than the recommended Direct Credit method. Page 2 of 6

3 Section 3 Bank/Building Society payment details This information must be provided before payment can be made. Payee Details Full of Payee(s) (please provide name of company if applicable) If more than one payee, the address, including postcode, of each payee is required. Full address of payee(s) including postcode Direct Credit is the recommended method of payment. A written statement will be issued to you immediately following the transaction. By Direct Credit to my/our Bank Building Society account of Bank/Building Society Sort Code of bank or Building Society Account Number Roll Number (if applicable) Account Holder(s) (s) If we are unable to verify the bank details provided or details are missing, then a cheque may be issued to you at the address on record in order to avoid a delay. OR Cheque payable to the Policyholders(s), Solicitors, Financial Adviser or financial institution: If you would like payment to be made by cheque to the Policyholder(s), a client money account of a Solicitor, Financial Adviser or paid to a recognised financial institution then please complete the cheque payment details below. Payment by cheque will normally take longer to credit an account than the recommended Direct Credit method. By cheque payable to and sent to (address) Please note payments cannot be made to third parties (except Financial Adviser client accounts and financial institutes). Page 3 of 6

4 PART Section <X> 4 Checklist Sub Heading and payment declaration If we receive all the relevant completed paperwork by mid-day on a working day, we'll normally process it at the price determined later that day; if we receive it after mid-day, we'll normally process it at the price determined the next working day. A working day is any day that the London Stock Exchange is open for dealings, and, at our discretion, any day on which it would normally be open but for a temporary closure. Please refer to notes 9 & 11 in Section 5 Important information. Additional units may be cashed to meet any charges. Please refer to notes 4 & 5 in Section 5 Important information. Please complete this form in full to avoid any delays in processing this request. The following checklist will help you provide us with all the correct information. The payment will be sent to you within 5 working days of receipt of this completed form. Please allow a further 3 to 5 working days for the money to clear your account. Checklist I/we have provided correct name, policy number and telephone contact details (Section 1). I/we have chosen one withdrawal option only and provided the required information (Section 2). I/we have provided details of the bank account I/we would like my/our funds to be paid into (Section 3). This withdrawal request form has been signed by all policy owners (Section 4). I/we have enclosed any identity verification documents I/we have been asked to provide in the covering letter or . Declaration > I/we confirm that I/we have read and understood Section 5 Important Information. > I/we understand how charges may apply to the requested withdrawal. > I/we understand that I/we may be liable to a tax charge if I/we pay income tax above the basic rate, or if the gain results in me/us paying income tax above the basic rate. I/we also understand that any entitlement to Higher Personal Allowance (Age Allowance) may be reduced. > I/we authorise Prudential to make payment as shown in Sections 2 and 3 of this form. This request must be signed by all the policy owners. If the policy is in trust all the additional trustees must sign also. It is a criminal offence to knowingly provide false, misleading information and/or forged documents, signatures for the purpose/intention of committing fraud and this will result in prosecution. The owner(s) must sign here. If a bond or plan is subject to trust, all trustees must sign (Please see note 1 in Section 5 Important information). Page 4 of 6

5 Section 5 Important information 1. This form must be completed by the legal owner(s) of the bond or plan and forwarded to Prudential, Lancing, BN15 8GB. If the present owner is not the original owner please submit deeds or other documents that prove ownership (e.g. Deed of Assignment). 2. Policy Numbers a. Capital Investment Portfolio and Maximum Investment Plans The investment may have been issued as a number of separate policies. Please indicate clearly from which policies units should be cashed in. Where more than one policy is involved units will be cancelled in proportion to the respective values of each policy. b. Prudential Investment Plans, Flexible Investment Plans, Prudence Prospects Bonds, Prudence Bonds, Prudence Managed Investment Bonds, Prudence Managed Bonds and Prudence Distribution Bonds The investment will usually have been issued as a number of separate identical policies. Full Cash-in: Please make clear the policy numbers to be cashed in within each bond or plan (up to 20 policies). 3. Taxation You may be liable to tax, in the form of a chargeable Gain, on the withdrawal from this Bond/Plan. If partial cash-ins together with any earlier cash-ins (including regular withdrawals and any Ongoing and Ad hoc Adviser Charges) during any policy year exceed 5% of the amount invested in the Policy, this may produce a liability to income tax above the basic rate and/or may affect any entitlement to the income tax higher age personal allowances for those aged 65 and over. It may be more advantageous to fully cash-in some of the individual policies in such circumstances (any Adviser Charge instruction currently in place may be reduced proportionately). Any withdrawals and any Ongoing and Ad hoc Adviser Charges taken up to the 5% allowance will be taken into account for a possible tax liability when the policy is finally cashed in (including on death). The surrender of a policy may produce a liability to income tax above the basic rate and/or may affect any entitlement to the income tax higher age personal allowances for those aged 65 and over. This information is based on our understanding as at November 2015, of current taxation, legislation and HM Revenue & Customs practice, all of which are liable to change without notice. The impact of taxation (and any tax relief(s)) depends on individual circumstances. Further information is available in our "Guide to tax on your investment" leaflet, which you can request by calling or visiting 4. Prudential Investment Plans, Flexible Investment Plans, Prudence Prospects Bonds, Prudence Bonds, Prudence Managed Investment Bonds, Prudence Managed Bonds and Prudence Distribution Bonds A Start Up Charge adjustment and/or Early Cash-In Charge (Discontinuance Charge), may be imposed on partial or full cash-ins, in accordance with the Policy Provisions and as explained in the product literature when the policy was taken out. For Partial Cash-ins where a Start Up Charge adjustment and/or Early Cash-In Charge (Discontinuance Charge) is applicable the monetary amount of the payment will be as requested but additional units will be cancelled to meet any charges due. If the Bond or Plan is invested in a With-Profits Fund any Start Up Charge adjustment and/or Early Cash-In Charge (Discontinuance Charge) will be applied before the calculation of any Market Value Reduction (see note 5). Please note: These cash in charges do not apply to Regular Withdrawals. If you require more information regarding your withdrawal options and how cash-in charges are applied, please refer to your Key Features document. 5. Prudential Investment Plans, Flexible Investment Plans, Prudence Prospects Bonds, Prudence Bonds, Prudence Managed Investment Bonds and Prudence Managed Bonds invested in a With-Profits Fund A Market Value Reduction (MVR) may be applied to reduce the value of a full withdrawal. Where a partial withdrawal is required, the MVR if applicable would increase the number of Units cancelled to provide the withdrawal. Whether a MVR will apply on the day the withdrawal is processed cannot be predicted and we are unable to hold a request for a withdrawal which is conditional on whether a MVR applies or not. For an explanation of the Market Value Reduction, please refer to the Key Features Document which you received with your policy documents. Prudential reserves the right to determine which Units credited to the Plan/Bond shall be realised to effect your request. 6. Flexible Investment Plans, Prudence Prospects Bonds, Prudence Bonds, Prudence Managed Investment Bonds and Prudence Managed Bonds effected after 1 January 2002 Policies started after 1 January 2002 may attract an Annual Growth Reward. A Partial Cash-in may affect your future Annual Growth Reward. Annual Growth Reward is not applicable where the policy is fully cashed in prior to the anniversary date please refer to the relevant Key Features. Page 5 of 6

6 Section 5 Important information continued 7. Prudential Investment Plans and Flexible Investment Plans Where the Return of Premium Death Benefit option (Guaranteed Minimum Death Benefit option for Flexible Investment Plans) is operative a partial cash-in will reduce this benefit please refer to the relevant Key Features. 8. The standard timescale for processing claims is 5 working days. Please note that this timescale is subject to change. If funds are required urgently then please contact our customer service department to confirm the current timescale. A further 3-5 working days should be allowed for the direct credit of payments to your bank account. Cheques are released 2 working days after the initial processing. 9. PruFund Cautious Fund, PruFund Protected Cautious Fund, PruFund Growth Fund or PruFund Protected Growth Fund (PruFund funds) For any partial or full encashment involving a PruFund fund, in exceptional circumstances we may delay cancelling units for a period of 28 days. The 28 day notice period is at the discretion of Prudential's Directors to protect the solvency of the With-Profits Fund in which the PruFund funds invest. Encashments subject to a 28 day notice period will be actioned using the unit price applying on the 28th calendar day (or the next working day if this is not a working day) following receipt of this form by Prudential. Where a 28 day notice period is to apply Prudential will contact you accordingly. In the event your encashment instruction also includes any other fund(s), when contacting you we shall also obtain instructions from you on how the other fund(s) not subject to a 28 day notice period, are to be processed. The one month delay mentioned in note 11 below may also apply. Once a partial or full encashment instruction involving a PruFund fund, is received by Prudential, and the 28 day notice applies, this instruction can not be subsequently cancelled or replaced with revised instructions. 10. Prudential Investment Plans and Flexible Investment Plans effected after 12 October 2008 Any partial cash-in of an investment in a protected PruFund fund will proportionately reduce the related Guaranteed Minimum Fund Value. 11. Possible delays in cancelling units. In exceptional circumstances we may delay cancelling units in any fund by up to one month (6 months in the case of the Property Fund or any funds that invest in buildings or land) from the date we receive your instruction. 12. Any part withdrawals taken will reduce the value of your bond/plan. If the withdrawals including any Ongoing and Ad hoc Adviser Charges are more than any overall growth achieved the value of your plan will reduce below the level of capital invested. 13. Identification Requirements It is a requirement of our regulator, the Financial Conduct Authority (FCA) that we may need to verify the identity of our customers before a withdrawal can be made (please refer to the covering letter or for confirmation). Acceptable forms are detailed below: Copy of Passport and a copy of utility bill or evidence that shows your address (i.e. solicitor's letter, council tax bill, bank statement, mortgage statement). OR Original Driving licence (including counterpart licence if photo card) and a copy of utility bill or evidence that shows your address (i.e. solicitor s letter, council tax bill, bank statement, mortgage statement). Copies If you provide copies of UK legal documents, these do not need to be certified. If however overseas documents are provided they must be certified as true copies by an attorney, a notary or an embassy consulate authority. Full terms and conditions of Prudential s bonds and plans are available from: Prudential, Prubond Claims and Servicing, Lancing BN15 8GB. "Prudential" is a trading name of The Prudential Assurance Company Limited, which is registered in England and Wales. This name is also used by other companies within the Prudential Group, Registered Office at Laurence Pountney Hill, London, EC4R 0HH. Registered number Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. DISF /2015 Page 6 of 6

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