@sipp

@sipp Form - Financial Advisors


Sipp Application Form

Application For

Introduction

This application is for you to become a member of the @sipp SIPP scheme.

You should read the Key Features document, Rules of the scheme, Terms and Conditions, Fee Schedule and Permitted Investments Schedule prior to completing this application.

We also strongly recommend that you seek financial advice in relation to the content of this application. If you are in any doubt about any of the questions in this application please seek advice from your financial adviser.

@sipp cannot proceed with your application or act on your investment instructions until we receive this form fully completed and signed

Where you wish to receive immediate benefits please also complete a Benefit Payment form. Where you are transferring benefits in payment and wish to continue receiving payment please also complete an Alteration to Income Form.

Part A: Personal Information

Your Name

Sex

Date Of Birth

National Insurance Number

Expected Retirement Age

Nationality

Residential Address

I Have lived at this address for 3 years or more

Previous Address (If any within the last 3 years)

Contact Telephone Number

Email Address

Marital Status

Spouse's / Civil Partner's Name

Date of Birth

National Insurance No.

Have you made a decision to opt out or not join your employer's pension scheme in favour of establishing this SIPP?

Please indicate, which of the following is most applicable by ticking one box only.

Trading As

Occupation

Employers Name

Employer Contact Number

Employers Address

Please specify from the following

Other - Please give us more details

Anti-Money Laundering Regulations

Our firm has to comply with the Anti-Money Laundering Regulations, which requires us to verify the identity of all clients. In order to meet these requirements we subscribe to an electronic verification service. On the rare occasion that we are unable to confirm your identity this way, you may be required to produce documents such as your passport, driving licence and utility bills.

Part B: Lifetime Allowance Protection

Have you registered for protection against the Lifetime Allowance?

Please indicate which protection applies:

Protection Certificate

Part C: Funding Your SIPP

How will you fund your SIPP product

Transfer Details (1)

If you are transferring funds or assets from another pension plan(s) into your SIPP, please complete the sections below for each transfer

Full name of transferring provider

Address of transferring provider

Name of Contact

Telephone number of contact

PSTR Number

Transferring Scheme Policy Number

Approximate fund value to be paid to @sipp

Does this represent the full value of the transferring plan?

a) Is this transfer subject to any existing or proposed trustee in bankruptcy order, or earmarking or pension sharing orders, or other receiving orders?

Please provide further details

b) Is this transfer part of a block transfer?

c) Is this transfer from an occupational pension scheme, or from an individual contract, with guaranteed benefits?

I declare:

d) For the purposes of enabling you to access your pension savings?

e) Is this transfer an in specie transfer?

In specie transfers can take an average 2-3 months to complete, sometimes longer depending on the investments held and providers involved.

Assets to be transferred

Assets To Be Transferred

* A Property Questionnaire and a current valuation is required for each property to be transferred.

Please provide an up to date list of holdings from the current administrator. Where @sipp cannot accept any of the assets they would need to be sold before transfer could proceed.

Any cash fund transferred will be deposited in the member’s SIPP bank account until instructions are received by @sipp to invest in other asset classes or deposit accounts

Assets to be transferred

Benefits

Please indicate which of the following statements will apply to the Transfer:

Transferring Pension Scheme

Are the funds being transferred

Crystallised

Uncrystallised

 

Transfer Details (2)

Transfer Details (3)

Transfer Details (4)

 

Contribution Details

Are you subject to the money purchase annual allowance rules?

Will you be making

Personal Contribution(s)

Single - Net Amount (of Basic Rate)

Regular - Net Amount (of Basic Rate)

Standing Order frequency for regular contributions

For regular contributions we will provide our bank details and reference once this SIPP has been set up.

Start date for regular contributions

Employer Contribution(s)

On completion of your application we will send this part of the Application Form to your Employer for completion.

Name of person completing the Employer Contribution form

Email address of person completing the Employer Contribution form

Single Gross Employer Amount

Regular Gross Employer Amount

Standing Order frequency for regular contributions

Start date for regular contributions

For regular contributions we will provide our bank details and reference once this SIPP has been set up

The employer should complete a Record of Payments Due form which is available on our website. Any future amendment to the employer regular contribution will require a new Record of Payments Due form to be completed

Do you give authority for @sipp to correspond directly with your Employer?

Employer Declaration

• We confirm our intentions that payments, other than those that are indicated as single contributions, shall continue to be made on the basis indicated above until further notice. If there are any amendments to payments we agree to inform @sipp before the payment date upon which the change will take place

• Where we have a direct payment arrangement to pay pension contributions either on our own account or where deducted from the employee’s pay, we acknowledge that the due date for contributions is the 19th of the month following that due date. We acknowledge that should @sipp receive a contribution after the due date (19th), a report may be issued to the Pensions Regulator

• We understand and agree that we will report all employer contributions in accordance with regulatory requirements

• We declare that the Applicant is employed by us and we have seen and understood their Application in respect of contributions to be made by deduction from pay.

Part D: Investment Details

Please provide details of your proposed SIPP investments.

A Permitted Investments list is available at www.atsipp.co.uk

Please provide details of proposed investment(s)

Please enclose the relevant investment application forms and completed Property Questionnaire, as applicable. Our Property Questionnaire can be found here

Have you completed your investment application already? If so, please attach it below.

Part E: Expression of Wish - Disposal of Death Benefits

This is an expression of my wishes. I understand that @sipp will pay due consideration to my wishes but will have absolute discretion as to the beneficiaries and benefits paid to each.

Beneficiary Details

Percentages must add up to 100%, if split between multiple beneficiaries

Backup Beneficiary Details

Percentages must add up to 100%, if split between multiple beneficiaries

Part F: Financial Adviser

Please give details of your financial adviser.

Adviser's Name

FCA Number

Company Name

Address

Telephone Number

Email

Do you authorise your financial adviser to give investment decisions on your behalf?

Is your Financial Adviser to be paid a fee from your designated bank account?

 

For Transfers In

Initial Fee Amount

Initial Fee % of Initial Investment

Ongoing Fee Amount

Ongoing Fee % of Fund at Anniversary Date

Pay Arrangement

 

Where an annual fee is being paid, it will continue to be paid at review date.

Ongoing fees will be paid on the 10th of the month. Please allow three days for the payment to reach your account.

I can confirm that the fee is to be paid from funds in my designated SIPP bank account and that I ensure that cleared funds are available to pay the fee when due for payment. I understand that @sipp may make an additional administration charge if it has to refer to me for instructions on how to obtain funds to meet the payment of fees.

For Contributions

Initial Fee Amount

Initial Fee % of Initial Investment

Ongoing Fee Amount

Ongoing Fee % of Fund at Anniversary Date

Pay Arrangement

 

Where an annual fee is being paid, it will continue to be paid at review date.

Ongoing fees will be paid on the 10th of the month. Please allow three days for the payment to reach your account.

I can confirm that the fee is to be paid from funds in my designated SIPP bank account and that I ensure that cleared funds are available to pay the fee when due for payment. I understand that @sipp may make an additional administration charge if it has to refer to me for instructions on how to obtain funds to meet the payment of fees.

Please note if you are paying a percentage of initial investment to your Financial Adviser this will be calculated on gross contribution amounts, where applicable.

 

 

Part G: Applicant's Declaration

General

Contributions Declaration

Leave this empty:

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Signature Certificate
Document name: @sipp Form - Financial Advisors
lock iconUnique Document ID: 4783e175a2f62abe9395b7bb990849975f035b35
Timestamp Audit
September 20, 2023 12:04 pm GMT@sipp Form - Financial Advisors Uploaded by @sipp form - enquiries@atsipp.co.uk IP 81.104.157.112
November 2, 2023 9:14 am GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 2, 2023 9:14 am GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 2, 2023 10:22 am GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 2, 2023 10:22 am GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 8, 2023 9:35 am GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 8, 2023 9:35 am GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 9, 2023 8:13 am GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 9, 2023 8:13 am GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 9, 2023 11:27 am GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 9, 2023 11:27 am GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 9, 2023 11:56 am GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 9, 2023 11:56 am GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 9, 2023 11:49 pm GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 9, 2023 11:49 pm GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 9, 2023 11:55 pm GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 9, 2023 11:55 pm GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 10, 2023 8:14 am GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 10, 2023 8:14 am GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 12, 2023 10:19 pm GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 12, 2023 10:19 pm GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 12, 2023 10:32 pm GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 12, 2023 10:32 pm GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 12, 2023 10:47 pm GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 12, 2023 10:47 pm GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 12, 2023 10:48 pm GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 12, 2023 10:48 pm GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 12, 2023 11:06 pm GMTPensions atsipp - pensions@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46
November 12, 2023 11:06 pm GMTEnquiries atsipp - enquiries@atsipp.co.uk added by David Test - david@parachute.net as a CC'd Recipient Ip: 86.3.226.46