Rolls-Royce UK Pension Fund (the scheme) …

1 Page 1 of 6 Version Rolls-Royce UK Pension fund ( the scheme ) transfer to a UK based Pension arrangement This six-page form must be fully completed before a transfer of benefits from the Rolls-Royce UK Pension fund (RRUKPF) can take place. This form, all requested documents and supporting evidence must be received in the Rolls-Royce pensions department within three months of the guarantee date shown on the quote. The guaranteed transfer value will not be payable if anything is outstanding when the guarantee period expires.

2 If the member still wishes to transfer , a new application must be made. There are five sections to this form that need to be completed. Please don t under any circumstances return this form to us until every section has been completed and any documents requested have been attached. Section No. Name of section Who needs to fill this in? One Member details the scheme member who wants to transfer their benefits Two Member s application and consent to transfer Pension benefits the scheme member who wants to transfer their benefits Three Checklist of additional requirements The member s financial adviser and/or the Pension arrangement that the transfer value is being paid to Four Receiving scheme details The Pension arrangement that the transfer value is being paid to Five Appropriate independent advice declaration The financial adviser who has given

3 Advice to the scheme member who is applying to transfer their benefits. In some circumstances this section might not need to be completed Section One: Member details Your name Your national insurance number Your Rolls-Royce Pension number transfer ID number (this can be found on your statement of entitlement) Section Two: Member s application and consent to transfer Pension benefits What do you want to transfer ? (please tick) I want to transfer my safeguarded RRUKPF benefits transfer value I want to transfer my flexible RRUKPF benefits Where do you want to transfer it to?

4 (please tick) (your financial adviser or receiving scheme can help you if you re not sure what this means) to another Occupational Pension Scheme to an Insurance Company (Personal Pension , Stakeholder Pension Self-Invested Personal Pension (SIPPs), drawdown arrangement) to a Section 32 Buy-out policy Name of scheme you re transferring to: _____ If this form is not fully completed, it will be rejected Page 2 of 6 Version Appropriate independent advice (please tick only one box) As required by law, I have taken appropriate independent advice and understand that my adviser will need to complete the 'Appropriate Independent Advice Declaration' before payment can be made I m not required by law to take financial advice but have decided to do so and wish to proceed with the transfer request I m not required by law to take financial advice and have decided not to obtain any such advice but wish to proceed with the transfer request in any event Terms of transfer and signed consent I request that a transfer

5 Payment be made from the scheme as indicated. If more than one transfer payment is being made, I agree to any such adjustments to the split as Trustees of the scheme may think necessary and appropriate for one payment to cover all accrued GMPs(Guaranteed Minimum Pensions) (unless they are excluded) and for the aggregated payments to be equal to the total transfer amount available. I understand that the total transfer payment(s) will be or include the cash equivalent of all benefits otherwise payable under the scheme to me and my family and dependants (except accrued GMPs if a Receiving Arrangement is not accepting liability for them and/or benefits accrued before 6 April 1988 if I opted out of the fund without leaving employment.)

6 I understand and agree that the benefits of the Receiving Arrangement may be different in type, form and amount from those of the Transferring Scheme. I understand that the benefits of a buy-out policy cannot exceed the maximum benefits which HM Revenue and Customs would permit to be paid under the scheme and that the benefits of a buy-out policy or personal Pension scheme will be taken in to account in calculating overall maximum benefits from any other occupational Pension scheme I may join. I confirm that this request is made of my own choice and that neither the Trustees of the scheme nor any employers which have participated in the scheme are in any way responsible for any representation or advice given by any provider, administrator, broker, consultant or other person in relation to this or any other Receiving Arrangement.

7 I understand and agree that, after the transfer payment(s) have been made, neither I nor my family or dependants will have any entitlements under the scheme by reason of my membership or as specifically defined in the Certificate of Deferred Benefits issued by the scheme and I shall indemnify the Trustees against any claims which may then be made arising from my membership or in connection with the transfer payment(s) or the Receiving Arrangement (except that the scheme may still be liable for GMPs and/or benefits accrued before 6 April 1988 if they are excluded from the present transfer (s) and are not the subject of subsequent transfers or State Scheme Premiums).

8 I confirm that the Trustees of the Rolls-Royce UK Pension fund have made me aware of the Government s Pension Wise guidance service. Where the Law does not require me to take appropriate independent advice, I confirm that I have either: (i) obtained independent financial advice and wish to proceed with the transfer request or; (ii) have decided not to obtain any such advice but wish to proceed with the transfer request in any event Member Signature _____ Date _____ Member s current address Pension LIBERATION FRAUD IMPORTANT NOTICE FOR MEMBERS HM Revenue and Customs have an active programme to tackle all attempted misuse or abuse of the Pension tax rules and are taking action to deter and pursue those who promote Pension liberation schemes .

9 They are Page 3 of 6 Version proactively liaising with scheme administrators and will de-register Pension schemes where the rules are not adhered to. HMRC is taking firm action and applying tax charges wherever there is abuse of Pension tax relief but it is far more important that individuals recognise the dangers of entering into these schemes and don t put their retirement savings at risk in the first place. HMRC want to ensure that individuals with Pension savings are protected so that those savings are available to provide an income for the individual later in their life.

10 The Pensions Regulator has urged administrators and Pension providers to carry out due diligence when processing transfer requests. This includes ensuring that the paperwork for proceeding transfers is carefully scrutinised. Careful processing of your proposed transfer is for your protection and as such, we may need to contact you if any aspect of this transfer needs further clarification. It s often quicker if we can do so by contacting you either by email or telephone. If you are happy for us to contact you in this way about your transfer , please provide details below.