Your tax-free lump sum - Adviserzone

1 GEN2138 1019 Your tax-free lump sumat 5 April 2006As this calculation is carried out as at 5 April 2006 , any information provided in relation to employment after 5 April 2006 is 2019 Page 01 of 06 Who this form is forThis form is for individuals who would like to take a cash lump sum from their plan. Pension regulations will allow 25% of your total fund to be taken as a tax-free lump sum on retirement. However you may be able to take more than 25% of the fund built up in your pension before 6 April 2006 tax-free . This is dependent upon your service and salary history. To allow us to calculate your tax-free lump sum entitlement please complete the following in this formPlease use BLOCK CAPITALS to fill in this form and any additional instructions you give us.

2 Do not use correction fluid if you make a mistake. If you need to correct a mistake, please initial any changes you make. Please give as much information as you 1 employment informationMember nameScheme nameScheme numberMember numberDate of Birth (DD/MM/YYYY)National Insurance NoAny reference to Standard Life in this form means Standard Life Assurance 02 of 06 October 2019 Your tax-free lump sumGEN2138 Part 2 We need the following details about this employment1. Have you been a controlling director at any time?Yes No If yes, were you still a controlling director of this employment at 5 April 2006 ?Yes No If no, when did you stop being a controlling director?

3 (DD/MM/YYYY)2. Date of leaving this employment (if applicable) (DD/MM/YYYY)3. In the table below, please enter earnings details ending no later than 5 April 2006 , or the date of leaving this employment , whichever is earliest (we can consider up to 13 years earnings).If you were a controlling director we need at least three consecutive years salaries and any additional taxable benefits (P11D benefits ending no later than 5 April 2006 , or the date of leaving employment , whichever is earliest).If you were not a controlling director, we can use a single salary within the last five years of service together with at least three years of additional taxable benefits (P11D benefits ending no later than 5 April 2006 , or the date of leaving employment , whichever is earliest).

4 Standard Life holds basic salary history for group schemes as provided at scheme renewal does not include benefits and expenses provided by your employer in addition to your basic salary. These would be detailed on your P11D can be based on our records but a fuller salary history may increase the percentage of your pension fund which can be taken as a tax-free lump sum. We do not routinely gather salary history for Executive Pension Plans (EPP). If your plan is an EPP and you have not previously given us salary information, you will need to give us your salary information now. Year ending Basic salary Other taxable benefits (no dividends) A controlling director is a director who, within 10 years of leaving ser vice, owns 20% or more of the share capital of the company.

5 This can be by themselves or with one or more 2019 Page 03 of 06 Your tax-free lump sumGEN2138 Part 3 Other pension plansPrior to 5 April 2006 did you have any other pension plans held outside Standard Life in respect of this employment ?Yes If yes, you must complete Parts 3a and 3b. No If no, go to Part note that if incomplete information is provided regarding other benefits you will be breaching HM Revenue and Customs (HMRC) rules and your entitlement may have to be 3a: Details of your other pension plans held outside Standard Life in respect of this employmentAmounts payable at 5 April 2006 , or amounts already paid on or before 5 April 2006 , from other pension plans with this insurance companyScheme nameType of plan*Plan numberStart date of plan (DD/MM/YYYY)Last contribution date (DD/MM/YYYY)Other insurance companyScheme nameType of plan*Plan numberStart date of plan (DD/MM/YYYY)Last contribution date (DD/MM/YYYY)Part 3b: Did you receive any benefits on or before 5 April 2006 from any of these pension plans?

6 Yes If yes, you must complete Part 3c. No If no, you must complete Part 3c: If yes, please complete the following: tax-free lump sum paid . tax-free lump Sum paid .Yearly pension at 5 April 2006 .Yearly pension at 5 April 2006 .Part 3d: If no, we still need to take these into account in our calculations. Please complete the following:Transfer value at 5 April 2006 .Transfer value at 5 April 2006 . tax-free lump Sum that could have been paid at 5 April 2006 ** . tax-free lump sum that could have been paid at 5 April 2006 ** .Part 3e: Prior to 5 April 2006 did you have any other pension plans held outside of Standard Life in respect of previous employments?

7 Yes If yes, go to Part 4. No If no, go to Part you have more plans please write the information on a separate sheet of paper.** tax-free Lump Sum that could have been paid at 5 April 2006 - this refers to the maximum tax-free Lump Sum which would have been payable assuming no other benefits in respect of this if you just provide the value of the other benefit at 5 April 2006 split between any Ordinar y, Additional Voluntary Contributions and Protected Rights benefits then we can calculate this contact the other provider directly for the information we need.* Examples of the type of plan could be Occupational Plan, Executive Pension Plan, Section 32 Buy Out Plan and Personal Pension 04 of 06 October 2019 Your tax-free lump sumGEN2138If you have more plans please write the information on a separate sheet of paper.

8 ** The tax-free lump sum at 5 April 2006 is the amount you could have received if you actually retired at that contact the other provider directly for the information we need.* Examples of the type of plan could be Occupational Plan, Executive Pension Plan, Section 32 Buy Out Plan and Personal Pension 4 Other pension plans from previous employmentsDo any of the following apply to the employment referred to in section 1 of this form? you left service with this employer before 6 April 2004 and your P60 earnings for the last complete tax year before you left were 25,000 or less; or you were still in service with this employer after 5 April 2004 and your P60 earnings for the 2004/05 tax year were 50,000 or If yes, go to Part 5.

9 No If no, you must complete Parts 4a and 4a: Details of your other pension plans for previous insurance companyScheme nameType of plan*Plan numberName of employer providing these benefitsEmployment start dateEmployment end date (DD/MM/YYYY)Start date of plan (DD/MM/YYYY)Last contribution date (DD/MM/YYYY)Other insurance companyScheme nameType of plan*Plan numberName of employer providing these benefitsEmployment start dateEmployment end date (DD/MM/YYYY)Start date of plan (DD/MM/YYYY)Last contribution date (DD/MM/YYYY)Part 4b: Did you receive any benefits on or before 5 April 2006 from any of these pension plans?

10 Yes If yes, you must complete Part 4c. No If no, you must complete section Part 4c: If yes, please complete the following: tax-free lump sum paid . tax-free lump sum paid .Yearly pension at 5 April 2006 .Yearly pension at 5 April 2006 .Part 4d: If no, please complete the following:Transfer value at 5 April 2006 .Transfer value at 5 April 2006 . tax-free lump sum that could have been paid at 5 April 2006 ** . tax-free lump sum that could have been paid at 5 April 2006 ** .October 2019 Page 05 of 06 Your tax-free lump sumGEN2138 Part 5 Returning this formPlease return the fully completed form to Standard Life Standard Life House30 Lothian RoadEdinburghEH1 2 DHOr email it to (please quote scheme and member number in the subject field)