J.P. Morgan SIPP Employer Contribution Form (Part One) Valid from April 2015 Please complete this form in BLOCK CAPITALS and black ink. You should read the declaration at the end of this form before completing this application. If investing in a sub fund(s) you must also receive and read the Key Investor Information Document (KIID) before completing this form. There are two parts to this form: Part One – is to be completed by the employee. Part Two – should be passed onto your employer to complete and then return both parts to us together with the Direct Debit instruction to:Freepost RTJH-BXTT-RHCJ, J.P. Morgan Asset Management, 60 Victoria Embankment, London EC4Y 0JP. If you have any questions regarding this form or the Key Investor Information Document, please call our UK-based Investor Services team on 0800 20 40 20. Our telephone lines are open Monday to Friday, 9am to 5.30pm. We will be unable to process your application if this form has not been fully completed. If the form has not been completed, we will need to return this to you for completion. 1. About you 2. Tax residency Tax RegulationsA require us to collect information about each investor’s tax residency. In certain circumstances we may be obliged to share information on your account with HMRC. If you have any questions about your tax residency, please contact your tax advisor. Should any information provided change in the future, please ensure you advise us of the changes promptly. Your existing account number (if you have one) Your title (e.g. Mr/Mrs/Miss/Ms/Other) Surname First name(s) in full Account holder: Are you a UK tax resident? Your permanent residential address Yes No Please note, if you are not a UK tax resident, you cannot open a J.P. Morgan SIPP. Do you have a National Insurance Number? Postcode Yes No If yes, please enter your National Insurance Number here Country Daytime telephone number Please indicate if there is any other country in which you are resident for tax purposes and the associated Tax Identification Number below. If you are a US citizen or tax resident, you are not eligible to open this account. Country code Additional Country of tax residence Telephone numbers (please provide country code if outside the UK) Tax identification number + Evening telephone number A The term “tax regulations” refers to regulations created to enable automatic exchange of information and include FATCAB, various agreements to improve international tax compliance entered into between the UK and its Crown Dependencies and its Overseas Territories and the OECD Common Reporting Standard for Automatic Exchange of Financial Account Information B The term “FATCA” refers to The Foreign Account Tax Compliance provisions contained in the US HIRE Act 2010 and other relevant legislation implementing FATCA under local law. Country code + Your date of birth (Day/Month/Year) 1 City/town of birth 9 Country of birth 3. Employer contributions Are you a UK citizen? YES NO Please confirm the type of contribution being made into the SIPP If you are a citizen of any other country, please provide country name below: Lump sum Regular Savings Plan Online access To allow you to access your account online please provide an email address that is unique to you as an individual. You will receive your username and password separately by post. Email address Please enter the gross amount your employer will pay each month (minimum £100). £ gross Employer contributions are paid gross. Your employer may be able to claim tax relief in respect of this contribution. ‘Please note if you have Enhanced or Fixed Protection and a contribution is made into your SIPP, you will lose the protection status.’ 4. Existing withdrawals If you are already taking benefits from other registered pension schemes, you are subject to an alternative annual allowance where flexibility has been accessed. These flexibilities include taking withdrawals/benefits from the following: G G G A payment from a flexi-access drawdown fund (this covers payments from a short term annuity), including a payment from a capped drawdown fund that would breach the cap A payment from a pre-6 April 2015 capped drawdown fund that has been converted to a flexi-access drawdown fund An uncrystallised funds pension lump sum (UFPLS) J.P. Morgan SIPP Employer Contribution Form (Part One) 4. Existing withdrawals continued G G G G G A payment under a flexible annuity contract A payment of a money purchase scheme pension where the scheme has fewer than 11 other pensioner members and they became entitled to the scheme pension on or after 6 April 2015 A stand-alone lump sum from a money purchase arrangement where the individual was entitled to primary protection (and therefore has a right to take a lump sum in excess of £375,000) but not enhanced protection A payment of any of the above benefits from an overseas pension scheme that has benefited from UK tax relief In addition any person who had a valid notification for flexible drawdown before 6 April 2015, will be deemed to have flexibly accessed their rights at the start of 6 April 2015. Do you have any pensions where you are receiving the payments discussed above? YES NO Please note monthly income paying share classes are not intended for a regular savings plan. Funds Share Class A Sub-Fund name Inc Acc JPM America Equity JPM Asia JPM Cautious Managed JPM Diversified Real Return JPM Emerging Markets JPM Emerging Markets Income JPM Europe JPM Europe Dynamic (ex-UK) JPM Europe Dynamic (ex-UK) (GBP Hgd) JPM Fusion Balanced Is ‘yes’ please provide further details below. JPM Fusion Conservative Pension provider JPM Fusion Growth Type of payment received Date payment was taken JPM Fusion Growth Plus JPM Global Allocation JPM Global Bond Opportunities JPM Global Equity JPM Global Equity Income 5. Choosing your investment JPM Global Equity Income (GBP Hgd) You can use this application form to invest in J.P. Morgan funds or investment trusts. You can also use this form to put cash into your J.P. Morgan SIPP pending investment. JPM Global (ex-UK) Bond The full range of J.P. Morgan WealthManager⁺ investments is available online. JPM Global High Yield Bond Monthly A B Please indicate below the funds and/or investment trusts you want to invest in and/or cash you want to pay into your SIPP. Please state the net amount you are contributing. Unless you have indicated otherwise, we will claim basic tax relief on your behalf and invest the gross amount in line with your contributions. For example, if you contribute a net amount of £800, we will invest a gross amount of £1,000 into your J.P. Morgan SIPP. JPM Global Property Securities B) J.P. Morgan funds Important Before investing in a J.P. Morgan fund you must receive and read our Key Features and Terms and Conditions and the applicable Key Investor Information Document (KIID). They contain important information about us and the fund(s) you are intending to buy and you should read them before making your investment decision. You can get the KIID you require by going to www.jpmorgan.co.uk/investor or by calling our UK-based Investor Services team on 0800 20 40 20, or from your financial adviser. JPM Global Financials JPM Global High Yield Bond JPM Income A B JPM Japan JPM Multi-Asset Income JPM Multi-Asset Income Monthly A B JPM Multi-Asset Macro JPM Multi-Manager Growth JPM Natural Resources JPM New Europe JPM Sterling Corporate Bond JPM Sterling Liquidity B (acc.) (SICAV) JPM Strategic Bond JPM UK Active Index Plus JPM UK Dynamic Please state the fund(s) in which you wish to invest, whether you wish to invest in Income (Inc) or Accumulation (Acc) shares (explained below), the amount and the method of investment, i.e. lump sum and/or RSP. Income Shares: Your share of the net income of the fund is paid into your SIPP. Accumulation Shares: Your share of the net income of the fund is automatically reinvested within the fund and is reflected in the price of each accumulation share. If you have not marked either the Income or Accumulation box, we will automatically buy Accumulation shares. JPM UK Equity & Bond Income JPM UK Higher Income JPM UK Managed Equity JPM UK Strategic Equity Income JPM UK Strategic Growth JPM US JPM US Equity Income JPM US Equity Income (GBP Hgd) C Your subscription will be invested into the ‘A’ share class of your chosen fund(s), except JPM UK Active Index Plus Fund which will be the ‘E’ share class. Total £ Lump sum minimum £500 Regular savings plan minimum £50 J.P. Morgan SIPP Employer Contribution Form (Part One) 5. Choosing your investment continued 6. Declaration and signature B) J.P. Morgan Investment Trusts Please state the trust(s) in which you wish to invest. Lump sum minimum £500 Investment trusts Regular savings plan minimum £50 American Asian To the best of my knowledge the details provided in this form are correct and complete and the declarations I made when establishing my SIPP are still valid, except for any changes specifically advised to you (J.P. Morgan Trustee & Administration Services Limited) acting as trustee and scheme administrator of my J.P. Morgan SIPP. I confirm I have received and read the relevant Key Investor Information Document (KIID) for the fund(s) I have invested in. I confirm that I am not a US citizen or resident. Brazil Chinese Your signature Claverhouse Elect – Managed Growth Elect – Managed Income Date (Day/Month/Year) Emerging Markets European – Growth European – Income European Smaller Companies Global Convertibles Income Global Emerging Markets Income Income & Capital ORDINARY Income & Capital UNITS Income & Capital ZEROS Income & Growth CAPITAL Income & Growth INCOME Income & Growth UNITS Indian Japanese Japan Smaller Companies Mercantile Mid Cap Overseas Russian Securities Senior Secured Loan Smaller Companies US Smaller Companies C C Total net amount £ A Please note these share classes/funds are not intended for a regular savings plan. B Minimum lump sum investment £3,000. C If the fund/trust you wish to invest in is not shown in the list above please enter the trust name in the space provided. C) Amount to remain as cash Lump sum minimum £500 Cash within your J.P. Morgan SIPP Regular savings plan minimum £50 J.P. Morgan SIPP Employer Contribution Form (Part Two) To be completed by the employer. Your employer should retain a copy of this form and details of any subsequent amendments for their records 1. Employee details 3. Employer’s declaration Your existing account number (if you have one) Title We understand that contributions paid to the J.P. Morgan SIPP cannot be refunded unless the SIPP member cancels their SIPP within their cancellation period. Surname We agree to pay the contributions above, until further notice and will notify J.P. Morgan Asset Management immediately of any changes to the amounts due. First name(s) We agree to advise J.P. Morgan Asset Management immediately if any member is to leave our employment. Your permanent residential address Postcode We understand that in accordance with UK legislation, J.P. Morgan Asset Management may need to verify the identity of the company. This may include the use of a credit reference agency or we may need to request further information from you. For and on behalf of Country Date of birth (Day/Month/Year) 1 Address 9 2. SIPP contribution details Postcode Please confirm the type of contribution being made into the SIPP Country Lump sum Telephone number Regular Savings Plan Lump sums Please make the cheque payable to ‘J.P. Morgan Asset Management’. Cheques must be drawn on a bank/building society in the Employer’s name. G Company registration number Full name of signatory Regular Savings You can set up a regular savings plan (RSP) for the 1st or the 16th of the month, by completing the enclosed direct debit mandate. Employer’s signature You should enter the total amount of any employer contribution. Employer contributions are paid gross. Date (Day/Month/Year) G £ gross Please complete the direct debit instruction form enclosed to take effect on or about: 0 1 2 0 2 0 and/or 1 6 Please note all correspondence should be sent to the address shown at the top of the application and not to the registered address. Telephone calls may be recorded and monitored for security and training purposes. J.P. Morgan Trustee & Administration Services Limited is authorised and regulated by the Financial Conduct Authority. Registered Office: 25 Bank Street, Canary Wharf, London E14 5JP. Registered in England No. 1823867. GB H1008 03/15
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