Horizon international pension plan (Hipp)Qualified recognised overseas pension scheme (Qrops)
A p p l i c At i o n f o r m :H i p p Q r o p S
H o r i z o n Q r o P Si n t e r n at i o n a l p e n s i o n p l a n s
H o r i z o n Q r o P Si n t e r n at i o n a l p e n s i o n p l a n s
A p p l i c At i o n f o r m :H i p p Q r o p S
Definition: the Horizon international pension plan (“Hipp” or “plan”) has been accepted by HMrC as a Qualified recognised overseas pension scheme
(“Qrops”) to which Gower pensions Management limited (“GpMl” or “trustee”) are trustee. it is a multi-member scheme governed by one master
trust deed to which GpMl are trustee. a “Member’s Fund” is established for each “Member” and is segregated from other Members’ assets.
note: the Horizon international pension plan normally only invests in standard asset Classes via an investment platform or insurance wrapper, as
defined in section 10, clause 6 of the Code of practice and Conditions (enclosed). should you require non-standard asset Classes then please refer to
your adviser or GpMl for further information.
introduction
this application Form should only be completed by the applicant and where applicable their Financial adviser. this form should be read in conjunction
with the current edition of our Code of practice and Conditions of the plan. See Section 10 of the Application.
please ensure you complete all sections. Failure to provide all relevant information and supporting documentation will result in a delay to the
application being processed. Further information may be required during the processing of this application.
to assist you in ensuring all relevant documentation is included when submitting your application to us please complete the following checklist.
cHeckliSt
please ensure that all relevant certified documentation is enclosed with this application.
Certified copy of applicants passport – see section 8 for guidance.
Certified copy of applicants address verification – see section 8 for guidance.
please ensure the following documentation is included when submitting your application
appropriately completed and signed discharge paperwork for each transfer.
Hmrc form ApSS263 – this form must be completed by the applicant for each pension transfer.
any relevant Hmrc cA1881-1890-1894-1895 forms.
2
2. detAilS of finAnciAl AdViSer
2.1 AdViSer detAilS
Full name
Firm
telephone
Facsimile
address
Will fees be payable to the adviser? (if yes, please complete section 2.2)
Yes no
2.2 AdViSer commiSSion/fee ArrAngement
initial commission/fee* %
annual commission/fee* %
additional information on commission/fee arrangements
note: Commission/fees will be paid from pension funds received into the scheme.
* initial and annual commission/fee can be either a percentage of your plan fund or
fixed sum (eg. £1,000)
3. propoSed trAnSfer
please indicate below the current estimated pension value to be
transferred to the plan.
(please note further details of existing pension plans will be required in section 5)
£
are monthly contributions to be made to the plan? Yes no
if yes, please indicate anticipated level of monthly contribution.
£
note: GpMl may seek verification of your source of wealth in accordance with the anti
money laundering procedures issued by the Guernsey Financial services Commission.
Has professional advice been provided? (if yes, please complete section 2.1)
Yes no
1. perSonAl detAilS
title
Forename/s
surname
previous name/s
Date of Birth
Gender Male Female
Marital status Married single
other (please specify)
Country of tax residency
Date left UK for tax purposes
occupation & Job title (if retired, please state retired, plus former occupations)
principal residential address
Home telephone
Facsimile
Mobile
the trustee’s principal form of correspondence will be via email to the
email address provided above. if email is not to be used please tick here.
Correspondence address (if different from residential address)
3
4. inVeStment mAnAgement StrAtegY
4.1 inVeStment StrAtegY Selection
the trustees require the appointment of a professional investment
manager. please indicate below your preferred option.
i. GpMl appoint a investment manager (note 1)
ii. You can nominate your own investment manager,
please complete section 4.4 (note 2)
note 1. A discretionary investment manager will charge an annual management
fee typically between 1% and 1.5% of fund value.
note 2. nominated investment manager is subject to trustee approval.
Where i have nominated an investment manager under this section
of this application i recognise my responsibility in any subsequent
appointment of this investment manager and therefore agree to hold
harmless and indemnify the trustees against any loss or liability that may
arise from this appointment.
4.2 riSk profile
risk profile undertaken with your financial adviser Yes no
Copy of risk profile provided with application Yes no
attitude to risk (please indicate the risk rating which best illustrates your risk profile)
low Medium High
1 2 3 4 5
notes on your risk profile
4.3 time HoriZon (Anticipated benefit date)
please outline when you anticipate commencing taking benefit from the
plan (please tick).
0 to 3 yrs 3 to 5 yrs 5 to 10 yrs 10 yrs +
indicated age at anticipated benefit date
notes
4.4 nominAted inVeStment mAnAger
please outline details of your nominated investment Manager
name
Company
telephone
address
please outline your requirements for the trustees to consider
Do you wish the trustees to accept investment instructions directly
from your nominated investment Manager without the trustees referral
to yourself?
Yes no
if “no” is selected your written approval/agreement on each investment
will be required.
4.5 inVeStment plAtform/Bond
is an investment platform or bond to be held within your plan?
Yes no
if yes, please provide details of your nominated platform or bond to be used
4
5. exiSting penSionS
6. feeS
additional information
HIPP - THe HorIzon InTernaTIonal PensIon Plan
initiAl fee
a one-off formation fee of £795.00 covering the set-up and asset transfer.
AnnuAl mAnAgement cHArge (Amc)
£795.00 annual Management Charge.
noteS:
please note that additional third party charges may be incurred
in administering the structure, in particular where the structure is
complex or unique to the Member’s requirements. For certain complex
arrangements or where unique to the Member’s requirements additional
Gower pensions Management limited (GpMl) charges may also be
applied. these charges will be discussed on a case by case basis and such
charges will normally be notified and agreed in advance.
Disbursements: Gower pensions Management limited as trustee reserve
the right to recover disbursements and out-of-pocket expenses, such as
third party charges, direct from the plan.
if your fund is transferred to another administrator, a termination fee of
£1,500.00 will apply.
all fees will be paid directly from your fund with the annual Management
Charge typically being paid annually in advance and is non refundable. the
calculation date for the annual Management Charge will be based on the
anniversary date of the trustee appointing the Member to the plan.
any retrocessions or commissions received from financial institutions
may be retained by GpMl (or any associated business within the Gower
Group). these can typically be up to 0.5% of funds under management.
please provide details below of any approved pensions you wish to
transfer to the plan. if possible please provide authorised Discharge Forms
for each pension.
penSion 1
provider
name of scheme
type of scheme
transfer value £
penSion 2
provider
name of scheme
type of scheme
transfer value £
penSion 3
provider
name of scheme
type of scheme
transfer value £
penSion 4
provider
name of scheme
type of scheme
transfer value £
5
7. BeneficiArY nominAtionS After memBer’S deAtH
Upon your death any remaining fund assets will be held for the benefit of
your estate. However if you would like to make alternative arrangements
GpMl will consider written requests from you regarding who you would
like to benefit and to what extent.
please confirm whether you would like to nominate beneficiaries.
Yes no
if yes, please nominate your chosen beneficiaries and their contact details
together with the percentage share of benefits you wish them to receive
from your fund in the event of your death within the relevant section below.
iMportant notes
1) if a designated beneficiary does not survive the other beneficiaries, their share
maybe distributed in proportion to the remaining beneficiaries share of benefits.
2) if no beneficiaries are nominated or if none of the beneficiaries survive the
Member, the total amount shall normally be paid to the Member’s estate.
3) should you wish to change beneficiaries or include further beneficiaries, please
provide details to the trustees via a letter of wishes.
8. client due diligence
as part of GpMl’s client due diligence procedures certified copies of the
client’s passport and a utility bill verifying their address are required.
please complete either the below instructions or a Client Verification Form
(copy available on website or on request).
8.1 certified copY pASSport
please provide an original certified copy of your passport. the copy
must be certified by a suitable Certifier (as detailed in 8.5) and suitable
Certification Wording for a passport (as detailed in 8.3) must be used.
8.2 AddreSS VerificAtion
please provide a utility bill to verify your address. this must be no more
than three months old and must be either an original utility bill or a
copy of an original certified by a suitable Certifier (as detailed in 8.5) and
suitable Certification Wording (as detailed in 8.4) must be used.
8.3 SuitABle certificAtion Wording for A pASSport
“i certify this to be a true Copy of the original document, which i have
seen, and that the photograph shown is a true likeness of the person
named therein.”
8.4 SuitABle certificAtion Wording for A utilitY Bill
“i certify this to be a true Copy of the original document, which i have seen.”
6
7.1 nominAted BeneficiArieS
BeneficiArY 1
Full name
address
relationship
share of benefits (%)
BeneficiArY 3
Full name
address
relationship
share of benefits (%)
BeneficiArY 2
Full name
address
relationship
share of benefits (%)
BeneficiArY 4
Full name
address
relationship
share of benefits (%)
9. plAn termS & declArAtion
9.1 ApplicAtion declArAtion
any reference to the singular will also have reference to the plural and
visa versa.
i confirm to you as the trustee of the plan, that i have been advised by you
to take independent financial, legal and taxation advice on the proposed
transfer to the plan and that i have made such enquiries and taken
such financial, legal, taxation and other advice as i consider necessary
concerning all possible implications concerning the proposed transfer and
your trusteeship of the plan. i acknowledge that you have not given me any
tax advice concerning the proposed transfer or the implications of the
proposed transfer on my circumstances or on the circumstances of any
other person likely to be affiliated with or benefiting from the plan.
in transferring out of my existing pension scheme/s, i understand and
accept that i may be giving up any guarantees, protected rights and
benefits associated with the scheme/s and i am satisfied that i have
obtained appropriate advice in respect of my proposed transfer/s.
i confirm that i do not require you to complete any tax returns or other
related information nor to establish a tax agent in respect of the proposed
transfer in any jurisdiction as i shall take full responsibility for making all and
any reports necessary in respect of any tax liabilities emanating from the
proposed transfer or its execution making use of the information you supply
to me on the affairs of the plan. i therefore indemnify you against any
and all claims arising in respect of any assessments for taxation matters
and associated penalties and damages in connection with the proposed
transfer to the plan where you have followed my requirements above.
Where i have nominated an investment manager under section 4.1 of this
application i recognise my responsibility in any subsequent appointment of
this investment manager and therefore agree to hold harmless and indemnify
the trustees against any loss or liability that may arise from this appointment.
all fees and charges relating to the advice have been disclosed to me
including any fees and charges for any underlying structures and investments.
i shall notify the trustee when any of my circumstances, or those of
persons for whom i act, materially change. if i fail to notify the trustee
of any material changes to my circumstances, or those of persons for
whom i act, i shall hold the trustee harmless with respect to any liability
that may arise as a result of my failure to notify the trustees accordingly,
for example the trustee failing to make all necessary reporting and
failing to take all other actions necessary to comply with the applicable
requirements of any relevant tax authorities.
i declare that the above particulars are true and correct to the best of my
knowledge and belief. i have carefully read this form prior to completion
and i am responsible for the accuracy of the information submitted.
i confirm that i have read and understood the Code of practice and
Conditions contained in section 10 of this application and agree to act in
accordance there with.
applicant signed
print applicant name
Date
9.2 finAnciAl AdViSer declArAtion
i, the adviser detailed in section 2.1, confirm that:
u i have provided appropriate advice regarding the suitability of the
applicants proposed transfer to the plan.
u i am suitably qualified to provide this advice and meet the license
and regulatory requirements of the jurisdiction in which the advice is
being provided.
u all fees and charges relating to my advice have been disclosed to the
applicant including any fees and charges for any underlying structures
and investments.
u Where a transfer is from a scheme with any form of guarantee,
protected rights or defined benefits i have undertaken an appropriate
analysis and the applicant has been advised of any guarantees,
protected rights or defined benefits that will be lost as part of the
proposed transfer to the plan.
signed
print adviser name
Firm
Date
7
8.5 SuitABle certifierS
u officials from regulated Financial Businesses in Guernsey.
u a Director or officer from financial institutions regulated in equivalent
jurisdictions to Guernsey.
u Qualified GpMl staff members.
u the embassy, consulate, or high commission of the country of issue of
documentary evidence of identity.
u a member of the judiciary, a senior civil servant, or a serving police or
customs officer from an equivalent Jurisdiction.
u a lawyer or notary public who is a member of a recognised
professional body.
u an actuary who is a member of a recognised professional body.
u an accountant who is a member of a recognised professional body.
u a member of the institute of Chartered secretaries and administrators.
the Certifier must sign and date their copy, printing his/her name and
position below their signature as well as their full contact details. Where
available a company stamp should also be applied.
10. code of prActice And conditionS
1. InTroDUCTIon
i. the Horizon international pension plan is a retirement annuity trust
scheme and is an approved Defined Contribution retirement Benefit
plan established by way of an irrevocable trust Deed. this has been
approved under the provisions of section 157e of the income tax
(Guernsey) law 1975, as amended. Guernsey income tax approved
reference 7r.011866/t/BH.
ii. the Horizon international pension plan has been accepted by Her
Majesty’s revenue and Customs (“HMrC”) as a Qualifying recognised
overseas pension scheme (“Qrops ”) which allows for inward transfers
from approved UK pension schemes. the HMrC Qrops reference is
Qrops 504174.
iii. the Hipp is a multi-member scheme governed by a master trust deed.
a “Member’s Fund” is established for each “Member” and is segregated
from other Members’ assets and held for the benefit of the designated
Member only.
iv. the Hipp will normally only invest in standard assets as detailed in
section 6 of this Code of practice and Conditions.
the plan is administered by Gower pensions Management limited
(“GpMl”), a Guernsey company which is regulated and licensed by the
Guernsey Financial services Commission, in accordance with the regulation
of Fiduciaries, administration Businesses and Company Directors, etc
(Bailiwick of Guernsey) law, 2000. GpMl act as trustee to the plan.
2. TrUsTees’ role
a. independent trustee
GpMl will be an independent trustee of the plan and neither
Members, nor their relatives, may be trustees of the plan.
b. plan Approval and code of practice
i. GpMl will act in a manner so as to maintain Guernsey income tax
approval of the plan.
ii. GpMl will act in accordance with the Code of practice as issued by the
Guernsey Director of income tax for the plan as relevant and as guided
by the Guernsey income tax (a copy of the current Code of practice is
enclosed in appendix 1. it should be noted that this is subject to change.).
c. QropS Status
i. GpMl will act in accordance with the conditions and undertakings
it has made to HMrC in their application (apss 251) for Qrops
acceptance. these undertakings include:
u in the event of a recognised transfer, at least 70% of the funds
transferred will be used to provide an income for life.
u the pension benefits payable to the Member are not payable
before the Member reaches normal minimum retirement age
unless the ill-health condition is met.
u the trustee will comply with the prescribed reporting requirements
by HrMC as relevant from time to time (see section 11 – reporting).
ii. GpMl will act in a manner so as to maintain Qrops status for the plan.
3. servICes
GpMl are the provider of administration services for the establishment
and running of retirement annuity trusts and pension solutions. the
following services are provided by GpMl:
i. the setting up of bespoke structures and/or establishment of
applicant’s membership to the plan and creation of a Member’s Fund.
ii. setting up administration records.
iii. receipt of contributions/transfer(s) into and payments/transfer(s) out
of the plan.
iv. preparation of documentation to appoint investment manager to
Member’s Fund.
v. arranging investments for the Member’s Fund.
vi. reporting.
vii. Creation and maintenance of banking facilities.
viii. settlement and payment of benefits.
ix. trustee to the plan.
x. such other services as may from time to time be necessary to efficiently
administer the plan and comply with any regulatory or requirements
to maintain appropriate approvals, exemptions and/or acceptances.
4. Plan MeMbersHIP & elIgIbIlITy
the plan is suitable for most UK expatriates and is open to anyone over
18 years of age and under the age of 77 years.
u the plan is not available to Jersey residents;
u the plan is not available to Us or Canadian nationals;
u the plan can be available to a UK resident if they have a clear
intention of leaving the UK.
Membership to the plan is subject to the GpMl’s approval, following
receipt of an appropriately supplied application form and supporting
documentation as prescribed by GpMl from time to time. this includes
evidence of identity, residential address, source of funds and also may
include evidence on health and/or marital status.
5. Plan ConTrIbUTIons anD Transfers In
transfers are accepted into the plan at the discretion of GpMl and will
generally include any transfers from UK registered pensions whether
occupational or personal.
prior to any transfer/contribution GpMl may require clarification that the
applicant and/or Member has received independent advice with regard to
the consequences of effecting the transfer/contribution and any benefits;
guarantees; or bonuses that may have been applicable in the previous
scheme which may be lost on transfer.
applicants who are already receiving benefits (lump sum or drawdown)
may transfer into the plan, although the type of benefit may impact on
the proportion of future benefits that are available. an annuity already
purchased from a life insurance company can not be transferred to the plan.
GpMl may decline an applicant or transfer or contribution, even if the
applicant is eligible for a Qrops. GpMl may view that the transfer
scheme is imposing conditions on the transfer assets that GpMl are
unable to meet or are administratively burdensome or onerous.
in-specie transfers may be accepted, but will be at the discretion of GpMl.
prior approval will normally be required, which may include providing
supporting literature and/or advice, before any transfer and additional
charges may be incurred.
source of Wealth / Funds – the Member confirms:
i. they will declare and possibly evidence, the source and origin of any
contribution(s) and transfer(s) to the plan to GpMl prior to their receipt;
ii. that the assets contributed or transferred to the plan do not represent
the proceeds of criminal activity;
iii. if no disclosure is forthcoming, the applicant and/or Member
understands that GpMl will decline such contribution or transfer
being settled within the plan.
8
10. code of prActice And conditionS (continued)
6. InvesTMenT CHoICe anD vIabIlITy
a. investment options:
investment options are wide ranging and may include the following
type of standard asset classes:
i. Cash deposits and/or fixed income securities; equities (on recognised
exchanges); collective investment unit trusts and funds; life polices.
b. restrictions on investments:
all investment transactions must be carried out on a commercial basis.
GpMl retains discretion on the type of asset held or investment made
within the plan. GpMl may either decline to hold an asset (particularly if
non-standard or of a high risk or limited liquidity) or make an investment
or stipulate a maximum portion of the asset or the investment to be
held within the Member’s Fund. GpMl may also seek to be indemnified
against the holding or purchase of an investment which has been
recommended by the Member or their appointed Financial adviser.
c. investment manager
GpMl does not provide investment advice, nor acts as investment
manager to the Member’s Funds.
GpMl will appoint an investment manager to manage the Member’s
assets within the Member’s Fund. the Member may choose to
nominate an investment manager / investment adviser. the
investment manager will need to satisfy GpMl that they are suitably
qualified and competent to act as investment manager.
d. Viability
prior to establishing a plan, GpMl recommends that the applicant
satisfies themselves that Contributions and transfers into the plan will
be of an appropriate size in order to be cost effective in relation to
the administration costs, intermediary costs, investment management
costs and any other adviser costs that may be applicable.
e. investment objective and performance
the investment objective must be to provide benefits throughout the
Member’s retirement. Consideration will need to be given to cash flow
requirements, particularly prior to the payment of benefits. this may
preclude holding certain illiquid assets or liquidating assets at certain
times when benefits are being taken or about to be taken.
7. benefITs
Benefits paid from the plan will be paid gross of any Guernsey tax.
However, a tax liability may arise in the Member’s country of residence
(note: if the Member has been UK tax resident within the last five full tax
years preceding benefit payment then UK taxes may apply in accordance
with HMrC regulations.).
it is the responsibility of the Member or their beneficiaries to disclose
payments of benefits to their relevant tax authority. Unless expressly
agreed, GpMl will not be involved in, or responsible for, the Member’s or
their beneficiaries tax affairs relating to the plan.
a. retirement Benefit
i. lump sum
a single lump sum payment, up to 30%* of the value of the Member’s
Fund, is available at normal retirement date, in accordance with
Guernsey income tax parameters. this payment is only available at the
commencement of benefit and prior to regular benefit payments*.
* or as the law as amended, governing the deed may permit.
ii. drawdown/Annuity
regular payments from the Member’s Fund, either monthly, quarterly,
bi-annually or annually for the duration of the Member’s life or until
the funds within the Member’s Fund are exhausted (which ever should
occur sooner). Drawdown/annuity quotations will typically utilise one
of the following sources:
u UK Government actuary’s Department (“GaD”) tables;
u annuity tables on the UK Financial services authority (“Fsa”) website;
u recognised insurance company quotation;
u alternative Government actuary tables according to currency and/
or residency of Member as may be applicable;
u actuary Quotation (Cost of obtaining an actuary quotation will be
borne by the Member’s Fund).
the drawdown/annuity quotation may allow for no increases or
for annual increases of a fixed rate of up to the prescribed limit as
advised or published by the Guernsey income tax. Drawdown/annuity
payments and their terms and conditions may be reviewed at intervals
of typically not less than three years, at GpMl’s discretion.
GpMl may implement an alternative drawdown arrangement and review
period, as agreed by the Guernsey income tax from time to time, to
comply with HMrC Qrops requirements.
b. notification
the Member should notify GpMl in writing at least 3 months before
their selected retirement date of their election to either:
i. commence benefit and the requested retirement benefits, or
ii. defer benefit, providing GpMl with the revised retirement date, which
normally will be prior to the Member’s 77th birthday*.
* or as the law as amended, governing the deed may permit.
c. disability / incapacity Benefits
should the Member become incapacitated (due to permanent and total
disability) prior to normal retirement date, then the Member may be
able to commence benefits as per one of the retirement benefit options
outlined above. the Member will need to provide GpMl with satisfactory
information and evidence of incapacity and/or GpMl may verify
incapacity with any suitable authority that it may deem appropriate.
d. death Benefits
on receipt of proof of the Member’s death, GpMl will distribute any
residual value of the Member’s Fund as follows:
u to one or more of the Member’s spouse and/or dependents, and/or;
u to the Member’s estate;
u By payment to a new plan for the provision of benefits to one or more
of the Member’s spouse and/or dependents, for their future benefit.
When considering a payment GpMl will be guided by the Member’s wishes
as per the application Form/Deed of adherence or superseded request
(letter of Wishes) received in writing, subject to GpMl’s discretion.
8. rIsk faCTors
the value of the benefits that a Member may receive when they retire
is not guaranteed. it will depend on a number of factors, for example
the performance of the Member’s chosen investments, the amount of
contributions or transfers, the age at which benefits are taken and future
annuity and drawdown rates. in particular:
i. some investments carry a higher level of risk than others and the value
of the Member’s Fund could be lower than the total amount invested.
ii. investments into stock markets and/or exchanges and investments
linked to these fluctuate in value, as does any income derived from
them. past performance is not a reliable indicator of future returns.
9
10. code of prActice And conditionS (continued)
iii. inflation could reduce purchasing power of the Member’s Fund.
iv. the basis and amount of tax benefits could change in the future.
v. Governments and/or the laws and/or the policies of Guernsey, the
UK and/or another relevant jurisdiction relating to pensions and
retirement benefit could change in the future. this may affect the
benefits that a Member may take from the plan at retirement age.
9. CUrrenCy
Base currency for all Members’ Funds will normally be in sterling.
investments within the Member’s Fund may be invested in other currencies;
however the Member must realise that this may create a currency exposure,
where fluctuations with the rates of exchange may go down as well as up.
10. TerMInaTIon
this agreement will be terminated by either:
i. the last payment of the provision of benefits (retirement Benefit;
Death Benefit etc.) which have run their course and no residual value
relating to the Member is held within the plan or;
ii. the transfer out of funds to another corresponding scheme. a Member
may only transfer their Member’s Fund to a suitably approved/
accepted scheme, on no less terms than the Qrops, and this is
subject to GpMl’s discretion.
11. rePorTIng
a. trustee reporting
GpMl will report to the Guernsey income tax and to HMrC as per the
current obligations, and/or as requested from time to time as relevant.
Following a UK pension transfer, GpMl have undertaken to report to
HMrC any payment or deemed payment where the:
u Member is resident in the UK when the payment is made (or
treated as made), or
u payment is made (or treated as made) within the first ten years
after the date of receipt into the plan.
u Member has been UK tax resident within the last five full tax years.
b. member reporting
GpMl will provide annual statement relating to the Member’s Fund
including details of contributions and transfers received and/or
payments made. any other frequency or reporting will be by individual
arrangement agreed on establishment or as amended from time to
time. a cost may be incurred for additional or ad-hoc reporting.
12. CHarges
the charges of the plan are set out in the application Form, a copy of
which the applicant(s) acknowledges has been supplied to them. the
Member acknowledges that GpMl is able to recoup any third party
expenses incurred in administering the Member’s Fund, as billed directly,
from the Member’s Fund.
GpMl reserves the right to share its fee with any third party, including the
introducers of new business, at its sole discretion.
13. aDvICe
GpMl does not offer advice whether financial, legal or tax and nothing
provided to the applicant and/or Member whether verbally or in writing
whatsoever should be construed as financial, legal or tax advice.
applicants are recommended to obtain appropriate advice (tax, legal and
financial) prior to proceeding with a plan. the applicant and/or Member
hold GpMl harmless against any advice sought and the consequences of
them not seeking advice. GpMl rely on the applicant’s adviser to guide
them on the suitability of the retirement solution for them both on
establishment and in the future.
14. ConfIDenTIalITy anD DaTa ProTeCTIon
all information provided to GpMl will be treated as strictly private and
confidential.
For the purposes of the Data protection (Bailiwick of Guernsey) law, 2001,
the data controller in relation to any personal data supplied is GpMl.
information from an applicant and/or the Member may be processed, for the
purposes of administration by GpMl, by third parties who are appointed to
provide services to GpMl and by the applicant and/or Member’s professional
adviser. such processing may involve the transfer of data out of Guernsey.
the Member consents for GpMl (or any of its delegated third parties)
to share data relating to the Member, Member’s Fund and the plan, with
any appointed professional adviser by the Member as per the application
Form or by notice from the Member from time to time.
15. governIng law
this document shall be construed in accordance with the laws of the
island of Guernsey and the parties submit to the exclusive jurisdiction of
the island of Guernsey courts.
if there is a conflict or inconsistency between the application Form, this Code
of practice and Conditions, and the trust Deed, the trust Deed will prevail.
16. oTHer InforMaTIon
GpMl have the right to make any amendment to these Code of practices
and Conditions in order to comply with a change of applicable law or
regulation and best practice.
please note that all information in this document regarding contribution
or transfers to the plan, benefits payments or transfers made from the
plan, the Member’s tax position and otherwise is subject to any change in
the laws of Guernsey, the UK and other relevant jurisdiction from time to
time. any such change in the laws may have retrospective effect.
this document is based on GpMl’s current understanding and
interpretation, as at March 2012.
Gower pensions Management limited is licensed by the Guernsey
Financial services Commission. its company registration number is 46231
and its registered office is at suite 2, Weighbridge House, le pollet,
st. peter port, Guernsey, GY1 1Wl.
10
ref: Qrops-Horizon-Cop-V3-22032012
For more information please contact:
Gower pensions Management limitedpo Box 129, suite 2, Weighbridge Housele pollet, st peter port, Guernsey GY1 4eH
telephone +44 (0)1481 700200Fax +44 (0)1481 740550email [email protected]
Company registration number 46231
Gower pensions Management limited is licensed by the Guernsey Financial services Commission
ref: p003-Qrops-Hipp-app-V3-22032012
Qualifying Recognised Overseas Pension Schemes– Member information
APSS263 Page1 HMRC03/12
About this formUsethisformtogiveyourschemeadministratortheinformationtheyneedtotransfersumsorassetsheldwithinaregisteredpensionschemetoaQualifyingRecognisedOverseasPensionScheme(QROPS).TheschemeadministratorwillneedthisinformationbeforeproceedingwithyourtransferrequestandHMRevenue&Customsmayasktoseethis.
PleasereadtheAPSS263Notes,theywillhelpyoufillinthisform.
Tax charges
TherearecircumstancesinwhichyoumayhavetopayUKtaxonthistransferorlaterpaymentoutoftheoverseasschemeevenifyouarenotresidentintheUK.
Tofindoutwhatyoucanexpectfromusandwhatweexpectfromyougotowww.hmrc.gov.uk/charter andhavealookatYour Charter.
About you
1 Your full name
Title
Surname
First name(s)
2 National Insurance number
If you have contacted Jobcentre Plus and are not entitled to a National Insurance number, please give the reason why
3 Your date of birth DD MM YYY
4 Your principal residential addressThis must not be a PO Box number or c/o the
scheme manager
Country
5 If the address given in the previous question is not in the UK, please give your last principal address in the UK
Postcode
Country
If you don’t have a previous UK address, please tick this box
6 Your contact phone number
Page2
Acknowledgement
11 I am aware that:
In some circumstances a transfer of funds might not be a recognised transfer and may be treated as an unauthorised payment giving rise to a liability to pay tax in the UK.
In some circumstances a future payment made or treated as made by a QROPS may be treated as an unauthorised payment giving rise to a liability to pay tax in the UK.
To the best of my knowledge and belief the information given in this form is correct and complete
Signature
Date DD MM YYYY
About the QROPS receiving the transfer
7 HMRC reference numberThis is the QROPS reference number, allocated to the
scheme by HMRC, when the notification that it met
the requirements to be a recognised overseas pension
scheme was acknowledged
QROPS
8 Name of QROPS
9 Address of QROPS
Country
10 Country in which QROPS is established and regulated
Gower Pensions Management Limited
PO Box 129, Suite 2
Weighbridge House
St. Peter Port
Guernsey, GY1 3EH
Guernsey