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COLLECTIVE RETIREMENT ACCOUNTSeparate your crystallised and uncrystallised funds

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You can take income withdrawals from specific funds (‘fund-specific income’) where your existing Collective Retirement Account (CRA) contains solely crystallised funds*.

Where an account includes both uncrystallised and crystallised funds, these must be separated in order for you to be able to take fund-specific income*. Otherwise income withdrawals and the income withdrawal charge will be taken proportionally across all crystallised funds.* Fund-specific income is not available if you invest using our Managed Portfolio Service.

The purpose of this form is for you to instruct us to separate your crystallised and uncrystallised funds. It includes a table to explain the process and our requirements.

The new account will be set up on Charge Basis 3. You can find out more about Charge Basis 3 in the Terms and Conditions for the Collective Retirement Account, which you can obtain from us, your financial adviser or from our website www.oldmutualwealth.co.uk

Once you have separated your crystallised and uncrystallised funds using this form, you can then provide us with instructions for ‘fund-specific income’ by completing an Income Withdrawal Amendment form.

It is important you understand all of the implications of the process involved and we therefore recommend you speak to your financial adviser first.

Fully Uncrystallised fundsContains both Uncrystallised funds and Crystallised funds

You want to crystallise additional funds and take income withdrawals from specific funds.

Option 3 This involves crystallising some of your existing account before moving the remaining uncrystallised funds into a new account on Charge Basis 3. Tax-free cash and income will be paid from your existing account.See note 2,3 & 4.

What we need:• A completed Benefit

Crystallisation Event Request for Income Drawdown to confirm details of the specific fund choice for income withdrawals for your existing account.

• Your financial adviser to complete a new online application for a new account under the New Business Retirement application to transfer the remaining uncrystallised funds to a new account.

• An Adviser Fee Authorisation form completed for the new account, where applicable.

• The form overleaf completed for all the remaining uncrystallised funds to be transferred into a new account.

You want to take your existing income withdrawals from specific funds.

Option 4This involves moving the uncrystallised funds into a new account on Charge Basis 3. Crystallised funds will remain in your existing account.See note 3 & 4.

What we need:• Your financial adviser to

complete a new online application for a new account under the New Business Retirement application to transfer the uncrystallised funds to a new account.

• An Adviser Fee Authorisation form completed for the new account, where applicable.

• A completed Income withdrawal amendment for the CRA form to select specific funds for your income on your existing account.

• The form overleaf completed for all uncrystallised funds to be transferred into a new account.

Option 1 This involves moving the amount to be crystallised into a new account on Charge Basis 3. The balance of uncrystallised funds will remain in your existing account. Tax-free cash and income will be paid from the new account.See note 1 & 3.

What we need:• A completed Benefit

Crystallisation Event Request for Income Drawdown to confirm details of the specific fund choice for income withdrawals for the new account.

• Your financial adviser to complete an online application for a new account and select the option ‘take immediate maximum tax-free cash’ .

• An Adviser Fee Authorisation form completed for the new account, where applicable.

• The form overleaf completed specifying the amount to be moved into the new account.

Option 2This involves crystallising part of your existing account before moving the remaining uncrystallised funds into a new account on Charge Basis 3. Tax-free cash and income will be paid from your existing account.See note 2,3 & 4.

What we need:• A completed Benefit

Crystallisation Event Request for Income Drawdown to confirm details of the specific fund choice for income withdrawals for your existing account.

• Your financial adviser to complete an online application for a new account under the New Business Retirement application to transfer the remaining uncrystallised funds.

• An Adviser Fee Authorisation form completed for the new account, where applicable.

• The form overleaf completed to move all of the remaining uncrystallised funds into the new account.

You want to crystallise part of your fund and take income withdrawals from specific funds.

HOW IS YOUR EXISTING COLLECTIVE RETIREMENT ACCOUNT MADE UP?

• Please be aware that if your account has any form of fixed or enhanced protection, this protection will be lost if you separate your crystallised and uncrystallised funds.!

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Name

Existing CRA number

New CRA application number (Your financial adviser can provide this.)

Uncrystallised amount to be transferred to the new account:

If you have selected Option 1, please specify the amount to be transferred

If you have selected Option 2, 3 or 4, we will transfer your remaining uncrystallised funds into a new account.

Note: the specified value will be applied to your new account on the same day.

Note: we will sell all units held in your uncrystallised funds before using the proceeds to invest in the new application. This may take between 3-5 working days from when funds are sold to when the new funds are bought.

I request Old Mutual Wealth Life & Pensions Limited to transfer the uncrystallised funds detailed in Section B from my existing CRA into the new account shown above.

I understand that when transferring from my existing account it may take 3-5 working days to sell my existing units and to purchase units in my chosen funds to my new account.

I understand that my new account will be set up on Charge Basis 3.

I confirm that the changes requested in this form have been explained to me and I understand the consequences they may have.

SignedDate

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Please select one of the following options using the table on page 1 for reference:

Option 1 Option 2 Option 3 Option 4

£

Note 1 – Tax-free cash will be paid from the new account within 3-5 working days following submission of the immediate tax-free cash application. This is in accordance with our standard terms for an immediate tax-free cash application.

Note 2 – Tax-free cash will be paid within 10 working days following submission of the application. This is in accordance with our standard terms for crystallising monies within an account.

Note 3 – Where funds are transferred to a new account, the relevant funds will be sold from the existing account and units will be purchased for the new account. It may take 3-5 working days from when the funds are sold to when the new funds are bought.

Note 4 – If regular contributions are to continue being paid into the new account your financial adviser will need to submit a regular contribution application.

Note 5 – If you have already created a new account to split your crystallised and uncrystallised funds and you now wish to crystallise further funds, this can be done through a top-up application on the same basis as Option 1.

To ensure your application is dealt with correctly and to avoid any delay in processing your request, please complete all sections below

Section A Account holder details

Section B New account details

Section C Declaration

www.oldmutualwealth.co.uk

Calls may be monitored and recorded for training purposes and to avoid misunderstandings.

Old Mutual Wealth is the trading name of Old Mutual Wealth Limited which provides an Individual Savings Account (ISA) and Collective Investment Account (CIA) and Old Mutual Wealth Life & Pensions Limited which provides a Collective Retirement Account (CRA) and Collective Investment Bond (CIB).

Old Mutual Wealth Limited and Old Mutual Wealth Life & Pensions Limited are registered in England and Wales under numbers 1680071 and 4163431 respectively. Registered Office at Old Mutual House, Portland Terrace, Southampton SO14 7EJ, United Kingdom. Old Mutual Wealth Limited is authorised and regulated by the Financial Conduct Authority. Old Mutual Wealth Life & Pensions Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Their Financial Services register numbers are 165359 and 207977 respectively. VAT number 386 1301 59.

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Non UK Tax – If you are subject to tax in any country outside the UK, please contact your tax specialist, to understand whether you will be liable for tax in that country.