In this Deed, unless the context otherwise provides, the masculine shall include the feminine and the singular the plural and vice versa. The following expressions shall have the meanings stated below:

continued

1 DEFINITIONS

2 PLAN DETAILS

3 TRUST DATE

4 PARTIES

Insert the date of the original Declaration of Trust (dd/mm/yyyy)

Prefix (if applicable) Plan number Policy number (if applicable)

a) Appointers

i) First appointer Full name

ii) Second appointer (if applicable) Full name

Please note: • BEFORE YOU DATE AND SUBMIT THIS DEED, THE PLAN(S) TO WHICH IT RELATES MUST ALREADY BE IN FORCE.• This draft document is provided strictly as a draft for consideration by the Settlor’s legal advisers.

Old Mutual Wealth accepts no responsibility for any loss of whatsoever nature occasioned by the adoption unamended or otherwise of this draft trust document.

• Any advice given on completion of this deed is accordingly given on the basis that, having discussed the trust terms with legal advisers, the draft trust put forward for consideration is adopted duly completed but otherwise unamended.

• All references to Old Mutual Wealth in this Deed mean, Old Mutual Wealth Limited or Old Mutual Wealth Life & Pensions Limited.Please use BLOCK CAPITALS only and blue or black ink. If any sections are incomplete, we will return the form for completion.

The Appointer will be the Settlor, unless there is also a Protector, in which case the Protector will be the Appointer. If there is no Settlor or Protector the Appointer will be the continuing Trustee(s). Insert the full name of the Appointer, including middle names. Do not use initials.

For Protect plans, insert prefix ‘CI1’ or ‘LC1’ followed by the plan number.

Guidance notes only - they do not form any part of the Deed.

DEED APPOINTING ADDITIONAL TRUSTEES

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Acceptance Date the ‘acceptance date’ or ‘start date’ stated in our correspondence for new plans

Additional Trustee the person(s) identified in section 4b)

Appointer the person(s) identified in section 4a), with the power to appoint additional trustees and whose details can usually be found in the Trust Deed

Continuing Trustees the persons who are Trustees of the Trust at the date of this Deed

Plan the bond/plan/account issued by Old Mutual Wealth, as detailed in section 2

The Trust the Declaration of Trust made in respect of the Plan(s) on the date shown in section 3

Trust Fund the property held by the Continuing Trustees.

continued

Full address

Full address

Date of birth (dd/mm/yyyy)

Date of birth (dd/mm/yyyy)

Executed as a Deed on (dd/mm/yyyy)

Company registration number (if applicable)

Company registration number (if applicable)

Postcode

Postcode

4 PARTIES (continued)

5 DECLARATION AND SIGNATURES

Insert the full name of the Additional Trustee, including middle names. Do not use initials.

If you wish to appoint more than two Additional Trustees you must fully complete a further deed.

Insert the date on which you complete this deed. Before you date and submit this deed, the plan(s) to which it relates must already be in force.

Where you are appointing additional trustees to a trust for a new plan, for the appointment to be valid, this deed must be dated on or after the later of the Trust date and the Acceptance Date.

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b) Additional Trustees being appointed by this Deed

i) First additional trustee Full name

The parties of this draft Deed declare as follows:

1. The Appointers: a. confirm they have the power under the Trust and the Trustee Act 1925 to appoint Additional Trustees b. hereby appoint the Additional Trustee(s) to be a Trustee for all the purposes of the Trust with effect

from the date of this Deed to act jointly with the Continuing Trustees c. assign and convey the Trust Fund (as defined in the Trust) and the Plan to themselves, the Continuing

Trustees and to the Additional Trustee(s) as Trustee(s) of the Trust.

2. The Additional Trustee(s) accepts the appointment.

ii) Second additional trustee (if applicable)

Full name

2 0

www.oldmutualwealth.co.ukPlease be aware that calls and electronic communications may be recorded for monitoring, regulatory and training purposes and records are available for at least five years.

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.

0011/220-0454/May 2020

For Old Mutual Wealth to comply with anti-money laundering legislation, it will be necessary to see proof of the identity and address of the Appointers, all Trustees and any Protector, if not already provided.

IDENTIFYING THE PARTIES

5 DECLARATION AND SIGNATURES (continued)

Signature

Signature

Signature

Signature

Name of first Appointer

Name of second Appointer

Name of first Additional Trustee

Name of second Additional Trustee

In the presence of:Name of witness

In the presence of:Name of witness

In the presence of:Name of witness

In the presence of:Name of witness

Witness Signature

Witness Signature

Witness Signature

Witness Signature

Address

Address

Address

Address

The witness:• must be at least 18

years old• must not be a Settlor,

Beneficiary or Trustee of the Trust

• must give his full name, including middle names

(not initials).

The same person can witness all signatures, in which case we only need the witness’s address to be completed once.

We may make the personal information available to a third party by electronic or other means for the purposes of verifying identity in accordance with the Money Laundering Regulations.

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