RESIDENCE AND DOMICILE

Self Spouse/Partner

Are you UK resident? Yes q No q Yes q No q

Please advise if you do not

know or you are unsure ______________________________________________

Are you UK domiciled? Yes q No q Yes q No q

Please advise if you do not

know or you are unsure ______________________________________________

Where do you intend to reside in the

foreseeable future and in retirement? ______________________________________________

 

PROFESSIONAL ADVISERS/CONTACTS

Capacity Name & Address Name of contact Telephone/Fax Number

Accountant ______________________ _____________________ ___________

______________________ ___________

______________________

Solicitor ______________________ _____________________ ___________

______________________ ___________

______________________

Bank ______________________ _____________________ ___________

______________________ ___________

______________________

Stockbroker ______________________ _____________________ ___________

______________________ ___________

______________________

Financial

Adviser ______________________ _____________________ ___________

______________________ ___________

______________________

Doctor ______________________ _____________________ ___________

______________________ ___________

______________________

Please indicate and give details where different for spouse/partner:

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