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ELTA MEMBER QUESTIONNAIRE |
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The following questionnaire (see below) is required by Clark Wilmott for them to proceed. You can download it in one of the following formats:
CLARKE
WILLMOTT ELTA
MEMBER QUESTIONNAIRE Each annuity holder should
complete a separate questionnaire. Where an annuity policy has
spouses/partners benefits attached only one questionnaire is required. Please
complete as much of the questionnaire as you can with reference, if necessary,
to your policy documents. If you do
not have sufficient room please continue on a separate sheet. 1.
Contact Details Your
name
. Date of birth
... Partners
name
.....
Date of birth
Address
Telephone No.
Mobile No. ..
Fax No.
.
Post code
. E-mail address .. 2.
Policy Details Please provide details of your
annuity policy(ies) below and confirm whether or not any of them were purchased
with policies which contained Guaranteed Annuity Rates (GARs)
If you have more than 6
policies please continue on a separate sheet. 3.
Details of Advice This information will assist us
to assess whether or not it is appropriate to include you in the group action. Please give as much detail as you can about the advice you
were given. If you have more than one
annuity and your answers to the following questions will differ with each policy
then please continue on a separate sheet listing the policy number(s) and your
relevant answers. Policy No(s) .
If
your policy contained GARs please answer the following: 9.
Did you know at the time you took your annuity that the policy had a GAR?
YES/NO 10.
Were you told what your fund value would be if you took the GAR?
YES/NO 11.
If so, what value were you told?
£
.. 12.
Were you given a GAR illustration?
YES/NO 13.
If so, what GAR annuity was quoted?
£
. 4.
Annuity Reductions
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