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Important notes
This deed is provided as a draft to be considered by you and your professional adviser. We can accept no
responsibility for the tax or any other consequences arising out of you executing this deed, or for ensuring that the
deed meets with your requirements.
This draft deed is a standard document designed only for use with RL360 plans which are written under Isle of Man law.
Who is this form for?
This form is for owners of RL360 plans who want to give all or part of their plan away to someone else. If you assign all
of your plan to someone else, you will no longer own it. This means you will have no legal right to any plan benefits. If
you assign part of your plan to someone else, you will have no legal right to the part which you assign away.
You can only use this deed to give your plan (or part of your plan) away absolutely. This means that you cannot
place any conditions or restrictions around the assignment.
Are there any instances in which this deed cannot be used?
Yes there are, these include:
using this deed with any plan that is not issued by RL360 or governed by the law of the Isle of Man
assigning your plan as collateral against a loan
where the assignee is under the age of 18.
Completing this deed
If you mke a mistake as you complete the deed, either sign your initials next to the changes or complete a new deed.
Please ensure the deed is dated when submitted.
Where a plan is being assigned from a trust, please ensure that all of the trustees sign as ‘Assignors’.
Once this deed has been fully completed, please return it along with the original plan documents and any previously
issue endorsements to the plan documents to RL360. Evidence of identity and evidence of address will also be required
for the Assignee(s). Full details of what is required and accepted as evidence are detailed at the end of this form.
Where a plan is being assigned in full, we will stop any payments currently being made from the plan to the plan
owner. New income payment arrangements may then be established by the new plan owner(s) if required by
completing our Withdrawal Request Form.
Where only part of a plan is being assigned, we may suspend any payments currently being made from the plan to
the plan owner until the part assignment has been completed on our systems.
If this deed is not fully completed and/or we are missing any of the required evidence documents, we will be
unable to register the assignment.
Please note that RL360 will be unable to deal with the Assignee(s) until we have received the appropriate
identification and address verification documents.
Specified US Person
Specified US Person means a US citizen or tax resident individual who has a US residential/correspondence
address or who either holds a US Passport, a US Green Card or who was born in the US and has not yet renounced
their US citizenship.
More information on US FATCA can be found at www.irs.gov/Businesses/Corporations/Foreign-Account-Tax-
Compliance-Act-FATCA.
If you choose Yes to being a Specified US Person, you will need to provide us with your US Taxpayer Identification
Number (TIN) or US Social Security Number (SSN).
If you choose No but you have a US residential/correspondence address, hold a US Passport, a US Green Card or
you were born in the US, you will need to provide us with documentary evidence that you are in the process of or
have renounced your US Citizenship. RL360 can accept a certied copy of your DS-4083 form (also known as CLN –
Certificate of Loss of Nationality) and/or a certified copy of your passport in which you are obtaining new citizenship.
Where should I send the completed deed?
Alterations Team, RL360, International House, Cooil Road, Douglas, Isle of Man, IM2 2SP, British Isles
.
DRAFT DEED OF
ASSIGNMENT
BY GIFT
SERVICING
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If you are assigning individual segments only and it is the intention for those segments to remain in force, please contact
technical@rl360.com in the first instance as this may not be possible on your product and/or there may be restrictions once
the assignment has taken place.
Please complete in BLOCK capitals throughout.
Please see page 1 for a denition of Specified US Person and for the information a Specified US Person must provide.
This Deed of Assignment is made on
day of
year
.
Between:
Assignor 1 Assignor 2
Full name of current
plan owner
Address
(hereinafter called the Assignor(s)) of the one part and
Assignee 1 Assignee 2
Full name of new
plan owner
Address
Email address
Contact number
Date of birth (dd/mm/yyyy)
Country of birth
Country or countries of
tax residence
Tax Identification Number
(TIN)
If unavailable, provide a functional equivalent (eg National Insurance Number, Social Security Number, resident registration
number)
Are you a Specified Yes No
Yes No
US
Person?
If you tick “Yes”, please
conrm your US TIN
or SSN.
The denition of a Specified US Person can be found in the Notes section on Page 1.
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For companies and corporate trustees
If you are a company assignee (not a Corporate Trustee), in addition to this form you will be required to complete an
Automatic Exchange of Information Entity Self-Certification Form along with Individual Self-Certification Forms for your
controlling person.
Company name
Correspondence address
and postcode
Country or countries
of tax residence
Company tax reference
number(s)
FATCA GIIN (if applicable)
(hereinafter called the Assignee(s) of the other part)
Whereas:
A. The Assignor(s) is/are legally entitled to the plans of life assurance or capital redemption (“the Plans”) specified in the
Schedule to this deed.
B. The Assignor(s) wishes/wish to assign the Plans to the Assignee(s) absolutely.
C. The Assignor(s) warrant(s) that no party has a charge or lien on the plans.
D. Delivery of a copy of this Deed to RL360 shall constitute the filing of notice of the assignment of the said Plan with the full
benet thereof in the manner required by the conditions of the Plan.
E. The Assignor(s) and Assignee(s) have taken appropriate legal advice to the electiveness of this deed.
This deed witnesses as follows:
1. The Assignor(s) hereby assign to the Assignee(s) the Plans and all monies assured by or to become payable under the said
Plan and the full benefit thereof.
2. This Deed is governed by, and shall be construed in accordance with, Isle of Man Law. The parties agree to submit to the non-
exclusive jurisdiction of the Isle of Man Courts.
Schedule (you will find these details on your plan schedule)
Plan reference
Do you wish to assign the whole
Whole Plan segments*
plan or individual plan segments?
(Please tick the relevant box)
*If it is the intention for those segments to remain in force, please contact technical@rl360.com in the first instance as this
may not be possible on your product and/or there may be restrictions once the assignment has taken place.
Name of Assignee
Number of plan segments
Name of Assignee
Number of plan segments
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To be completed by all current plan owners
Please ensure all of the signatures below are witnessed by an independent person, over 18 and not a relative of the person
whose signature is being witnessed.
First Assignor/Trustee/Authorised Signatory Second Assignor/Trustee/Authorised Signatory
Full name
Signature
Witness
Full name
Residential
address
Signature
To be completed by all new plan owners
First Assignee/Trustee/Authorised Signatory Second Assignee/Trustee/Authorised Signatory
Full name
Signature
Witness
Full name
Residential
address
Signature
Data Protection
This form collects your personal data. We require your personal data so we can provide you with services relating to the
performance of your contract. You may ask us to stop processing your data, however this may disrupt the services RL360 can
provide to you or may stop us being able to assist you. To find out how long we will keep your data, please refer to our privacy
policy at www.rl360.com/privacy. Any data you provide to RL360 may be shared, if allowed by law, with other companies both
inside and outside of RL360 and to persons who act on your behalf. Data and information about you can be transferred outside
of the Isle of Man and RL360 may be required to provide it to its regulator, its government or anyone else required by law.
RL360 will use your data and information to allow for the administration of your plan, prevent crime, prosecute criminals and for
market research and statistics. RL360 will, at all times, make sure that your data and information is only used in ways that are
allowed by law.
You can receive a copy of the information RL360 holds about you free of charge by writing to our Data Protection Ocer at:
RL360, International House, Cooil Road, Douglas, Isle of Man, IM2 2SP, British Isles, or by emailing dpo@rl360.com. We can reserve
the right to not send you your personal data in some circumstances - if we do we will write to you setting out the reasons why.
Our full privacy policy can be viewed at www.rl360.com/privacy or can be obtained by requesting a copy from our Data
Protection Ocer.
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Evidence required where the Assignee is an individual
Documents that can be accepted as satisfactory evidence of
identity
A valid ‘full’ passport
A national ID card (carrying a photograph)
Where the above documents are not available, please phone
us on +44 (0)1624 681682 or email alterations@rl360.com.
Documents that can be accepted as satisfactory evidence of
current residential address
A current driving licence
A utility, rates or council tax bill. The utility bill should be
no more than 3 months old. Mobile telephone bills are not
acceptable
An entry in a local telephone directory
An extract from the ocial register of electors
A state pension, benefit book or other government
produced document showing benefit entitlement
A tax assessment document
An account statement from a bank or bank credit card.
Statements featuring a “care of” or accommodation address
are not acceptable. Non-bank cards, such as store cards are
not acceptable.
Proof of ownership or rental of the residential address
Proof of payment for a PO Box service (which must also
show your current residential address), where the PO Box is
shown is also your correspondence address
A mortgage statement
Evidence required where the Assignee is an Individual Trustee
Suitably certified identity and current residential address
documentation for each trustee
Suitably certified copy of the trust deed and any
subsequent deed(s) of appointment or retirement
Evidence required where the Assignee is a Company
A full list of directors
Suitably certified certificate of incorporation
A copy of the latest annual report and accounts (only
required where available)
Suitably certified documentation verifying registered
address
Suitably certified identity documentation for your named
executive director and director or two partners in a
partnership
A full list of authorised signatories (including board
resolution for public limited companies) showing ocers
from whom we can take instructions and including
specimen signatures. For charities (only) we will require
suitably certified identity documentation for at least two
signatories, and where possible, these should be dierent to
the two named directors
Suitably certified identity documentation for all shareholders
or those with a beneficial interest of 25% or more.
Evidence required where the Assignee is a Corporate Trustee
The same as where the Assignee is a company but in
addition we need a suitably certified copy of the trust deed
together with any copies of any subsequent deed(s) of
appointment or retirement.
Suitably Certified Copy Documentation
We can accept certification of copy documents by your
financial adviser, assuming they hold established Terms of
Business with us and, where appropriate, have been granted
Suitable Certier Status. Please consult your financial adviser
to determine if they can certify your documents.
Where Suitable Certier status is not held, we will only accept
certification by one of the following ‘Suitable Certiers’:
a British Embassy ocial
a Notary Public (or equivalent)
a lawyer
an accountant who is a member of an institution or other
professional organisation imposing on its members
a requirement to abide by AML obligations or who is
regulated by a regulatory organisation
a member of the judiciary.
The certifier must:
add the statement ‘Certified as a true copy taken from the
original’
sign and date the copy document on all pages
print their name clearly in BLOCK CAPITALS underneath
their signature
record the capacity or position in which they are certifying
the document
add their company name or ocial stamp or seal.
The documents which we receive must contain the original
certification and stamp.
Automatic Exchange of Information
Automatic Exchange of Information (AEOI) is the United
States Foreign Account Tax Compliance Act (FATCA) and
the Organisation of Economic Cooperation and Development
(OECD) Common Reporting Standards (CRS). Under these
tax regulations and intergovernmental agreements entered
into by the Isle of Man, we are required to collect information
which may be exchanged by the Isle of Man Government with
other jurisdictions.
If the Assignee(s) are a Company or a Trust where Individuals
act as Trustees (not Corporate Trustees), you will need to
complete our AEOI Entity Self-Certification Form for the entity.
Please also arrange to have completed an AEOI Individual Self-
Certification Form for each controlling person of the entity.
Details of who is considered to be a controlling person under
AEOI can be found in our AEOI Definitions document which
can be found here:
www.rl360.com/generic/downloads/tech032.pdf.
The AEOI Entity and Individual Self-Certification Forms can
be found here: www.rl360.com/row/downloads/forms.htm.
TRU031o 03/21
RL360 Insurance Company Limited. Registered Oce: International House, Cooil Road, Douglas,
Isle of Man, IM2 2SP, British Isles. Registered in the Isle of Man number 053002C. RL360
Insurance Company Limited is authorised by the Isle of Man Financial Services Authority.