dps Select / WITHDRAWALINSTRUCTION
Part 1 – InvestorAccount Details
Investor Account Number*
Investor Account Name*
Part 2 – My Adviser
Adviser Firm Name* / Adviser Firm FCA Number
Adviser Name* / Adviser FCA Number
Part 3 – Withdrawal Details
Lump Sum Redemption
Please note that the remaining account balance must exceed the minimum investment size, as stated in the applicable mandate, or we reserve the right to redeem the whole of your investment and close your Account.
Withdrawal Amount / £
Or, if a full redemption please tick the box
Regular Withdrawal Instruction
Please note this Instruction will replace any existing Regular Withdrawal Scheme in place.
RegularWithdrawal Amount / £ / Frequency / Monthly
Part 4 – Investor Confirmation of Withdrawal Instruction
This Investor Confirmation of Withdrawal Instructionis dated: / day of / , / 20
To: The Custodian (Praemium Administration Limited)
I [PRINT FULL NAMES BELOW]
Primary Client
declare that I would like to redeem the amounts stated above from my account as indicated at the top of this form.
By signing below, I also confirm my understanding that:-
- redemption amounts are payable when the underlying proceeds are received (some less liquid assets may take longer to redeem);
- my instruction is irrevocable once the instruction has been processed; and
- proceeds will be sent to the bank account included on the original application form, unless you have since instructed us of a change to account details via written instruction.
Primary Investor/Authorised Signatory
Name
Signature
This Withdrawal Instruction Form must be mailed to:
Praemium Administration Ltd, PO Box 60294, London, EC2P 2DL
Praemium Administration Ltd: 4th Floor Suite 643-659 Salisbury House London Wall London EC2M 5QQ T: +44 (0)844801 0700 F: +44 (0)207 562 2451
E: W:
Registered Office Address:4th Floor Suite 643-659 Salisbury House London Wall London EC2M 5QQ Company Registration No. 06016828 (England and Wales) VAT No. 100 1037 06
Praemium Administration Ltd is authorised and regulated by the Financial Conduct Authority under reference 463566
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