Deed. Deed of appointment to appoint a beneficiary absolutely under the Wealth Preservation Trust: discretionary trust. Notes

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This deed is intended to be used by the trustees a Wealth Preservation Trust holding: A Wealth Preservation Bond, issued by Canada Life Limited A Wealth Preservation Account, issued by Canada Life International Limited A Wealth Preservation Europe Account, issued by Canada Life International Assurance (Ireland) DAC Deed appointment to appoint a beneficiary absolutely under the Wealth Preservation Trust: discretionary trust Deed The purpose this deed is to appoint an absolute beneficiary OR absolute beneficiaries under a Wealth Preservation Trust: discretionary trust in respect one or more policies held by the trustees. Where separate policies are being appointed to different absolute beneficiaries a deed must be completed for each beneficiary in respect their policies. This deed is provided as a draft to be considered by you and your pressional adviser. We can accept no responsibility for the tax or any other consequences arising out you executing this deed, or for ensuring that the deed meets with your requirements. We recommend that s obtain their own pressional tax advice. Notes The deed must be completed by the s the discretionary trust.

Deed Appointment This Deed is made on the You must date this deed using the date that the last person signs BY The Trustees ( the s ) This Deed Appointment is supplemental to: 1. the Wealth Preservation Trust: Discretionary Trust ( the Settlement ) described in the First Schedule below 2. all and any other documents concerning the Settlement WHEREAS (A) Words and expressions defined in the Settlement shall have the same meanings in this deed where the context so admits (B) The s are the present trustees the Settlement (C) No relevant Trust Period has expired (D) The Settlement Period has not expired (E) By clause 6 the Settlement (subject to the provisions clause 12) the s have an overriding power appointment in respect each Sub-Trust Fund ( the Power Appointment ) (F) The Trustees wish to exercise the Power Appointment as set out below Deed appointment to appoint a beneficiary absolutely under the wealth preservation trust: discretionary trust 2

NOW THIS DEED WITNESSES as follows 1. In exercise the Power Appointment and every other power (if any) enabling them, the Settlement Trustees HEREBY IRREVOCABLY APPOINT that as from the date this deed the capital each Sub-Trust Fund represented by all the beneficial interest in the rights powers and privileges conferred by and the benefits payable under the Corresponding Policy more particularly described in the Second Schedule below shall be held by the s upon trust absolutely freed and discharged from the trusts, powers and provisions the Settlement for the Beneficiary or Beneficiaries named in the Third Schedule below and if more than one in the percentages described in the Third Schedule below as beneficial tenants in common 2. The foregoing exercise the Power Appointment does not benefit the Settlor 3. The foregoing exercise the Power Appointment shall not invalidate any prior payment transfer or application all or any part any Sub-Trust Fund or the income there made under any power conferred by the Settlement or by law 4. This deed shall be governed by the laws England and Wales First Schedule The Wealth Preservation Trust: Discretionary Trust created by the Deed Assignment and Settlement dated and known as the made by (1) (Insert name the Settlement shown in Part 4 the Settlement) (Insert the name the Settlor shown in Part 1 the Settlement) and (2) the s Second Schedule Company and / Description Policies Please tick as appropriate Canada Life Limited: Wealth Preservation Bond Canada Life International Limited: Wealth Preservation Account Canada Life International Assurance (Ireland) DAC: Wealth Preservation Europe Account Date Policies issued Relevant Sub-Trust number(s) and Account number(s) Relevant Corresponding Policy number(s) Please note that the relevant Corresponding Policy number(s) are the Policy(ies) which are being appointed under this deed. The relevant Sub-Trust number(s) will be identical to the Corresponding Policy number(s) Deed appointment to appoint a beneficiary absolutely under the wealth preservation trust: discretionary trust 3

Third Schedule Add full details the Beneficiary(ies) the Settlement who is to benefit under this deed. The person(s) must be a Beneficiary(ies) as stated in Part 5 the Settlement and/or Additional Beneficiaries previously appointed by deed in accordance with clause 4 Part 6 the Settlement NB: The Settlor cannot be named as a Beneficiary. If more than one Beneficiary is to receive benefits under this deed, the total Beneficiary percentages must equal 100. (date birth) (date birth) (date birth) (date birth) Deed appointment to appoint a beneficiary absolutely under the wealth preservation trust: discretionary trust 4

and tick small boxes where appropriate Signatures In witness the s have executed this deed on the day and year mentioned above Signed and delivered as a deed by the first Print name first Signature first Signed and delivered as a deed by the second Print name second Signature second Signed and delivered as a deed by the third Print name third Signature third Deed appointment to appoint a beneficiary absolutely under the wealth preservation trust: discretionary trust 5

Signed and delivered as a deed by the fourth Print name fourth Signature fourth Signed and delivered as a deed by a corporate Print name Director Signature Director Print name Director/ Company Secretary Signature Director/ Company Secretary OR (if only one Director has signed) Deed appointment to appoint a beneficiary absolutely under the wealth preservation trust: discretionary trust 6

Canada Life Limited, registered in England no. 973271. Registered fice: Canada Life Place, Potters Bar, Hertfordshire EN6 5BA. Telephone: 0345 6060708 Fax: 01707 646088 www.canadalife.co.uk Member the Association British Insurers. Canada Life International Limited, registered in the Isle Man no. 33178. Registered fice: Canada Life House, Isle Man Business Park, Douglas, Isle Man IM2 2QJ. Telephone: +44 (0) 1624 820200 Fax: +44 (0) 1624 820201 www.canadalifeint.com Member the Association International Life Offices. Canada Life International Assurance (Ireland) DAC, registered in Ireland no. 440141. Registered fice: Irish Life Centre, Lower Abbey Street, Dublin 1, Ireland Telephone: +44 (0) 1624 820200 Fax: +44 (0) 1624 820201 www.canadalifeinternational.ie Member the Association International Life Offices. Canada Life Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Canada Life International Limited and CLI Institutional Limited are Isle Man registered companies authorised and regulated by the Isle Man Financial Services Authority. Canada Life International Assurance (Ireland) DAC is authorised and regulated by the Central Bank Ireland. CL00764 518R Deed appointment to appoint a beneficiary absolutely under the wealth preservation trust: discretionary trust 7