Self-Certification High Net Worth.

HIGH NET WORTH INVESTOR STATEMENT

Please confirm whether you qualify as a high-net-worth investor on the basis that A or B apply to you.

In the last financial year did you have:

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An annual income of £100,000 or more? Income does NOT include any one-off pension withdrawals

• Yes
• No

If yes, please specify your income (as defined above) to the nearest £10,000 in the last financial year:

Net assets of £250,000 or more? Net assets do NOT include: your home (primary residence), your pension (or any pension withdrawals) or any rights under qualifying contracts of insurance

• Yes
• No

If yes, please specify your net assets (as defined above) to the nearest £100,000 in the last financial year:

Or None of these apply to me

• Yes

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