The Pearson Pension Plan

I confirm that all the information entered is correct and that the Annual Allowance tax charge has been calculated correctly.

I understand that once my request for Scheme Pays has been submitted it cannot be withdrawn.

I confirm that I would like the Trustee to pay the Annual Allowance tax charge for the tax year 2021/22 directly to HMRC by deducting the equivalent amount from my pension.

I understand that my benefits in the Plan will be adjusted to take account of the tax that will be paid on my behalf.

I have declared the Annual Allowance tax charge on my Self Assessment tax return for the tax year shown.

I understand that if any additional tax charge becomes due because of any incorrect statement I have made that I will be wholly and personally liable for any additional tax charge and any resultant penalty imposed by HM Revenue & Customs

I am aware that it is my responsibility to ensure that submitting this form will have the desired effect on my financial affairs and that the Trustee of the Plan recommends I seek independent financial advice to assist with this decision (You can find an independent advisor in your area on the MoneyHelper website. The Trustee of the Plan is unable to provide me with financial advice.

The Trustee, as the controller under the applicable data protection legislation in the UK, uses certain personal information about you to (amongst other reasons) communicate with you and administer your benefits in the Plan. Your information is shared with the Plan’s administrators, other providers of services to us, and public bodies such as HM Revenue & Customs. For more detailed information on how we use and disclose your information, the protections we apply, the legal bases we rely on and your data protection rights, please see our privacy notice at www.pearson-pensions.com/privacy-notice/ - This link opens in a new browser window. If you would like a copy of our privacy notice to be sent to you, please contact the pensions helpline.

I confirm I understand that the data I provide will be used as outlined in the data protection statement.