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Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Page 1
This Application Form (this form) is part of the Product Disclosure Statement dated 26 October 2018 (‘PDS’) relating to units in the Lincoln Australian Income Fund (Fund) issued by Equity Trustees Limited (Equity Trustees) (ABN 46 004 031 298, AFSL 240975).
• ThePDScontainsinformationaboutinvestingintheFund.YoushouldreadthePDSbeforeapplyingforunitsintheFund.
• ApersonwhogivesanotherpersonaccesstotheApplicationFormmustatthesametimeandbythesamemeansgive the other person access to the PDS.
• LincolnwillprovideyouwithacopyofthePDSandtheApplicationFormonrequestwithoutcharge.
US Persons:This offer is not open to any US Person. Please refer to the PDS and Reference Guide for further information.
General Instructions:• Ifcompletingbyhand,useablackorbluepenandprintwithintheboxesinBLOCKLETTERS.
• Useticksinboxeswhereapplicable
• Theapplicant(s)mustprint,completeandsignthisform.
• PleaseensureyoucompleteALLrelevantsections(providedinthetableinSection1)beforesubmittingthisform.
• YouMUSTprovidealltheIDrequirementsasoutlinedinthetableinSection1.
• Pleaseseepage2ofthisformfordetailsonhowtocertifyyourIDdocuments.
• YouMUSTcompletetheUnitedStatesTaxform(FATCA)evenifyouarenotaUScitizenorresidentfortaxpurposes(Section 9).
• IfyouareaFinancial Planner or Adviser and are completing this form on behalf of your client then please ensure you also complete Section 7 of this form.
• Ifyouwouldliketogivea third party authorityonthisinvestmentthenpleaseensureyoucomplete Section 6 of this form.
• Ifyoumakeanerrorwhilecompletingthisform,donotusecorrectionfluid.Crossoutyourmistakesandinitialyourchanges.
• KeepaphotocopyofyourcompletedApplicationFormforyourrecords.
• Communicationswillbeemailedtoyousopleaseensureyouprovidea current email address.
• If you have any queries, please contact us on 1300 676 333 or [email protected].
Lodging the form:Pleasesendthecompletedapplicationform,alongwithyourpayment(ifit’sacheque)anddocumentsthatverifyyourIDto:
LINK Market Services Limited PO Box 3721 Rhodes NSW 2138 Australia
Contacting the Fund InvestmentManager: Lincoln Indicators Pty Ltd Ph. 1300 676 333 Email: [email protected]
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Anti-Money Laundering & Counter Terrorism Financing Requirements:
TheAML/CTFActrequirestheResponsibleEntitytoadoptandmaintainananti-moneylaunderingandcounter-terrorismfinancing(‘AML/CTF’)complianceprogram.TheAML/CTFcomplianceprogramrequirestheResponsibleEntitytoverifyyouridentificationandtherequirementsareprovidedinthetableinSection1ofthisForm.Theprogramalsorequiresongoingcustomerduediligence,whichmayrequirethecollectionoffurtherinformation.
Please note:• Non-Englishlanguagedocumentsmustbetranslatedbyanaccreditedtranslator.
• Applicationsmadewithoutprovidingthisinformationcannotbeprocesseduntilallthenecessaryinformationhasbeenprovided.
• Ifyouareunabletoprovidetheidentificationdocumentsdescribedpleasecalluson1300676333.
Certified ID documents:
AllcertifiedIDdocumentsprovidedmustbeoriginalcertifieddocuments.Thismeansthatyoumustprovidethecopythatisactuallysignedbythecertifieranditmustbesentbypost(cannotbeemailedorfaxed)withyourapplication.
Who can certify documents?• PoliceOfficer
• MedicalPractitioner
• Pharmacist
• Judge
• Lawyer
• JusticeofthePeace
• NotaryPublic
• Magistrate
• AgentoftheAustralianPostalCorporationwhoisinchargeofanofficesupplyingpostalservicestothepublic (egPostOfficeemployee)
• Fulltimeemployeeoffinancialservicecompany(includingabank)orholderofanAustralianfinancialserviceslicense (musthave2ormoreconsecutiveyears’experience)
• ARegistrarorDeputyRegistrarofacourt
• AmemberoftheInstituteofCharteredAccountantsinAustralia(CPAorNationalInstituteofAccountantsmembership, with2ormoreconsecutiveyearsofmembership)
• Commissionerfordeclarations
Page 2
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Page 3
Section 1 – Introduction
DoyouhaveanexistinginvestmentintheLincolnAustralianIncomeFund?
YES – please contact Lincoln Indicators for a different application form.
NO–onlycompletethesectionsrelevanttoyou,asindicatedbelow:
Name the account will be held in (eg:JSmithATFSmithFamilySuperFund):
Account type
Select One
Account Type
Sections to Complete
Starting Page Number
Identification Requirements
Individual(s) 1
2 8 9 10
3 5 14 17 22
Eachindividualinvestor,individualtrustee,partner,beneficialowner,orindividualagentorauthorisedrepresentativemustprovideone certified copyofthefollowingprimaryphotographicID:• AcurrentAustraliandriver’slicence(orforeignequivalent)thatincludesaphotoand
signature• AnAustralianpassport(notexpiredmorethan2yearspreviously)• AnidentitycardissuedbyaStateorTerritoryGovernmentthatincludesaphoto• Acurrentpassport(orsimilar)issuedbyaforeigngovernmentortheUnitedNations(UN)(oranagencyoftheUN)thatincludesyourphotographandsignature
IfyoudoNOTownoneoftheaboveIDdocuments,pleaseprovideonevalidoptionfromColumnAandonevalidoptionfromColumnB.
Column A (certified copy) Column B
• Australianbirthcertificate• Australiancitizenshipcertificate• PensioncardissuedbyDepartmentofHumanServices
• AdocumentissuedbytheCommonwealthoraStateorTerritorywithinthepreceding12monthsthatrecordstheprovisionoffinancialbenefitstotheindividualandwhichcontainstheindividual’snameandresidentialaddress.
• AdocumentissuedbytheAustralianTaxationOfficewithinthepreceding12monthsthatrecordsadebtpayablebytheindividualtotheCommonwealth(orbytheCommonwealthtotheindividual),whichcontainstheindividual’snameandresidentialaddress.BlockouttheTFN before scanning, copying or storing this document.
• Adocumentissuedbyalocalgovernmentbodyorutilitiesproviderwithinthepreceding3monthswhichrecordstheprovisionofservicesto that address or to that person (the document mustcontaintheindividual’snameandresidential address).
• Ifundertheageof18,anoticethat:wasissuedtotheindividualbyaschoolprincipalwithinthe preceding 3 months; and contains the name and residential address; and records the period oftimethattheindividualattendedthatschool
Partnership(s) 1
3 8 9 10
3 8 14 17 22
Provideidentificationasoutlinednextto‘Individuals’foreachpartner(s)andbeneficialowner(s)ofthePartnershipandoneofthefollowing:• Acertifiedcopyorcertifiedextractofthepartnershipagreement.• AnoticeissuedbytheAustralianTaxationOffice(“ATO”)withinthelast12months.• AnoriginalorcertifiedcopyofacertificateofregistrationofbusinessnameissuedbyagovernmentagencyinAustralia.
• Acertifiedcopyorcertifiedextractofminutesofapartnershipmeeting.
Alltheabovemustshowthefullnameofthepartnership.
Thebeneficialownersofapartnershipincludepartnerswitha25%partnershipshareormore;partners(ifany)whocontrolthepartnership;anymanagingpartner.Ifindoubt,foundingpartnersshouldbeconsideredbeneficialowners.
tablecontinuedover
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Page 4
Account type continued
Select One
Account Type
Sections to Complete
Starting Page Number
Identification Requirements
Trusts (e.g.SMSF’s)
1 2 45 8 9 10
3 5 9 14 17 22
RegisteredManagedInvestmentScheme,RegulatedSuperannuationFund(includingaSelf-ManagedSuperFund),GovernmentSuperannuationFundoratrustregisteredwiththeAustralianCharitiesandNot-for-profitCommission(ACNC).
Provideidentificationasoutlinednextto‘Individuals’foreachIndividualTrustee(s)or identificationasoutlinednextto‘AustralianCompanies’,‘ForeignCompanies’or‘Agent/AuthorisedRepresentative’forCorporateTrustee(s)andprovideoneofthefollowing:
• Acopyofthecompanysearchoftherelevantregulator’swebsitee.g.APRA,ASICortheATO database
• Acopyorrelevantextractofthelegislationestablishingthegovernmentsuperannuationfundsourcedfromagovernmentwebsite.
• AcopyfromtheACNCofinformationregisteredaboutthetrustasacharity
AlltheabovemustshowtheTrust’sfullnameandtype(i.e.registeredmanagedinvestmentscheme, regulated superannuation fund (including a self- managed super fund) or governmentsuperannuationfund).
Other Trusts (unregulated) (e.g. Family Trusts)
1 458 9 10
3 9 11 14 17 22
Mustprovideidentificationasoutlinednextto‘Individuals’foreachIndividualTrustee(s)oridentificationasoutlinednextto‘AustralianCompanies’,‘ForeignCompanies’or‘Agent/AuthorisedRepresentative’forCorporateTrustee(s)andprovideidentificationasoutlinednextto‘Individuals’foreachbeneficialownerofthetrustandinrelationtotheTrust,one of the following:
• AcertifiedcopyorcertifiedextractoftheTrustDeed• Annualreportorauditedfinancialstatements• AcertifiedcopyofanoticeissuedbytheATOwithintheprevious12months• Signedmeetingminutes
AlltheabovemustshowthefullnameoftheTrust,itstrustees,theappointer(thepersonauthorisedtoappointorremovetrustees)andthesettloroftheTrust(ifany).
Abeneficialownerofatrustisanyindividualwhohasa25%ormoreinterestinthetrustorcontrolsthetrust.Thisincludestheappointorof(whoholdsthepowertoappointorremovethetrusteesofthetrust),thesettlorof,andthebeneficiarieswithatleasta25%interestin,atrust.
Australian Companies
1 58 9 10
3 11 14 17 22
Mustprovideidentificationasoutlinednextto‘Individuals’foreachbeneficialowner(s),and fortheCompanyprovideoneofthefollowing(mustclearlyshowtheCompany’sfullname,type(privateorpublic)andACN):
• Acopyofinformationregardingthecompany’slicenceorotherinformationheldbytherelevantCommonwealth,StateorTerritoryregulatorybodye.g.AFSL,RSE,ACLetc.
• Afullcompanysearchissuedintheprevious3months;• AcertificateofCompanyRegistration;• IfthecompanyislistedonanAustraliansecuritiesexchange,providedetailsoftheexchangeandtheticker(issuer)code;
• IfthecompanyisamajorityownedsubsidiaryofacompanylistedonanAustraliansecuritiesexchange,providedetailsoftheexchangeandtheticker(issuer)codefortheholding company
Abeneficialownerofacompanyisanycustomerentitled(eitherdirectlyorindirectly)toexercise25%ormoreofthevotingrights,includingapowerofveto,orwhoholdsthepositionofseniormanagingofficial(orequivalent).
Foreign Companies
1 58 9 10
3 11 14 17 22
Provideidentificationasoutlinednextto‘Individals’foreachbeneficialowner/s,and in relation to the foreign company, oneofthefollowing:
• Acertifiedcopyofthecompany’sCertificateofRegistrationorincorporationissuedbyASICortheequivalentissuedbytheforeignjurisdictionsinwhichthecompanywasincorporated, established or formed.
• Acertifiedcopyofthecompany’sarticlesofassociationorconstitution.• AcopyofacompanysearchontheASICdatabaseorrelevantforeignregistrationbody.
Allofabovemustclearlyshowthecompany’sfullname,itstype(i.e.publicorprivate)andtheARBNissuedbyASIC,ortheidentificationnumberissuedtothecompanybytheforeignregulator.
Abeneficialownerofacompanyisanycustomerentitled(eitherdirectlyorindirectly)toexercise25%ormoreofthevotingrights,includingapowerofveto,orwhoholdsthepositionofseniormanagingofficial(orequivalent).
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
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You must also complete the following if you are a third party or if you would like to appoint a third party authority:AllAgentsandAuthorisedRepresentativesmustalsoprovideacertifiedcopyoftheirauthoritytoactfortheinvestore.g.thePOA,guardianshiporder,ExecutororAdministratorofadeceasedestate,authoritygrantedtoabankruptcytrustee,authoritygrantedtothe State or Public Trustee etc.
Select One
Account Type
Sections to Complete
Starting Page Number
Identification Requirements
Authorised representative or agent
6 12 Individualagent–mustprovideidentificationasoutlinedinthistablenextto‘Individuals’onpage 2.
Corporateagent–mustprovideidentificationasoutlinednextto’AustralianCompanies’or‘ForeignCompanies’inthetableabove.
PowerofAttorney
6 12 YoumustattachanoriginalcertifiedcopyofavalidPowerofAttorney.Thedocumentmustbesignedbytheapplicant/investorandmustbecurrentandcomplete.
Thedocumentmustpermityoutotransactonbehalfoftheapplicant/investor(soitmustbeafinancialorenduringPowerofAttorney).
FinancialAdviser 7 13 Corporateagent–mustprovideidentificationasoutlinednextto‘ForeignCompanies’or
‘AustralianCompanies’inthetableabove.
Section 2 – Individual(s) or Individual Trustee(s)
2.1 Type of investor
Tickoneboxonlyandcompletethespecifiedpartsofthissection.
Individual – complete 2.2
Jointly with another individual(s) – complete 2.2, 2.3 and 2.5
Individual trustee(s) for a trust – complete 2.2 and 2.3 (also complete section 4)
Sole Trader – complete 2.2 and 2.4
Individual trustee for an individual–complete2.2,2.3and2.5(ifthereismorethanoneindividualtrustee)
2.2 Investor 1Title GivenName(s) Surname
TelephoneNumber(includingCountryCode)(daytime) DateofBirth(DDMMYY) TaxFileNumber(TFN)–orexemptioncode
ReasonforTFNExemption
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Street Address (not a PO Box)Unitnumber Streetnumber Streetname
Suburb State Postcode
CountryofBirth
Whatisyouroccupation?
Doyouholdaprominentpublicpositionorfunctioninagovernmentbody(local,state,territory,nationalorforeign)orinaninternationalorganisationorareyouanimmediatefamilymemberorabusinessassociateofsuchaperson?
No
Yes,pleasegivedetails
Areyouaforeignresidentfortaxpurposes?
No
Yes,pleaseadvisecountryofresidence
Doyouholddualcitizenship?
No
Yes,pleaseadvisewhichcountries
2.3 Investor 2
Title GivenName(s) Surname
TelephoneNumber(includingCountryCode)(daytime) DateofBirth(DDMMYY) TaxFileNumber(TFN)–orexemptioncode
ReasonforTFNExemption
Residential Address (not a PO Box)Unitnumber Streetnumber Streetname
Suburb State Postcode
CountryofBirth
Whatisyouroccupation?
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
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Doyouholdaprominentpublicpositionorfunctioninagovernmentbody(local,state,territory,nationalorforeign)orinaninternationalorganisationorareyouanimmediatefamilymemberorabusinessassociateofsuchaperson?
No
Yes,pleasegivedetails
Areyouaforeignresidentfortaxpurposes?
No
Yes,pleaseadvisecountryofresidence
Doyouholddualcitizenship?
No
Yes,pleaseadvisewhichcountries
2.4 Sole Trader Details
Business Name (if applicable, in full) Australian Business Number (ABN) (if obtained)
Unitnumber Streetnumber Streetname
Suburb State Postcode
Country
2.5 Signing Authority
Pleaseticktoindicatesigningrequirementsforfuture instructions(e.g.withdrawals,changeofaccountdetails,etc.)
Onlyoneinvestorrequiredtosign
Allinvestorsmustsign
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
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Section 3 – Partnerships
3.1 General InformationFull Name of Partnership
RegisteredBusinessNamesofPartnership(ifany)
CountrywherePartnershipisestablished
TaxFileNumber(TFN)–orexemptioncode
ReasonforTFNExemption(ifapplicable)
3.2 Type of PartnershipIsthepartnershipregulatedbyaprofessionalassociation?
(Needonlygiveinformationbelowforpartnerswitha25%orgreaterinterestor,iftherearenosuchpartners,forjustonepartner.)
Yes,pleaseprovidedetails
Name of Association
MembershipDetails
No,providenumberofpartnersandpartnerdetailsbelow:
NumberofPartners: Partner 1Title GivenName(s) Surname
TelephoneNumber(includingCountryCode)(daytime) DateofBirth(DDMMYY)
Unitnumber Streetnumber Streetname
Suburb State Postcode Country
CountryofBirthEmail
Doesthispartnerholdaprominentpublicpositionorfunctioninagovernmentbody(local,state,territory,nationalorforeign)orinaninternationalorganisationoristhepartneranimmediatefamilymemberorabusinessassociateofsuchaperson?
No
Yes,pleasegivedetails
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
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Partner 2Title GivenName(s) Surname
TelephoneNumber(includingCountryCode)(daytime) DateofBirth(DDMMYY)
Unitnumber Streetnumber Streetname
Suburb State Postcode Country
CountryofBirthEmail
Doesthispartnerholdaprominentpublicpositionorfunctioninagovernmentbody(local,state,territory,nationalorforeign)orinaninternationalorganisationoristhepartneranimmediatefamilymemberorabusinessassociateofsuchaperson?
No
Yes,pleasegivedetails
Section 4 – Trust / Superannuation Fund
4.1 General InformationFull Name of Trust or Superannuation Fund (Full Name of Business, if any)
CountrywhereTrustestablished
TaxFileNumber(TFN)–orexemptioncode
ReasonforTFNExemption(ifapplicable)
Australian Business Number (ABN)*
* See page 21 of the Application Form for terms and conditions relating to the collection of TFNs and ABNs.
4.2 Trustee Details
Howmanytrusteesarethere?
Individual(s) – at least one trustee must complete Section 2 of this form
Company – at least one trustee must complete Section 5 of this form
Combination –atleastonetrusteefromeachinvestortypemustcompletetherelevantsectionofthisform
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
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4.3 Type of Trust
Regulated Trust(includingSelfManagedSuperannuationFunds)
NameofRegulator(e.g.ATO,ASIC,APRA)
Registered Managed Investment Scheme
AustralianRegisteredSchemeNumber(ARSN)
Other Trust (also complete section 4.4 and 4.5)
Please describe
4.4 BeneficiariesCompletethissectionONLYifyouticked‘OtherTrust’in4.3
Does the Trust Deed name beneficiaries?
Yes,howmany?
Providethefullnameofeachbeneficiary:(Ifmorethan8,pleaseprovideasanattachment)
1 2
3 4
5 6
7 8
No,describetheclassofbeneficiary:(e.g.thenameofthefamilygroup,classofunitholders,thecharitablepurposeofcharityname)
4.5 Beneficial OwnersCompletethissectionONLYifyouticked‘OtherTrust’inSection4.3.
PleaseprovidethefullnameofanyBeneficialownerofthetrust.ABeneficialownerofatrustisanyindividualwhohasa25%ormoreinterestinthetrustorcontrolsthetrust.Thisincludestheappointorofthetrust(whoholdsthepowertoappointorremovethetrusteesofthetrust),thesettlorofthetrust,andbeneficiarieswithatleasta25%interestinthetrust.AllbeneficialownerswillneedtoprovideAML/CTFverificationdocumentsasperpage2.
*Settlorexemption*Pleasenotethereisanexemptionwheredeceasedsettlorsorsettlorstoatrustlessthan$10,000uponestablishment,donotrequireverification.
Doesanybeneficialownerholdaprominentpublicpositionorfunctioninagovernmentbody(local,state,territory,nationalorforeign)orinaninternationalorganisationoristhebeneficialowneranimmediatefamilymemberorabusinessassociateofsuchaperson?
No
Yes,pleasegivedetails
Pleaseprovidethe full name of the settlorofthetrustwheretheinitialassetcontributiontothetrustwasgreaterthan$10,000and the settlor is not deceased.
1 2
3 4
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
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Section 5 – Company / Corporate Trustee
5.1 Company Type
Australian Proprietary Company or non-listed public company – complete Sections 5.2 and 5.4
Australian Listed Public Company – complete Section 5.2
Foreign Company – complete all of Section 5
5.2 Company DetailsCompanyName ACN/ABN(ifregisteredinAustralia)*
TaxFileNumber(TFN)–orexemptioncode
ReasonforTFNExemption
Contact detailsNote for non-Australian companies: youmustprovidealocalagentnameandaddressifyoudonothaveaprincipalplaceofbusinessinAustralia.
FullName(s)ofContactPersonTelephoneNo(inc.countrycode)Email
Registered Street Address (not a PO Box)Unitnumber Streetnumber Streetname
Suburb State Postcode Country
Principal place of business in Australia
Tickifthesameasabove,otherwiseprovide:
Registered Street Address (not a PO Box)Unitnumber Streetnumber Streetname
Suburb State Postcode
5.3 Additional Details for non-Australian Company
TickifthecompanyisregisteredwithASICAustralianRegisteredBodyNumber(ARBN)
Tickifthecompanyisregisteredwitharegulatorybody
NameofRegulatoryBody CompanyIdentificationNumberIssued(ifany)
Countryofformation,incorporationorregistrationCompanytype(egprivatecompany)
Registered Company Address (Not PO Box) Unitnumber Streetnumber Streetname
Suburb State Postcode Country
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LAIF-APP 26 October 2018
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5.4 Beneficial ownera. Senior Managing Official and controlling person: All proprietary or non-listed public domestic companies and foreign companiesmustprovidethefullnameofeachseniormanagingofficialandcontrollingpersonofthecompany(suchasthemanagingdirectororaseniorexecutivewhoexertscontroloverthecompanyi.e.authorisedtosignonthecompany’sbehalf,makepolicy,operationalandfinancialdecisions):
1 2
3 4
Iftherearemorethan4directorspleaseprovideasanattachment.
b. Shareholders and other beneficial owners: All proprietary or non-listed public domestic companies and foreign companies must providethefullnameofeachshareholderandthosewhoowndirectly,indirectly,jointlyorbeneficially25%ormoreofthecompany’s issued capital.
1 2
3 4
Iftherearemorethan4directorspleaseprovideasanattachment.
Doesanybeneficialownerholdaprominentpublicpositionorfunctioninagovernmentbody(local,state,territory,nationalorforeign)orinaninternationalorganisationoristhebeneficialowneranimmediatefamilymemberorabusinessassociateofsuchaperson?
No
Yes,pleasegivedetails
Iftherearemorethan2shareholdersthateachhaveatleast25%ofthecompany’sissuedcapital,provideasanattachment.* See page 18 of the Application Form for terms and conditions relating to the collection of TFNs and ABNs.
Section 6 – Authorised representative or Power of Attorney
Complete this section if you are giving authority to a third party or if you are completing this Application Form as an agent under a direct authority such as a Power of Attorney. You must also complete the section relevant to the applicant that you are acting on behalf of.
6.1 Appointment of Power of Attorney or other authorised representative
IwouldliketoappointanauthorisedrepresentativetooperateonthisaccountOR
IamanagentunderPowerofAttorneyortheinvestor’slegalornominatedrepresentative–completeSection6.2Fullnameofauthorisedrepresentative/agent Titleofroleheldwithapplicant
Signature
Please ensure you provide the relevant ID requirements as outlined in the table in Section 1 of this form.
6.2 DocumentationYou must attach a valid authority such as a Power of Attorney, guardianship order, grant of probate, appointment of bankruptcy trustee etc:
Thedocumentisanoriginalorcertifiedcopy
Thedocumentissignedbytheapplicant/investororacourtofficial
The document is current and complete
Thedocumentpermitstheattorney/agent/representative(you)totransactonbehalfoftheapplicant/investor
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
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Section 7 – Financial adviser
Completing this section means the named adviser is nominated as the applicant’s financial adviser for the purposes of this investment in the Fund. The applicant consents to give the named financial adviser access to their account information unless indicated otherwise in Section 7.3.
7.1 Financial adviserIamafinancialadvisercompletingthisapplicationformasanauthorisedrepresentativeoragent.NameofAdviser AFSLNumber
DealerGroup
NameofAdvisoryFirm
Postal AddressUnitnumber Streetnumber Streetname
Suburb State Postcode Country
EmailAddressofAdvisoryFirm(required)
EmailAddressofAdviser
Business Telephone Facsimile
7.2 Financial Adviser Declaration (only tick if applicable)
I/WeherebydeclarethatI/wearenotaUSPersonasdefinedinthePDS
I/WeherebydeclarethattheinvestorisnotaUSPersonasdefinedinthePDS
IhavecompletedanappropriateCustomerIdentificationProcedure(CIP)onthisinvestorwhichmeetstherequirements
(pertypeofinvestor)setoutabove.AND EITHER
IhaveattachedtherelevantCIPdocuments
OR
IhavenotattachedtheCIPdocumentshoweverIwillretainthemandagreetoprovidethemtoEquityTrusteesonrequest.IalsoagreetoforwardthesedocumentstoEquityTrusteesifIeverbecomeunabletoretainthedocuments.
Ihaveprovidedpersonalfinancialadvicetotheinvestor(s)namedinthisApplicationtakingintoaccounttheirpersonalneeds,objectives,financialandtaxationsituation(havingregardtothenatureandanycomplexitiesofthisproduct),havecompliedwithallrequirementsoftheCorporationsActandapplicablelawinrelationtothisinvestmentbytheinvestor(s)andhaveprovidedtheInvestorwithastatementofadvice.IfIceasebeingthefinancialadvisorfortheInvestorIwillnotifytheAdministratoratthattime.
FinancialAdviserSignature Date(DDMMYY)
7.3 Access to Information (applicant to complete)Unlessyouelectotherwise,yourfinancialadviserwillhaveaccesstoyouraccountinformationandwillreceivecopiesofallstatementsandtransactionconfirmations.
PleasetickthisboxifyouDO NOTwantyourfinancialadvisertohaveaccesstoinformationaboutyourinvestment.
PleasetickthisboxifyouDO NOTwantcopiesofstatementsandtransactionconfirmationssenttoyouradviser.
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LAIF-APP 26 October 2018
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Section 8 – INVESTMENT INSTRUCTIONS (All investors MUST complete)
8.1 Primary Contact Details (this is who we will contact for all investment related matters and who statements will be sent to)Title GivenNames Surname
HomeTelephoneNumber(includingCountryCode) MobileTelephoneNumber DateofBirth(DDMMYY)
Postal AddressUnitnumber Streetnumber Streetname
Suburb State Postcode Country
Email Address
Business Telephone
If you would like to add a secondary contact to your account, please contact Lincoln on 1300 676 333.
8.2 Investment Details
Fund
Investments $20,000 - $250,000 - Lincoln Retail Australian Income Fund (APIR ELT0323AU)
Investments $250,000 and above – Lincoln Wholesale Australian Income Fund (APIR ELT0324AU)
InvestmentAmount
$
TheminimuminitialinvestmentintheFundis$20,000
8.3 Distribution Instructions (Please tick ONE option. If you don’t select an option all distributions will be reinvested)
Wewillautomaticallyreinvestyourdistributioninunitsofyourchosenfundifyoudonotmakeaselectionbetween“reinvestdistributions”and“creditbankaccount”.Ifyouselectto“creditbankaccount”foryourdistributions,pleaseprovideyourbankdetails in section 8.4.
Reinvest all distributions
Pay distributions to the bank account in Section 8.4 (Australian investors only)
Pay income to the bank account in Section 8.4 but reinvest any net realised capital gains(AUD-denominatedbankaccount withanAustraliandomiciledbank)
8.4 Investor Banking Details for Redemptions and Distributions (where we pay you)
Account name
Financial Institution
Branch(includingCountry)
BSB Account Number
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8.5 Payment Method
PAYMENT DETAILS
Pleaseindicatehowyourinvestmentwillbemade:
ChequemadepayabletoEquity Trustees Limited
ElectronicFundsTransfer(pleasefindourbankaccountdetailsbelow)
Electronic Funds Transfer Details
Bank Name WestpacBankingCorporation
Account Name Equity Trustees Limited – Lincoln Funds Application Account
BSB Number 033 002
Account Number 860 574
Reference YouMUSTprovideyouraccountnameinthereference/descriptionforthetransfer
Time of payment Funds need to be received no later than the day after we receive the application. As such, please ensure you transfer the investment amount to us on the same day you send in this form. Ifyoucan’tdothis,pleaseletusknowbycalling1300676333.
REGULAR SAVINGS PLAN (complete only if you want to set up a regular savings plan, otherwise leave blank)
OurRegularSavingsPlanallowsyoutoaddanominatedamounttoyourinvestmenteachmonth.Theamountwillbedirectdebitedfromthespecifiedbankaccountonthe20thofeachmonth.
Howmuchwouldyouliketoaddeachmonth?
$
DIRECT DEBIT AUTHORITY FOR REGULAR SAVINGS PLAN (complete only if you want set up a regular savings plan, otherwise leave blank)
I/werequestandauthoriseEquityTrusteesLimitedasdetailedinthepaymentdetailsinthisform,toarrange,throughitsownfinancialinstitutionfortheamountspecifiedinthisformtobedebitedthroughtheBulkElectronicClearingSystemfromanaccountheldatthefinancialinstitutionidentifiedbelowandpaidtotheDebitUser(IDnumber“477105”)subjecttotheTermsandConditions(andanyfurtherinstructionsprovidedbelow).
Sameasaccountprovidedin8.4
OR
PleaseproviderelevantbankdetailsforDirectDebitbelowAccount name
Financial Institution
Branch
BSB Account Number
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DECLARATION AND SIGNATURE (to allow us to Direct Debit your account for Regular Savings Plan)
I/Wedeclarethat:
• Bysigning,I/wehaveunderstoodandagreedtothetermsandconditionsgoverningthedebitarrangementsbetweenyouandEquityTrusteesassetoutinthisRequestandintheDirectDebitRequestserviceagreementonPage4oftheReferenceGuide.
• I/wehavereadandunderstandthecurrent(andanySupplementary)PDS.
• AlldetailsprovidedinthisApplicationformaretrueandcorrectandI/weundertaketoinformyouofanychangestotheinformationsuppliedasandwhentheyoccur.
• Ifsigningunderpowerofattorney,theattorneydeclaresthathe/shehasnotreceivednoticeofrevocationofthatpower,andI/wemayberequiredtoprovideadditionalproofofidentificationforthepurposesofAML/CTFLaw.
Signature Date(DDMMYY)
Signature Date(DDMMYY)
8.6 ElectionsAnnual Financial Report
TheannualfinancialreportfortheFundwillbeavailableonwww.eqt.com.au/institutional.aspx from 30 September each year,however,ifyouwouldlikeahardcopyoftheannualfinancialreportsenttoyoupleasetickthebox.
Privacy
DoyouwishtoreceivemarketinginformationfromEquityTrustees(andEquityTrustees’relatedbodiescorporate)aboutproductsandservicesthatmaybeofinteresttoyou?Thisinformationmaybedistributedbymail,emailorotherformofcommunication.
Yes
No
8.7 Purpose of Investment and Source of FundsPleaseoutlinethepurposeofinvestment(e.g.superannuation,portfolioinvestment,etc)
Pleaseoutlinethesource/sofinitialfundingandanticipatedongoingfunding(e.g.salary,savings,businessactivity,financialinvestments,realestate,inheritance,gift,etc)andexpectedleveloffundingactivityortransactions.
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Page 17
Section 9 – Foreign Account Tax Compliance Act (FATCA) & Common Reporting Standard (CRS) Self-Certification Form - Australia (All investors MUST complete)
9.1 Individuals PleasefillthisSection9.1onlyifyouareanindividual.Ifyouareanentity,pleasefillSection9.2 (a) Are you a US citizen or resident of the US for tax purposes?
Yes:ProvideyourTaxpayerIdentificationNumber(TIN)below.Continueto(b)below.
No:Continueto(b)below
(b) Are you a tax resident of any other country outside of Australia?
Yes:Providethedetailsbelowandskiptoquestion9.7.Ifresidentinmorethanonejurisdictionpleaseincludedetailsforalljurisdiction.
IfTINorequivalentisnotprovided,pleaseprovidereasonfromthefollowingoptions:
•ReasonA:Thecountry/jurisdictionwheretheentityisaresidentdoesnotissueTINstoitsresidents
•ReasonB:TheentityisotherwiseunabletoobtainaTINorequivalentnumber(PleaseexplainwhytheisunabletoobtainaTINinthebelowtableifyouhaveselectedthisreason)
•ReasonC:NoTINisrequired.(Note.OnlyselectthisreasonifthedomesticlawoftherelevantjurisdictiondoesnotrequirethecollectionoftheTINissuedbysuchjurisdiction).
IfReasonBhasbeenselected,explainwhyyouarenotrequiredtoobtainaTIN
No:Skiptosection9.7
Investor1
CountryofTaxResidenceTaxIdentificationNumber (TIN)orequivalent
ReasonCodeifnoTINprovided
Investor1
Investor1
Investor2
Investor2
Investor2
Investor1
Investor2
Investor1
TaxIdentificationNumber (TIN)orequivalent
ReasonCodeifnoTINprovided
Investor2
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Page 18
9.2 EntitiesPleasefillthisSection9.2onlyifyouareanentity.Ifyouareanindividual,pleasefillSection9.1.
Are you an Australian complying superannuation fund?
Yes:Skiptoquestion9.7
No:Continuetoquestion9.3
9.3 FATCA (a) Are you a US citizen or resident of the US for tax purposes?
Yes:Continueto(b)below
No:Continueto(c)below
(b) Are you a Specified US Person?
Yes:ProvideyourTaxpayerIdentificationNumber(TIN)belowandskiptoquestion9.4
No:Pleaseindicateexemptiontypeandskiptoquestion9.4
(c) Are you a Financial Institution for the purposes of FATCA?
Yes:ProvideyourGIINbelowandcontinuetoquestion9.4
IfyoudonothaveaGIIN,pleaseprovideyourFATCAstatusbelowandcontinuetoquestion9.4
ExemptBeneficialOwner
Deemed-CompliantFFI(otherthanaSponsoredFIoraTrusteeDocumentedTrust)
Non-Participating FFI
SponsoredFinancialInstitution.PleaseprovidetheSponsoringEntity’snameandGIIN.
TrusteeDocumentedTrust.PleaseprovideyourTrustee’snameandGIIN
Other
No:Continuetoquestion9.4
TIN
Type
GIIN
Type
Type
Type
Sponsoring Entity’s Name SponsoringEntity’sGIIN
Trustee’s Name Trustee’sGIIN
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Page 19
9.4 CRS
(a) Are you a tax resident of any country outside of Australia and the US?
Yes:Pleaseprovidethedetailsbelow.Ifresidentinmorethanonejurisdictionpleaseincludedetailsforalljurisdictions.
IfTINorequivalentisnotprovided,pleaseprovidereasonfromthefollowingoptions:
•ReasonA:Thecountry/jurisdictionwheretheentityisresidentdoesnotissueTINstoitsresidents
•ReasonB:TheentityisotherwiseunabletoobtainaTINorequivalentnumber(PleaseexplainwhytheentityisunabletoobtainaTINinthebelowtableifyouhaveselectedthisreason)
•ReasonC:NoTINisrequired.(Note.OnlyselectthisreasonifthedomesticlawoftherelevantjurisdictiondoesnotrequirethecollectionoftheTINissuedbysuchjurisdiction).
IfReasonBhasbeenselectedabove,explainwhyyouarenotrequiredtoobtainaTIN
(b) Are you a Financial Institution for the purposes of CRS?
Yes:SpecifythetypeofFinancialInstitutionbelowandcontinueto(c)below
ReportingFinancialInstitution
Non-ReportingFinancialInstitution:SpecifythetypeofNon-ReportingFinancialInstitutionbelow
Trustee Documented Trust
Other:PleaseSpecify
No:Skiptoquestion9.5
(c) Are you an Investment Entity resident in a Non-Participating Jurisdiction for CRS purposes and managed by another Financial Institution?
Yes:Skiptoquestion9.6
No:Skiptoquestion9.7
9.5 NON-FINANCIAL ENTITIES Are you an Active Non-Financial Entity (Active NFE)
Yes:SpecifythetypeofActiveNFEbelowandskiptoquestion9.7
Lessthan50%oftheActiveNFE’sgrossincomefromtheprecedingcalendaryearispassiveincome(e.g.dividends,distribution,interests,royaltiesandrentalincome)andlessthan50%ofitsassetsduringtheprecedingcalendaryearareassetsheldfortheproductionofpassiveincome
Corporationthatisregularlytradedorarelatedentityofaregularlytradedcorporation
GovernmentalEntity,InternationalOrganisationorCentralBank
Other:PleaseSpecify
No:YouareaPassiveNon-FinancialEntity(PassiveNFE).Continuetoquestion9.6
Investor1
CountryofTaxResidenceTaxIdentificationNumber (TIN)orequivalent
ReasonCodeifnoTINprovided
Investor2
No:Continueto(b)below
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Page 20
9.6 CONTROLLING PERSONS Does one or more of the following apply to you:
•Isanynaturalpersonthatexercisescontroloveryou(forcorporations,thiswouldincludedirectorsorbeneficialownerswhoultimatelyown25%ormoreofthesharecapital)ataxresidentofanycountryoutsideofAustralia?
•Ifyouareatrust,isanynaturalpersonincludingtrustee,protector,beneficiary,settlororanyothernaturalpersonexercisingultimateeffectivecontroloverthetrustataxresidentofanycountryoutsideofAustralia?
Yes:Completedetailsbelowandcontinuetoquestion9.7
If there are more than 2 controlling persons, please list them on a separate piece of paper.
TINorequivalentisnotprovided,pleaseprovidereasonfromthefollowingoptions:
•ReasonA:Thecountry/jurisdictionwheretheentityisresidentdoesnotissueTINstoitsresidents
•ReasonB:TheentityisotherwiseunabletoobtainaTINorequivalentnumber(PleaseexplainwhytheentityisunabletoobtainaTINinthebelowtableifyouhaveselectedthisreason)
•ReasonC:NoTINisrequired.(Note.OnlyselectthisreasonifthedomesticlawoftherelevantjurisdictiondoesnotrequirethecollectionoftheTINissuedbysuchjurisdiction).
IfReasonBhasbeenselectedabove,explainwhyyouarenotrequiredtoobtainaTIN
No:Continuetoquestion9.7
9.7 Declaration (All investors to sign)
Signature Iundertaketoprovideasuitablyupdatedself-certificationwithin30daysofanychangeincircumstanceswhichcausestheinformation contained herein to become incorrect.
Ideclaretheinformationabovetobetrueandcorrect.
Investor1
Name
CountryofTaxResidence
Date of Birth
TaxIdentificationNumber (TIN)orequivalent
ReasonCodeifnoTINprovided
Investor2
Investor 1
Signature
Date
Nameofentity/individual
Nameofauthorisedrepresentative(ifapplicable)
Investor 2
Signature
Date
Nameofentity/individual
Nameofauthorisedrepresentative(ifapplicable)
[Please also complete Section 10 on page 22.]
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Page 21
Additional Information
In most cases, the information that you provide in this form will satisfy the AML/CTF Act , the US Foreign Account Tax Compliance Act (‘FATCA’) and the Common Reporting Standards (‘CRS’). However, in some instances the Responsible Entity may contact you to request further
information. It may also be necessary for the Responsible Entity to collect information (including sensitive information) about you from third parties in order to meet its obligations under the AML/CTF Act, FATCA and CRS.
Declarations
WhenyoucompletethisApplicationFormyoumakethefollowingdeclarations:
• I/WehavereceivedthePDSandmadethisapplicationinAustralia.
• I/WehavereadthePDStowhichthisApplicationFormappliesandagree to be bound by the terms and conditions of the PDS and the ConstitutionoftheFundinwhichI/wehavechosentoinvest.
• I/Wehaveconsideredourpersonalcircumstancesand,whereappropriate,obtainedinvestmentand/ortaxationadvice.
• I/WeherebydeclarethatI/wearenotaUSPersonasdefinedinthePDS.
• I/Weacknowledgethat(ifanaturalperson)Iam/weare18yearsofageoroverandIam/weareeligibletoholdunitsintheFundinwhichI/wehavechosentoinvest.
• I/WeacknowledgeandagreethatEquityTrusteeshaveoutlinedinthePDSprovidedtome/ushowandwhereI/wecanobtainacopyoftheEquityTrusteesGroupPrivacyStatement.
• I/Weconsenttothetransferofanyofmy/ourpersonalinformationtoexternalthirdpartiesincludingbutnotlimitedtofundadministrators,fundinvestmentmanager(s)andrelatedbodiescorporatewhoarelocated outside Australia for the purpose of administering the products andservicesforwhichI/wehaveengagedtheservicesofEquityTrusteesoritsrelatedbodiescorporateandtoforeigngovernmentagencies for reporting purposes (if necessary).
• I/weherebyconfirmthatthepersonalinformationthatI/wehaveprovidedtoEquityTrusteesiscorrectandcurrentineverydetail,andshouldthesedetailschange,I/weshallpromptlyadviseEquityTrusteesinwritingofthechange(s).
• I/WeagreetoprovidefurtherinformationorpersonaldetailstotheResponsibleEntityifrequiredtomeetitsobligationsunderanti-moneylaunderingandcounter-terrorismlegislation,UStaxlegislationorreportinglegislationandacknowledgethatprocessingofmy/ourapplicationmaybedelayedandwillbeprocessedattheunitpriceapplicablefortheBusinessDayasatwhichallrequiredinformationhasbeenreceivedandverified.
• IfI/wehaveprovidedanemailaddress,I/weconsenttoreceiveongoinginvestorinformationincludingPDSinformation,confirmationsoftransactionsandadditionalinformationasapplicableviaemail.
• I/WeacknowledgethatEquityTrusteesdoesnotguaranteetherepayment of capital or the performance of the Fund or any particular rate of return from the Fund.
• I/WeacknowledgethataninvestmentintheFundisnotadepositwithorliabilityofEquityTrusteesandissubjecttoinvestmentriskincluding possible delays in repayment and loss of income or capitalinvested.
• I/WeacknowledgethatEquityTrusteesisnotresponsibleforthedelaysinreceiptofmoniescausedbythepostalserviceortheapplicant’sbank.
• IfI/welodgeafaxapplicationrequest,I/weacknowledgeandagreeto release, discharge and agree to indemnify Equity Trustees from and against any and all losses, liabilities, actions, proceedings, accountclaimsanddemandsarisingfromanyfaxapplication.
• IfI/wehavecompletedandlodgedtherelevantsectionsonauthorisedrepresentatives/agentsontheApplicationFormthenI/weagreetorelease,dischargeandindemnifyEquityTrusteesfromand against any and all losses, liabilities, actions, proceedings, account claims and demands arising from Equity Trustees acting on theinstructionsofmy/ourauthorisedrepresentatives,agentsand/or nominees.
• Ifthisisajointapplicationeachofusagreesthatourinvestmentisheldasjointtenants.
• I/WeacknowledgeandagreethatwheretheResponsibleEntity,initssolediscretion,determinesthat:
- I/weareineligibletoholdunitsinaFundorhaveprovidedmisleadinginformationinmy/ourApplicationForm;or
- I/weoweanyamountstoEquityTrustees,thenI/weappointtheResponsibleEntityasmy/ouragenttosubmitawithdrawalrequestonmy/ourbehalfinrespectofallorpartofmy/ourunits, as the case requires, in the Fund.
Terms and conditions for collection of Tax File Numbers (TFN) and Australian Business Numbers (ABN)
CollectionofTFNandABNinformationisauthorisedanditsuseanddisclosurestrictlyregulatedbytaxlawsandthePrivacyAct.InvestorsmustonlyprovideanABNinsteadofaTFNwhentheinvestmentismadeinthecourseoftheirenterprise.YouarenotobligedtoprovideeitheryourTFNorABN,butifyoudonotprovideeitherorclaimanexemptionwearerequiredtodeducttaxfromyourdistributionatthehighestmarginaltaxrateplusMedicarelevytomeetAustraliantaxationlawrequirements.FormoreinformationabouttheuseofTFNsforinvestments,contacttheenquiries
sectionofyourlocalbranchoftheATO.Onceprovided,yourTFNwillbeappliedautomaticallytoanyfutureinvestmentsintheFundwhereformalapplicationproceduresarenotrequired(e.g.distributionreinvestments),unlessyouindicate,atanytime,thatyoudonotwishtoquoteaTFNforaparticularinvestment.Exemptinvestorsshouldattachacopyofthecertificateofexemption.ForsuperfundsortrustslistonlytheapplicableABN or TFN for the super fund or trust.
When you sign this Application Form you declare that you have read and agree to the declarations above.
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Section 10 – DECLARATIONS (All Investors MUST complete)
Applicant 1
Applicant’s Full Name
Capacity
IndividualSignatory
Director
ExecutiveOffice
Partner
SoleDirector/Secretary
Third Party Authorised Signatory
Signature Date(DDMMYY)
CompanySeal(ifapplicable)
Applicant 2
Applicant’s Full Name
Capacity
IndividualSignatory
Director
ExecutiveOffice
Partner
SoleDirector/Secretary
Third Party Authorised Signatory
Signature Date(DDMMYY)
CompanySeal(ifapplicable)
Page 22
Lincoln Australian Income FundApplication Form
LAIF-APP 26 October 2018
Application Checklist
Haveyoucompletedallsectionsrelevanttoyou(assetoutintheintroduction)?
Haveyounominatedyourfinancialadviserinsection7(ifapplicable)?
Haveyouprovidedcertifiedcopiesofyouridentificationdocumentsorhasyourfinancialadvisercompletedthisforyou?
HaveyoucompletedallotherrelevantdetailsandSIGNEDsections9.7&10oftheApplicationForm?
Lodging the form:Please express postthecompletedapplicationform,alongwithyourpayment(ifit’sacheque)andcertifieddocumentsthatverifyyourIDto:
LINK Market Services Limited PO Box 3721 Rhodes NSW 2138 Australia
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