Lifetime ISA Declaration Form

Lifetime ISA Declaration Form
Please complete this form to declare your eligibility and provide required information for a Lifetime ISA application.
Full Name
First NameLast Name
Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Home Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you a UK resident for tax purposes?
Are you between 18 and 39 years old (inclusive)?
Is this your first Lifetime ISA?
Are you opening this Lifetime ISA to purchase your first home, to save for retirement, or for another eligible purpose?
Signature (please sign to confirm your declaration)
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Should be Empty: