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Pension benefits will continue to be paid to retirees as they fall due.
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Phased retirement benefit payable, expressed as
(a) a percentage of the accrued pension benefit as of the date on which the agreement referred to in paragraph 16.1(3)(a) of the Act takes effect
%
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Bridging benefit, payable from
to
, expressed as
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Phased retirement benefit payable, expressed as
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Bridging benefit, payable from
to
, expressed as
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NOTE: Under paragraph 16.1(4)(g) of the Pension Benefits Standards Act, 1985, if the former member is receiving an immediate pension benefit from a pension plan that provides for the payment of a phased retirement benefit, the administrator of that pension plan shall cease paying the immediate pension benefit when payment of a phased retirement benefit begins and an existing waiver of the joint and survivor pension benefit is void, except if the waiver was made under a court order or agreement relating to the distribution of property on divorce, annulment, separation or breakdown of a common-law partnership. When payment of an immediate pension benefit is to commence following the phased retirement period, a new election as to the form of that benefit may be made in accordance with subsection 22(5) of the Pension Benefits Standards Act, 1985.
I,
, hereby certify that I am the spouse or the common-law partner, as defined in the Pension Benefits Standards Act, 1985, of
.
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I understand that
(a) electing to receive a variable benefit directly from the pension plan will allow my spouse or common-law partner to manage his or her own pension fund and will allow some flexibility in determining the amount that will be paid as a variable benefit in each calendar year;
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STATEMENT OF WITNESS
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I,
, hereby certify that I am (a) the spouse or (b) the common-law partner, as defined in subsection 2(1) of the Pension Benefits Standards Act, 1985, of
, a retired former member of the pension plan known as
.
Under the terms of that pension plan
(a) the amount of the joint and survivor pension benefit payable to my spouse or common-law partner as a retired former member is $
per year; and
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I understand that:
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A new election as to the form of the immediate pension benefit that will commence after the phased retirement period may be made when that benefit commences, in accordance with subsection 22(5) of the Pension Benefits Standards Act, 1985.
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