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Form preview Blank life insurance policy fo... FORMS 6. 3 LOAN DOCUMENTATION MANUAL Form 6. 3 ASSIGNMENT OF LIFE INSURANCE POLICY AS COLLATERAL Assignee Policy Number Insurer Debtor A. For Value Received the undersigned hereby assign transfer and set over to Assignee its successors and assigns the insurance policy identified by the Policy Number issued by the Insurer and any supplementary contracts issued in connection therewith said policy and contracts being herein called the Policy upon the life of the Insured and all claims options privileges rights title and interest therein and thereunder except as provided in Paragraph C hereof subject to all the terms and conditions of the Policy and to all superior liens if any which the Insurer may have against the Policy. The undersigned by this instrument jointly and severally agree and the Assignee by the acceptance of this assignment agrees to the conditions and provisions herein set forth. FORMS 6. 3 LOAN DOCUMENTATION MANUAL Form 6. 3 ASSIGNMENT OF LIFE INSURANCE POLICY AS COLLATERAL Assignee Policy Number Insurer Debtor A. For Value Received the undersigned hereby assign transfer and set over to Assignee its successors and assigns the insurance policy identified by the Policy Number issued by the Insurer and any supplementary contracts issued in connection therewith said policy and contracts being herein called the Policy upon the life of the Insured and all claims options privileges rights title and interest therein and thereunder except as provided in Paragraph C hereof subject to all the terms and conditions of the Policy and to all superior liens if any which the Insurer may have against the Policy. The undersigned by this instrument jointly and severally agree and the Assignee by the acceptance of this assignment agrees to the conditions and provisions herein set forth. B. It is expressly agreed that without detracting from the generality of the foregoing the following specific rights are included in this assignment and pass by virtue hereof The sole right to collect from the Insurer the net proceeds of the Policy when it becomes a claim by death or maturity Rev* 1 9/99 FORMS either from the Insurer or at any time from other persons and to pledge or assign the Policy as security for such loans or advances surplus dividend deposits or additions to the Policy now or hereafter made or apportioned thereto and to exercise any and all options contained in the Policy with respect thereto provided that unless and until the Assignee shall notify the Insurer in writing to the contrary the distributions or shares of surplus dividend deposits and additions shall continue on the plan in force at the time of this assignment and C. value thereof at any time provided by the terms of the Policy and at such other times as the Insurer may allow terms of the Policy or allowed by the Insurer and to receive all benefits and advantages derived therefrom* Policy has not been surrendered are reserved and excluded from this The right to designate and change the beneficiary provided that the new beneficiary is informed by the undersigned of the existence of this assignment D.
Form preview Trsnyc tier 4 policy 2011 form TIER IV SERVICE RETIREMENT APPLICATION INSTRUCTIONS PLEASE READ CAREFULLY Filing Information As a Tier IV member of the Teachers Retirement System of the City of New York TRS you may apply for service retirement under the Quali ed Pension Plan QPP by ling a Tier lV Service Retirement Application code RE19. TRS must receive this form at least one day before your effective retirement date regardless of the date on which you mailed the form or the postmark date on the envelope. Please note that you may NOT cancel your Service Retirement Application on or after your effective retirement date. RE19 12/11 CONTINUED ON PAGE 2 PAGE 1 CONTINUED FROM PAGE 1 General You should keep TRS informed of any change to your bene ciaries mailing addresses by notifying us in writing. In Part D RETIREMENT DATE AND PLAN ELECTION You must elect an effective retirement date and a retirement plan. The available plans and eligibility requirements are summarized on the next page. Please refer to the Service Retirement Plans and Bene ts for Tiers III/IV brochure for further descriptions of the retirement plans their eligibility criteria and the bene ts payable under each plan. In general payments begin at your retirement date. If you qualify for immediate payments of your retirement allowance your effective retirement date would be considered your initial If you want to retire under the Age 55 Retirement Program please see the enclosed Age 55 Retirement Program Addendum code RE19-ADD for more information. PAGE 2 PAYMENT PLAN Immediate Unreduced YEARS OF SERVICE AGE PAYMENT Unreduced as of your retirement date OR Immediate Reduced Reduced as of your retirement date Vested Unreduced Under 55 Note for members who participated in the Age 55 Retirement Program If you are 62 or older at retirement you may be eligible for the return of the employee portion of the Additional Member Contributions AMCs you made under this program plus accrued interest. Please refer to the Service Retirement Plans and Bene ts for Tiers III/IV brochure for further descriptions of the retirement plans their eligibility criteria and the bene ts payable under each plan. In general payments begin at your retirement date. If you qualify for immediate payments of your retirement allowance your effective retirement date would be considered your initial If you want to retire under the Age 55 Retirement Program please see the enclosed Age 55 Retirement Program Addendum code RE19-ADD for more information. PAGE 2 PAYMENT PLAN Immediate Unreduced YEARS OF SERVICE AGE PAYMENT Unreduced as of your retirement date OR Immediate Reduced Reduced as of your retirement date Vested Unreduced Under 55 Note for members who participated in the Age 55 Retirement Program If you are 62 or older at retirement you may be eligible for the return of the employee portion of the Additional Member Contributions AMCs you made under this program plus accrued interest. To receive these funds you must a retire under an Immediate Unreduced payment plan b be in active service at least one day prior to your effective date of retirement and c have been in active service for a total of at least six months out of each of the two twelve-month periods preceding your retirement. If you qualify for immediate payments of your retirement allowance your effective retirement date would be considered your initial If you want to retire under the Age 55 Retirement Program please see the enclosed Age 55 Retirement Program Addendum code RE19-ADD for more information. PAGE 2 PAYMENT PLAN Immediate Unreduced YEARS OF SERVICE AGE PAYMENT Unreduced as of your retirement date OR Immediate Reduced Reduced as of your retirement date Vested Unreduced Under 55 Note for members who participated in the Age 55 Retirement Program If you are 62 or older at retirement you may be eligible for the return of the employee portion of the Additional Member Contributions AMCs you made under this program plus accrued interest. To receive these funds you must a retire under an Immediate Unreduced payment plan b be in active service at least one day prior to your effective date of retirement and c have been in active service for a total of at least six months out of each of the two twelve-month periods preceding your retirement. action. However if you would prefer to have TRS directly roll over this payment to an eligible Individual Retirement Arrangement s or other successor program s you must file the Application for Withdrawal of Additional Member Contributions at Retirement code RW116 and the QPP Direct Rollover Election Form code RW29 at this time.

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