R-15.1, r. 6 - Regulation respecting supplemental pension plans

Schedule Disposition versions

2018-01-04

SCHEDULE 0.9.1

(s. 22.2)

DECLARATION OF THE PURCHASER WHEN TRANSFERRING SUMS TO A LIFE INCOME FUND (purchaser aged under 54 years at the end of the year preceding the year of the transfer)

I declare:

(1) that since the beginning of the current year, I have not received any temporary income from a life income fund other than the one concerned by this declaration;

(2) that, of the total of $_______________ transferred to the life income fund concerned by the present declaration, a sum of $_______________ does not come directly or indirectly from a life income fund established by a contract or from a supplemental pension plan that offers the variable benefits referred to in Division II.3 of the Regulation respecting supplemental pension plans (chapter R-15.1, r. 6) to which I have been party during the current year.

__________(Date)__________ __________(Signature)__________

NOTE: Whosoever makes a false declaration with the intention of obtaining an income payable from the life income fund mentioned in the declaration is subject to the penalties provided for in sections 257 and 262 of the Supplemental Pension Plans Act (chapter R-15.1).

O.C. 577-98, s. 7; O.C. 173-2002, s. 71; O.C. 1183-2017, s. 53.

2012-09-01

SCHEDULE 0.9.1

(s. 22.2)

DECLARATION OF THE PURCHASER WHEN TRANSFERRING SUMS TO A LIFE INCOME FUND (purchaser aged under 54 years at the end of the year preceding the year of the transfer)

I declare:

(1) that since the beginning of the current year, I have not received any temporary income from a life income fund other than the one concerned by this declaration;

(2) that, of the total of $_______________ transferred to the life income fund concerned by the present declaration, a sum of $_______________ does not come directly or indirectly from a life income fund established by a contract to which I have been party during the current year.

__________(Date)__________ __________(Signature)__________

NOTE: Whosoever makes a false declaration with the intention of obtaining an income payable from the life income fund mentioned in the declaration is subject to the penalties provided for in sections 257 and 262 of the Supplemental Pension Plans Act (chapter R-15.1).

O.C. 577-98, s. 7; O.C. 173-2002, s. 71.