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pension
plan

        
 
 
 
 
 
 
 
 
 
     
   
 
 
 
 
 

Declaration of Applicant on Removal of Funds

Use
The Declaration of Applicant for Removal of Funds form must be completed if you have terminated from the Pension Plan and want to withdraw your pension funds from the Plan.


Information Needed to Complete the Form
The Plan Member must sign and date the form and then have a witness sign the form.


Notes
To withdraw your Pension funds, you must also complete the Application for Withdrawal of Pension Contributions form.

Questions on completing the form should be directed to the Plan Administrator.

Completed forms should be forwarded to the Plan Administrator.


Plan Administrator
D.A. Townley & Associates Ltd.
101 – 4190 Lougheed Highway
Burnaby, BC V5C 6A8

Phone: 604-299-7482 or 1-800-663-1356
Fax: 604-299-8136

Email: Pension
 

Form Link
Declaration of Applicant on Removal of Funds Form
 

Related Links
Application for Withdrawal of Pension Contributions
Royal Trust Locked-in Funds Form
Direct Transfer of a Single Amount (T2151)
Termination Information
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