Division Of Property Order (Page 2 of 7) in pdf

Division Of Property Order Page 2

School Employees Retirement System of Ohio

300 East Broad Street

Suite 100

Columbus, Ohio 43215

Ohio Police and Fire Pension Fund

140 East Town Street

Columbus, Ohio 43215

Ohio State Highway Patrol Retirement System

1900 Polaris Parkway

Suite 201

Columbus, Ohio 43240

University/College Alternative Retirement Plan

Name and address of University/College Plan Administrator:

Obligation of Plan Participant and Alternate Payee: The

Plan

Participant

and

the

Alternate Payee are ordered to notify in writing the Public Retirement Program of a

change in the individual’s mailing address.

II.

Amount Payable to the Alternate Payee:

Upon the Plan Participant receiving a payment from

the Public Retirement Program, the court orders that the Alternate Payee shall receive payment

in accordance with and subject to the limitations set forth in Sections 3105.82 to 3105.90,

Revised Code. The Public Retirement Program is required to distribute amounts to the Alternate

Payee in the same manner selected by the Participant. For example, if only a lump sum dollar

amount is provided in Paragraphs II(B)(1)(a) and (b), then the Alternate Payee also receives a

lump sum payment. Please designate the type and the method of payment:

Type of Payment:

If the Participant is eligible to receive more than one benefit

payment or more than one lump sum payment, please check the benefit(s) or lump sum

payment(s) from which payment to the Alternate Payee shall be made. If no benefit or

lump sum payment is designated, the Alternate Payee shall receive payment from the first

benefit payment or lump sum payment for which the Participant is eligible to apply and

to receive.

Please check ALL APPLICABLE BENEFIT(S) OR LUMP SUM

PAYMENT(S):

Age and service retirement benefit, INCLUDING Partial Lump Sum Payments

(“PLOP”) received under Sections 145.46(E)(1), 3307.60(B), 3309.46(B)(4), or

5505.162(A)(3), Revised Code, and Deferred Retirement Option Plan (“DROP”)

under Section 742.43 or 5505.50, Revised Code.

Age and service retirement benefit, BUT EXCLUDING Partial Lump Sum

Payments (“PLOP”) received under Sections 145.46(E)(1), 3307.60(B),

3309.46(B)(4) or 5505.162(A)(3), Revised Code, and Deferred Retirement Option

Plan (“DROP”) under Section 742.43 or 5505.50, Revised Code.

Division Of Property Order Page 2

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