Division Of Property Order (Page 4 of 7) in pdf

Division Of Property Order Page 4

If the Participant elects a plan of payment consisting of both a lump sum

benefit AND a periodic benefit:

$_______________ per benefit from the Participant’s periodic benefit

upon the Participant’s receipt of the periodic benefit; and

$_______________ from the Participant’s lump sum benefit upon the

Participant’s receipt of the payment.

Percentage:

Please provide percentages in both Paragraph II(B)(2)(a) and (b)

even if the percentage is “0%”.

If the Participant elects a plan of payment that consists of either periodic

benefits OR a lump sum payment, the Public Retirement Program shall

pay directly to the Alternate Payee per benefit or in a one-time lump sum

payment _____________ percent (_____________%) of a fraction as set

forth in Paragraph II(B)(2)(c) below of the Plan Participant’s periodic

benefit or one-time lump sum payment.

If the Plan Participant elects a plan of payment consisting of both a lump

sum benefit AND a periodic benefit, the Public Retirement Program shall

pay directly to the Alternate Payee _____________ percent (________%)

of a fraction as set forth in Paragraph II(B)(2)(c) below of the Plan

Participant’s periodic benefit and _____________ percent (________%)

of a fraction as set forth below of the Plan Participant’s lump sum benefit.

Fraction:

The numerator of the fraction shall be

, which is the

number of years during which the Plan Participant was both a

contributing member of the Public Retirement Program and

married to the Alternate Payee.

The date of marriage is

_____________________.

ii.

The denominator, which shall be determined by the Public

Retirement Program at the time that the Plan Participant elects to

take a benefit or a payment, shall be the Participant’s total years of

service credit with the Public Retirement Program or, in the case of

a Participant in a retirement plan established under Chapter 3305,

Revised Code, the years of participation in the plan.

Division Of Property Order Page 4