Marital Property Valuation - 401(A) Defined Benefit Account - Oklahoma Teachers Retirement System Page 5

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INSTRUCTIONS FOR COMPLETING THE QUALIFIED DOMESTIC ORDER FORM :
HEADING:
Line 1 - 2: Identify the County and State of the Court that issued this QDO.
Line 3 - 4: Identify the Petitioner and Respondent
Line 5: Identify the Case Number that references this Qualified Domestic Order
SECTION I: RECITALS
A. Identifies the OTRS 401(a) Retirement Plan as marital property to be divided for QDO..
B. Indicate whether the Petitioner or the Respondent is the Member of OTRS.
C. To be a valid QDO, it must be at least 30 months from date of marriage to the current date.
D. Complete the information requested on the line above the identified areas. The names of the
member and alternate payee must be on this page; however, you may provide the social
security numbers and mailing addresses on a separate document.
SECTION II: ALTERNATE PAYEE AWARD
A. Marital Property Subject to Division. This identifies the timeline/period of the marriage
applied to the retirement account to be divided. The percentage amounts listed in B & C
(below) will be applied to the value of this account outlined in this paragraph.
B. Death/Withdrawal (Lump Sum Award
). If the dollar amount ($___) is completed, then the
award amount listed is payable to the Alternate Payee if member terminates employment and
withdraws the account. If the percentage amount (___%) is completed, this percentage
amount will be applied to sum the remittances accrued during the term outlined in II.A
(above) and the interest accrued will be calculated on date of death or withdrawal. If both
dollar amount and percentage is completed in this paragraph, the lesser of the two shall apply.
If this paragraph is not completed, the Alternate Payee receives nothing if the member
decides to withdraw the account or if the client dies before retirement.
C. Retirement (
Monthly Payment Award
). If the dollar amount ($___) is completed, then that
dollar amount will be the gross payable monthly benefit to the alternate payee. If the
percentage amount (___%) is completed, the percentage amount will be applied to the
lifetime monthly benefit earned during the term of marriage outlined in II.A. (above). If both
dollar amount and percentage is completed in this paragraph, the lesser of the two shall apply.
If this paragraph is not completed, the Alternate Payee receives nothing if the member
decides to retire and draw monthly retirement benefits for life.
C.1 Check this item if Alternate Payee will receive payments for the lifetime of the member.
C.2 Check this item if Alternate Payee is to receive a limited number of payments. Write
only whole numbers to indicate the number of monthly payments payable to Alternate Payee.
C.3 Check this item if monthly payments are made until a sum certain amount has been paid.
Write in the dollar amount at which monthly payments to the alternate payee cease.
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