Divorce Claim Form (Spouse) - Natal Joint Municipal Pension
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1DIVORCE CLAIM FORM( SPOUSE)
NAME OF FUND:
(tick appropriate box)
SUPERANNUATION
RETIREMENT
PROVIDENT
DETAILS OF SPOUSE
TITLE:
SURNAME AND INITIALS:
ID NUMBER:
NAME OF EMPLOYER:
DATE OF MARRIAGE:
DATE OF DIVORCE:
POSTAL ADDRESS
RESIDENTIAL ADRESS
TELEPHONE NO:
CELL NO:
INCOME TAX REFERENCE NO :
E-MAIL ADDRESS:
(***PLEASE NOTE THIS BENEFIT WILL NOT BE PROCESSED WITHOUT A CONFIRMED ACTIVE TAX REFERENCE NUMBER)
DEPOSIT LUMP SUM INTO PERSONAL ACCOUNT (NO JOINT ACCOUNTS)
BANK:
BRANCH NAME (CODE):
ACCOUNT NO:
NAME OF ACCOUNT HOLDER:
ATTACH A COPY OF A STAMPED BANK STATEMENT ,MARRAIGE
CERTIFICATE AND FINAL DIVORCE ORDER
OTHER INSTRUCTIONS: (EXAMPLE : TRANSFER FUNDS TO ANNUITY ETC)
SIGNATURE
WITNESS SIGNATURE
DATE OF SIGNATURE
DATE OF SIGNATURE
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