LONDON BOROUGH OF SUTTON LOCAL GOVERNMENT PENSION SCHEME (LGPS) REGULATIONS 2007 DEATH GRANT – NOMINATION OF BENEFICIARY/IES On the death of a member of the LGPS the above Regulations give the Authority absolute discretion as to whom and in what proportions any Death Grant due (three years pensionable pay on death in service / any residual death grant following death in retirement) is to be made. The wishes expressed in this nomination form will be considered although the Authority is not in any way bound by them. If within two years of the death of a member, payment is not made under the Authority’s absolute discretion then payment of the Death Grant will be made to the estate of the deceased and may be subject to inheritance tax. IF ON MY DEATH A GRANT IS PAYABLE (as a result of my membership of the Local Government Pension Scheme): I ..........................................................……….. ……….......................................................... ......./......../........... (first names)

(surname)

(date of birth)

........................................................................ ......................………………........................... ......./......../........... (job title) (employing Group) (new employees - start date) .......................................... (national insurance number)

................……...... (existing employees - Employee No.- see pay slip)

WISH TO NOMINATE THE FOLLOWING AS MY BENEFICIARY/IES: (full name of beneficiary)

( # proportion)

( * relationship to member)

1. ...........................................................................................

......…….....%

...................................

2. ...........................................................................................

........……...%

...................................

3. ...........................................................................................

........……...%

...................................

4. ...........................................................................................

.......……....%

...................................

5. ...........................................................................................

.......……....%

...................................

6. ...........................................................................................

........……...%

...................................

* if nominating children you should take legal advice regarding arrangements for setting up a Trust Fund # may be distributed in equal shares if not completed

Signed ……………………………………………………………………… Date Home Address

……………………………………

………………………………………………………………………………………….……………… …………………………………………………………………..

Post Code …………………..

Once completed please return to: Sutton & Kingston Shared Pension Services, London Borough of Sutton, Civic Offices, St. Nicholas Way, Sutton. Surrey. SM1 1EA Or email & scan to: [email protected] Please note: This nomination / expression of wish can be replaced if your circumstances change in the future. Nomin (08/17)

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