Form 8 "Spousal Waiver of Death Benefit Under a Lira or Lif" - Nova Scotia, Canada

ADVERTISEMENT
ADVERTISEMENT

Download Form 8 "Spousal Waiver of Death Benefit Under a Lira or Lif" - Nova Scotia, Canada

Download PDF

Fill PDF online

Rate (4.5 / 5) 21 votes
Page background image
Form 8
Spousal Waiver of Death Benefit
Finance and Treasury Board
Under a LIRA or LIF
Why complete this form?
• You are the spouse of an owner of a locked-in retirement account (LIRA) or a life income fund (LIF).
• Your spouse earned the LIRA or LIF while working in Nova Scotia for an organization that is
regulated by the Province of Nova Scotia.
• You want to waive your right to survivor benefits equal to the value of the assets in the LIRA or LIF.
Before you complete this form, you should have a private conversation with your own lawyer about how
this waiver affects your individual rights.
1
Give information about the LIRA or LIF
G
LIRA or LIF account number:
Name of the financial institution:
Mailing Address:
Town or city:
Postal code:
Phone number:
2
Give information about the owner of the LIRA or LIF
G
Last name:
First name:
Middle name:
Mailing Address:
Town or city:
Postal code:
Phone number:
Date of birth (yyyy/mm/dd):
3
Give information about the spouse
G
Last name:
First name:
Middle name:
Mailing Address:
Town or city:
Postal code:
Phone number:
novascotia.ca/finance/en/home/pensions/forms/default.aspx
Page 1 of 3
Form 8
2019/01
Form 8
Spousal Waiver of Death Benefit
Finance and Treasury Board
Under a LIRA or LIF
Why complete this form?
• You are the spouse of an owner of a locked-in retirement account (LIRA) or a life income fund (LIF).
• Your spouse earned the LIRA or LIF while working in Nova Scotia for an organization that is
regulated by the Province of Nova Scotia.
• You want to waive your right to survivor benefits equal to the value of the assets in the LIRA or LIF.
Before you complete this form, you should have a private conversation with your own lawyer about how
this waiver affects your individual rights.
1
Give information about the LIRA or LIF
G
LIRA or LIF account number:
Name of the financial institution:
Mailing Address:
Town or city:
Postal code:
Phone number:
2
Give information about the owner of the LIRA or LIF
G
Last name:
First name:
Middle name:
Mailing Address:
Town or city:
Postal code:
Phone number:
Date of birth (yyyy/mm/dd):
3
Give information about the spouse
G
Last name:
First name:
Middle name:
Mailing Address:
Town or city:
Postal code:
Phone number:
novascotia.ca/finance/en/home/pensions/forms/default.aspx
Page 1 of 3
Form 8
2019/01
Form 8 Spousal Waiver of Death Benefit Under a LIRA or LIF
4
Spouse's certification and waiver
G
I certify that I am the spouse of
, the owner of the LIRA or LIF
named in this form.
I understand that if the owner dies, I have the right to receive a survivor’s benefit equal to the value of the
assets of the LIRA or LIF.
I understand that completing and signing this form takes away my right to receive the benefits described
above. Instead payment will be made to a beneficiary designated by the owner or to the personal
representative of the owner’s estate.
I understand that I may cancel this waiver at any time BEFORE the death of the owner by delivering a
written and signed notice of cancellation to the financial institution that administers the LIRA or LIF.
Signature of spouse:
Date (yyyy/mm/dd):
Signature of witness:
Date (yyyy/mm/dd):
This consent must be signed before a witness who must be at least 18 years of age. They must see you sign the
form above, date, and complete the Witness’ Information below immediately after seeing you sign and date this
form. The witness cannot be your spouse.
5
Give information about the witness
G
Last name:
First name:
Middle name:
Town or city:
Mailing Address:
Postal code:
Phone number:
6
Give this waiver to the financial institution that looks after the owner’s LIRA or LIF.
G
Do not give this waiver to the Department of Finance and Treasury Board, Pension Regulation Division
Note: This waiver comes into effect ONLY AFTER it is delivered to the financial institution that looks after
the owner’s LIRA or LIF.
It is an offence under the Criminal Code for anyone to knowingly make or use a false document with the intent that it be
acted upon as genuine.
This form is approved by the Superintendent of Pensions under the Pension Benefits Act.
Questions? Email pensionreg@novascotia.ca
Page 2 of 3
Form 8
2019/01
Form 8 Spousal Waiver of Death Benefit Under a LIRA or LIF
How we define financial institution, spouse and waiver
Financial institution – a bank, a credit union, an insurance company, or any organization that invests
money in financial assets
Spouse
• The person you are married to.
• The person you are married to, if the marriage hasn’t been legally ended.
• The person you thought you were married to, if you are still living together.
• The person you thought you were married to, if you have lived together within the last 12 months.
• The person you are living with as a registered domestic partner under the Vital Statistics Act.
• The person you have been living with in a conjugal relationship for at least one year, if neither of
you are married to someone else.
• The person you have been living with in a conjugal relationship for at least three years, even if one
or both of you are married to someone else.
Waiver – a written agreement in which a person gives up a right to something to which they would
ordinarily be entitled. For example, a written agreement in which a spouse gives up the right to receive
pension benefits to which they would ordinarily be entitled.
Page 3 of 3
Form 8
2019/01
Page of 3