Scribd Logo
Upload

Welcome to Scribd!

  • 278 views

    PSRT RSP Withdrawal

    Uploaded by

    MDV Vehicles

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PSRT RSP Withdrawal

    Uploaded by

    MDV Vehicles
    278 views1 page

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    278 views1 page

    PSRT RSP Withdrawal

    Uploaded by

    MDV Vehicles

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    The Power Sector Retirement Trust

    802-10 Carlson Court, Etobicoke ON M9W 6L2

    Request for Withdrawal/Registered Investments Transfer Email to: info@psrt.ca or Fax to: 416-240-0993

    Check one of the following to tell us what type of plan you’re withdrawing from:
    Personal RRSP Spousal RRSP Tax Free Savings Account Non-Registered Savings Plan
    Please print clearly.
    1 Tell us about yourself
    POWER SECTOR RETIREMENT PROGRAM – 36851 Telephone Number 613- 328- 6088
    Your last name First name Initial Your Social Insurance Number

    Dillon Kirk J 526 - 201 - 470


    Your home address (number, street, apartment City or Town Province Postal Code
    4258 Henderson rd Harrowsmith ON K0h 1v0
    If you’re withdrawing from a spousal RRSP, please provide information about your spouse.
    Your spouse’s last name First name Initial Your Spouse’s Social Insurance Number
    - -
    2 Withdrawals
    Withdrawing from an RRSP
    Check one of the following to tell us how much you want to withdraw
    Please check one box:
    Withdraw $ before tax (gross)
    Withdraw all funds; contributions will continue after tax (net)
    Withdraw the full Account value and end your membership
    I understand that a Union Administrative Fee of $20.00 will be applied.

    3 Payment method
    Please check off one option only:
    Make a cash withdrawal or Cheque or Direct Deposit (void cheque attached)
    Transfer the withdrawal value, as indicated below, to another Registered Plan (Canada Revenue Agency Form T2033 with Parts I
    and II or equivalent completed and attached).
    HomeBuyers (RSP Plans only) - completed Canada Revenue Agency form T1036 completed and signed must be attached to this
    form
    LifeLong Learning (RSP Plans only) - Canada Revenue Agency form RC96 with Area 1 completed and signed must be attached to
    this form.
    . Purchase an annuity/RIF with London Life Insurance Company (with special arrangements).
    Purchase an annuity/RRIF (Canada Revenue Agency Form T2033 with Parts I and II or equivalent completed and
    attached).

    4 Please sign here


    By signing below, you acknowledge the following:
    • we are required to withhold and report federal income tax, and if applicable Quebec income tax, on all withdrawals from a
    registered plan where required.
    • if you withdraw funds from a guaranteed investment before it matures, you will be subject to fair market value
    • your withdrawal may be subject to a transaction fee.
    • fax copy will be accepted.
    You should sign here if this is not a spousal RRSP If this is a spousal RSP, both member and spouse must sign.
    Member’s signature (in ink) Date (dd/mm/yyyy) Your spouse’s signature (in ink) Date (dd/mm/yyyy)
    06/28/2021
    5 To be completed by local union
    CERTIFICATION THAT THE INFORMATION PROVIDED ABOVE IS CORRECT
    Date (d/m/y) Plan Administrator Signature

    Please return the completed form and any applicable government transfer forms to Power Sector.

    Req for Withdrawal 36851 - 11/13 – 4-15

    You might also like