Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698058840326.pdf (Liberia)
PENSION APPLICATION 1 Pension Lifelong pension from: Division A LSR Division B LSR ESÚÍ LA/LR From (mm.yyyy): Note: Pensions are paid on the first day of the month, for the preceding month.

Half pension payments I request that this application be sent to other Icelandic pension funds in which I hold an entitlement 2 Applicant Name Address Icelandic ID number (kennitala) Postal code Location and country Email address: Bank account information 3 Taxation Tel.

Bank branch no.

- Ledger (hb) - Account no.


Note: The bank account must be Icelandic and owned by the applicant Income tax is withheld on pension payments according to the same rules as regular wages.

The fund member is responsible for informing the fund of the applicable income tax rate and details of tax card utilization.

Please choose ONE of the tax rate levels below, or state your monthly income from sources OTHER than LSR.
Tax rate 1 (31.45% tax on total taxable monthly income of up to ISK 409,986) Tax rate 2 (37.95% tax on total taxable m onthly income of ISK 409,987 to 1,151,012) Tax rate 3 (46.25% tax on total taxable m onthly income over ISK 1,151,012) Tax rate based on other monthly income (total monthly wages from other employers and funds): Use my income tax card: % Percentage utilization: From the date of: 4 Signature I have read and agree with the following LSR terms: By signing this application I am authorizing LSR to contact my employer for information regarding my employment and retirement.
Pension payments from Division B can only commence upon retirement as a state employee.

Signed electronically in accordance to Icelandic law, Act 55/2019 on electronic identification and trust services for electronic commerce · 1 0 5 R e y k j a v í k · S í m i : 5 1 0 6 1 0 0 · l s r @ l s r .

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