Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698058724362.pdf (Liberia)
Application for old age pension Information on the Fund member Name Address E-mail Bank account Bank number ID No.

Post code Tel.

– Mobile Acc.

type No.

Account No.

Initial receipt of pension Month and year I’m applying for a 50% pension.

NOTE!

Pensions are paid retroactively – on the last working day of each month Pension rights in other pension funds: I request that this application be sent to other pension funds in which I have rights.
I request confirmation that this application be sent to Tryggingastofnun (Social Insurance Administration).

Withholding taxes Withholding tax must be paid on pension payments as though they were regular wage payments.

It is the responsibility of the pensioner to inform the Fund of the pensioner’s tax bracket.
Tax bracket 1 (31.45% tax on total taxable income from ISK 0 to 409,986 per month) Tax bracket 2 (37.95% tax on total taxable income from ISK 409,987 to 1,151,012 per month) Tax bracket 3 (46.25% tax on total taxable income over ISK 1,151,012 per month) Proportion of personal tax allowance From date: I, the undersigned Fund member in Gildi Pension Fund, hereby confirm that I have acquainted myself with the substance of Article 11.4 in the Fund’s Articles of Association, which states that on taking retirement pension before the age of 67, the Fund member disposes of his/her retirement and disability pension rights entirely and does not have independent entitlement to disability pension thereafter.
Place Date Signature Gildi-Pension Fund Tel: 515-4700 E-mail: lifeyrir@gildi.is www.gildi.is Application for old age pension Is the applicant a Politically Exposed Person?

No Yes If yes, why are you Politically Exposed Person?

Explanatory notes: Gildi is required to check whether the applicant is a Politically Exposed Person as a result of the Act on measures against Money Laundering etc.

no.

140/2018.
no.

140/2018.

For this reason, the applicant must answer the following question: Is the applicant a Politically Exposed Person?

Politically Exposed Persons are individuals, domestic or foreign, who are or have been entrusted with prominent public functions, together with their immediate family and close associates.
Individual entrusted with prominent public function means: - heads of state, ministers and deputy or assistant ministers, - members of parliament, members of the governing bodies of political parties, supreme court judges, judges on constitutional courts or other high - level judges sitting in courts the decisions of which are not subject to further appeal except in exceptional circumstances, - members of courts of auditors and the supreme officials of central banks, - ambassadors, chargés d’affaires and high - ranking officers in the armed forces, - members of the administration, management or supervisory bodies of state -owned Enterprises - directors, deputy directors and members of the boards of international organisations or international institutions.
A person’s “immediate family members” are as follows: - the person’s spouse, cohabiting partner in a registered partnership, the person’s children, stepchildren and their spouses or cohabiting partners in registered partnerships, the person’s parents.
A person’s “close associates” are: - natural persons who are known to have had joint beneficial ownership of a legal person together with a politically exposed person, or other known associates, - natural persons who have had a close business relationship with a politically exposed person, - a natural person who is the sole beneficial owner of a legal person which is known to have been established for the benefit of a politically exposed.
Place Date Signature Gildi-Pension Fund Tel: 515-4700 E-mail: lifeyrir@gildi.is www.gildi.is