HomeMy WebLinkAboutDocumentation_Pension General_Tab 03_03/30/2010Laur, Betty -
From: Angela D. Twomey (angela~perryjensenlaw.com]
Sent: Monday, March 22, 2010 1:24 PM
To: McWilliams, Lori
Cc: Laur, Betty; PensionTeamEmail
Subject: Tequesta General (Harding )
Attachments: Cvr Ltr L McWilliams - Orig Ntc of Benefits.pdf, 2010-03-19 Notice of Benefits -Executed -
Harding Onty.pdf
Lori:
Attached please find the covering correspondence the the Notice of Benefits executed ~y Catherin Harding.
The originals will follow via UPS delivery for receipt tomorrow.
If you have any questions, please feel free to contact our office.
Thanks and have a great day!
Angela D. Twomey
Legal Assistant -Pension Team of Bonni Jensen
The Law Offices of Perry ~ Jensen, LLC
400 Executive Center Drive, Suite 207
West Palm Beach, Florida 33401-2922
561.686.6550 (Phone)
561.686.2802 (Fax)
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TxE LAW O~ICES of
PERRY &~ JENSEN, LLC
ANN H. PERRY
aperryQperryjensenlaw.com
March 22, 2010
VIA UPS GROUND DELIVERY
Lori McWilliams
Village of Tequesta Pension Funds
345 Tequesta Drive
Tequesta, Florida 33469
BONNI SPATARA JENSEN
bsjensen~penyjensenlaw.com
Re: Village of Tequesta General Employees'
Pension Trust Fund
Participant: Catherine Harding
Our File No.: 1012.9001
Dear Lori:
Enclosed please find two original Notice of Benefits executed by Catherine Harding
and received today. This will now need to be approved by the Board of Trustees. Since
there is some time before the next Fund meeting, do you think we should try for a special
meeting?
If you have any questions or if I may be of any further assistance to you, please do
not hesitate to contact our office.
Sincerely,
`1M->/
~~
1
Bonni S. Jense
BSJ/adt
Enc. H:1Tequesta GE 1012\Participants\Harding\Cvr Ltr L McWilliams - Orig Ntc of Benefits.wpd
400 EXECUTlvE CENTER DRIVE, SUITE 207oa WEST PALM BEACH. FLORIDA 33401-2922
PH: 561.686.6550 ~ Fx: 561.686.2802
1I
IR ~IeYs
VILLAGE OF TEQUESTA GENERAL EMPLOYEES' PENSION TRUST FUND
Notification of Benefits
?articipant's Name: CATHERINE A. HARDING
Twe of Benefit
X Normal Retirement
Early Retirement -Deferred to Normal Retirement Date
Early Retirement -Reduced Benefit
Service Connected Disability
Non Service Connected Disability
Vested Benefit, Deferred to Normal Retirement Date (no options shown}
Terminated Vested Member Attaining Normal Retirement Date
Benefit Commencement Date: January 1.2010
The amount of your monthly benefit depends on the optional form of annuity that you choose. Please
'initial the one optional annuity form listed below which you elect to receive:
1. LIFE ASllvU1TY: This option provides monthly benefit payments of $711.13 to you
as long as you live. If you should die before you have received an amount equal to your own
contributions to the Plan, payments will continue to your beneficiary until your own contributions
with interest have been used up.
2. TEN YEAR CERTAIN AND LIFE ANNUITY: This option provides monthly payments of
$668.92 to you as long as you live. If you should die before 120 monthly payments have
been made, the same amount will continue to be paid to your beneficiary until a total of 120
monthly payments have been made in all.
3. 100% JO1flVT AND SURVIVOR ANNUITY: This option provides monthly payments of
$647.48 to you as long as you live. Your,designated beneficiary,'ifliving at the Time of your
death, will then receive monthly payments of $647.48 ~ as long as he/she lives.
4. 75%° JOINT AND SURVIVOR ANNUITY: This option provides monthly payments of
$662.28 to you as long as you live. Your designated beneficiary, if living at the time of your
death, will then receive monthly payments of $496.71 as long as he/she lives.
5. 66 2!3% JOINT AND SURVIVOR ANNUITY: This option provides monthly payments of
$667.40 to you as long as you live. Your designated beneficiary, if living at the time of your
death, will then receive monthly payments of $444.93 as long as he/she lives.
6. 50% JOINT AND SURVIVOR ANNUITY: This option provides montlily payments of
$677.78 to you as long as you live. Your designated beneficiary, if living at the time of your
death, will then receive monthly payments of $338.89 as long as he/she lives.
The preceding amounts are based on the following information:
.'our Date of Birth: February 17,1942 Date of Em loyment: October 31, 2005
fate of Retirement: December 31, 2009 Years of Credited Service: 4.1676
-verage Monthly Earnings: $8,025.18
teneficiary Name: Frank F. Harding Date of firth: October 14, 1934
-fter-Tax Contributions:
're-Tax Contributions;
nterest on Contributions:
~.ccumulated Employee
$19
Contributions: $19,934.68
lontaxable Portion of
vionthly Benefit for Options Number of Months Nontaxable
L or 2; 0 Portion Continues: 210
Yontaxable Portion of
Monthly Benefit for Options Number of Months Nontaxable
3.4.5 or 6: 0 Portion Continues: 210
The Survivor Annuitybenefit amounts shown above are based on the beneficiary named above
and are payable only to this beneficiary. Shculd you wish to change your beneficiary, new amounts
will have to be calculated.
This calculation is sub}ect to cflrrection. Tf you are or become aware of errors in the data that
was used, the calculations that were made, or the plan provisions that were applied, it is your responsibility
to contact the plan administrator. The plan has the right to recover from you amounts that were paid to
you in error.
BOARD OF TRUSTEES:. By
DATE:
I accept the terms above, includil~g rriy choice of annuity form, arid. canfitu~ the information
shown above to be correct.
PARTICIPANT'S SIGNATURE: ~ - ~ , - DATE: v
Calculation Date: March 4.2010
FOI'tl'1 UJ A (AooA~ Compete aN workst~ts that apply. However, you dividends, consider maWng estfrnated tax
a tr "f' 1 i .7 may claim fewer (or zero) alowancas. For regular payments using Form 7 040-F~, Estimated lax
W9OeS. WtfhhOlfgnO must tie based en sllewwMSU ter Inrtltrirfi,ote Mfiwrwin. w,,, .env ...u"
Purpose. Complete Form W-d so filet your
employer can wfthtldd the correct federal irlcorrro
tax from yow pay. Consider compietlng a new
Faro W-4 e~h yar and whwt yore personal or
finarlctai sltuatkm tdlarlpes.
F~remptlon from withholding. it you are
exempt, complete arty lines 1, 2, 3, 4, and 7
end sign the form to validate It. Your exemption
for 21109 expires February 18, 2010. Sea
Pub. 505, Tax Withholding and Estlnsated Tax.
Note. You-cannot claim exemption Iran
withholding it (a) yow Income excels 5950
and includes more than 5300 of unearned
Income (for example, Interest and dividends)
and (b) anothw person can Beim you as e
dependent oR their tax return.
Basic Inatrlrctlorle. tf you are trot exempt,
complete the Personal Allowances Worksheet
below. The worksheets on page 2 further adjust
your withhddblg alowances bared on itemized
deductions, certain credits, adjustments to
income, a twodmultiple Job situatbns.
yW 6I81rr10D 8[10 rTlay rxx Oe 8 n8t BmOtNX a
peroentage of wages.
Head of household. Generapy, you may claim
head of househokf tNhlg status on your tax
return only if you era unmarried and pay more
then 5D% of the costs of keeping up a home
for yourself end r dependent(s) a ottler
qualifying In oats. See Pub. 501,
Intamap t~bns~for informaHonuatlon. and FiNr~
Tax credits. You can take projected tax
credits into account in ffguflng your allowable
number of withholding allowances. Credits for
ch8d a dependent Dare expenses and the
ch8d tax credit may be claimed us6tg the
Porsonai Agowarltxis Worksheet below. Sea
Pub. 919, How i7a I Adjust My Tax
Withhokllrlg for iniomlaikm on converting
yaw athw credits into withholt~lg allowances.
Nonwage Income. if you have a large amourrt
of nonwage Income, such as interest a
eaamanat tax_ If you trove pension or arlrwity
income, see Pub. 819 to flnti out if you should
adjust your withholding on Form W-4 a W-4P.
Two earners or multiple jobs. if you have a
working spouse a more than one Jab. figuro
the total number of e8owances you are entitled
ro claim on aM Jobe using worksheets from only
one Form W-4. Your wiihhokl&Ig usually will
be most acctmate when aq alowancea are
claimed on the Faro W-4 for the highest
paying Job and zero allowances are claimed on
the others. See Pub. 919 tar details.
Nonrasld•rlt ~ladt. if you are a nonresident
aNen, see the Instructlona for Form 8233
before canpletklg this Faro W-4.
Check your wlthholdklg. After your Form W-4
takes effect, use Pub. 919 to sea how the
amount you are having withheld compares ro
919, a peciaity it fyow eaming~ c ed ub.
3130,000 (Single) or 5180,Otlo (Married).
A Enter "i" for yourself if no one else can claim you as a dependent , A ~
• You are single and have only one job; or
B Enter "1" If•. • Yau are married, have only one job, and your spouse does not work; or 8
• Your wages from a second job a your spouse's wages (or the total of both) are $1,500 or less.
C Enter "1" for your spouse. But, you may chocse to enter "-0--" If you are married and have either a working spouse or
more than one Job. (Entering "-0--" may help you avoid having too little tax withheld.) C
D Enter number of dependents (other then your spouse or yourself) you wAl ciakn on your tax return D
E Enter "1" ff you will file as head of household on your tax return (see condkions under bead of household above) E
F Enter "1" ff you have at least $1,800 of child or dependent care expenses for which you plan to Balm a credit F
(Note. Do eat include child support payments. See Pub. 503, Cfdid and Dependent Care Expenses, for details.)
Q Child .Tax Credit (Including additional child tax credit). See Pub. 972, Child Tex Credit, for more information.
• If ytxir total ktoome wW be lass ttlan;61,000 (f90,000 A marrladj, er~m "2" fa each ~161e tad; thenless'1" ff you have three tx' mere eAgAlle dtAdren.
• If your total klcome will be between $61,01]0 and $84,000 ($90,000 and $119,0 ff married), enter "1" for each eligible
chid plus "1" additional If you have six or mare eligible children. t3
H Add Anes A though G and enter total here. dote. This may be different from the number of exemptions you claim on your tax return.) - }( ~_
Fa accuracy, • If you plan to itemize or claim adjustments to Income and want ro reduce yotx withholding, see the Deductions
complete all and Adjustments Worksheet on page 2.
worksheets • it you have more titan one job a are married and you and your spouse both work and the uxxtlblrmd earnklgs from aA jobs exceed
that apply. $40,000 (525,0 if monied), see theTwo-Eamers/iiAudtiple Jobs Worksheet on page 2 to avoid having too Attie tax wilhhetd.
• !f neitlter of the atxrve situatk)ns applies, stop here and enter the number from Ana H on Ana 5 of Form W-0 below
...............•--.-.•.•. Cut here and give Form W-4 td Yow employer. Keep the top part for your records ---•------•-----..........
Fwm w•,4, Employee's Withholding Allowance Certificate ~n"°~1S'~/°~a"
DePaArrreM d IM Ttea•ay - Whether you are entitled to aim s aerlein numtrer of alowances or sxempllal ham wiihholditlg is %1009
Mlernal Ravaxb SwNcs subject to ravtew by the IRS. Your employer may ire reglrited to rind s copy of ftda form to ihs tqS, LLLS 55 V
t Type a print your lkst name and rr~ddie kdtlal. -Last name a v.......,ar v....:... _.._~~
t•Icme
~Y or
9 ~ Skgie lF~ Married ^ Marliad, twt wMlflold at higher Sklpie rate.
Moto. N masted, but kgiy aoparMed, w spouse k; a nom ater4 dark the "&rlpte' box.
4 M your Isd roam. dfifets horn tlrat shown on your acrid secudty card,
check here. You rrarst caU 1-goo-T/2-f213 for a replapmont card, - r
5 Total numl6ar of atiowence"s you are claiming (from line H above or from the appUcabie worksheet on page 2) 5
6 Additional amount, ff arty, You want withheld front each paycheck 6
7 i claim exerr~tion from withholding for 2009, and I certify that I meet boat of the following condttlons for exemptbn.
• Last year 1 had a right to a refund of adf federal income tax wtthhudd because I had no tax Aabiiity and
• This year I expect a refund of ail federal income tax withheld because I expect to have no tax Aabitfty.
If ou meet both conditions, write "F~cem t" here . - 7
Under penalties d per)Iry, I declare that 1 have exartdned this rxrriiNcate and to the txsN of my knovAedge amt txdiel, it b true, careat, old complete.
F~rlployee's signature ;/ r
(Farm b not vaild unless you sign it.) - >,w.. Date f
v
a Ernpbyer's name end address (Employer. Complete ®nea 8 srW to only if sending to .) a llface code ioP~•A 10 Emptoyar ~ e,lE~i
For Privacy Act and Paperwork Reduction Act Notice, sae page 2. CeL iva. 102200 Form W-4 (2009)