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Pension Annuity Deferral Declaration - Aviva

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I am aware that the above factors may be less favourable to me when purchasing an annuity at a later date, on or<br />

before 31 December 2010. Therefore, the future pension I will receive may be less than the pension I could purchase<br />

today.<br />

The Trustee(s) agree that should I request them in writing to purchase an annuity at any time within the deferred<br />

period they shall do so on the date set out in my request.<br />

Signed - Individual<br />

Signed - Trustee(s)<br />

Date<br />

Date<br />

<strong>Aviva</strong> Life & <strong>Pension</strong>s Ireland Limited. A private company limited by shares. Registered in Ireland No. 252737<br />

Registered Office One Park Place, Hatch Street, Dublin 2.<br />

Member of the Irish Insurance Federation. <strong>Aviva</strong> Life & <strong>Pension</strong>s Ireland Limited is regulated by the Central Bank of Ireland.<br />

Life & <strong>Pension</strong>s One Park Place, Hatch Street, Dublin 2. Phone (01) 898 7000 Fax (01) 898 7329<br />

www.aviva.ie<br />

Telephone calls may be recorded for quality assurance purposes.<br />

22.39.02.13

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