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The document ceased to be valid since October 3, 2016 according to the Resolution of Board of the Pension Fund of the Russian Federation of September 9, 2016 No. 850p

It is registered

Ministry of Justice

Russian Federation

On May 28, 2015 No. 37419

RESOLUTION OF BOARD OF THE PENSION FUND OF THE RUSSIAN FEDERATION

of May 12, 2015 No. 158p

About approval of forms of statements and notifications, instructions for their filling, procedure for bringing to data of insured persons of the specified forms of statements and instructions for their filling

According to Items 2 and 3 of Article 36. 7, Item 2 of Article 36. 8, Items 2 and 3 of Article 36.8-1 and Item 2 of article 36.11 of the Federal Law of May 7, 1998 No. 75-FZ "About non-state pension funds" (The Russian Federation Code, 1998, No. 19, Art. 2071; 2003, No. 2, Art. 166; 2005, No. 19, Art. 1755; 2007, No. 50, Art. 6247; 2008, No. 18, Art. 1942; 2010, No. 31, Art. 4196; 2011, No. 29, Art. 4291; 2012, No. 31, Art. 4322; No. 47, Art. 6391; No. 50, Art. 6966; 2013, No. 49, Art. 6352; No. 52, Art. 6975; No. 30, the Art. 4219) the Board of the Pension Fund of the Russian Federation decides 2014,:

1. Approve:

the application form of insured person about transition from the Pension Fund of the Russian Federation to the non-state pension fund performing activities for mandatory pension insurance according to appendix No. 1;

the instruction for filling of the application form of insured person about transition from the Pension Fund of the Russian Federation to the non-state pension fund performing activities for mandatory pension insurance according to appendix No. 2;

the application form of insured person about early transition from the Pension Fund of the Russian Federation to the non-state pension fund performing activities for mandatory pension insurance according to appendix No. 3;

the instruction for filling of the application form of insured person about early transition from the Pension Fund of the Russian Federation to the non-state pension fund performing activities for mandatory pension insurance according to appendix No. 4;

the application form of insured person about transition from non-state pension fund to the Pension Fund of the Russian Federation according to appendix No. 5;

the instruction for filling of the application form of insured person about transition from non-state pension fund to the Pension Fund of the Russian Federation according to appendix No. 6;

the application form of insured person about early transition from non-state pension fund to the Pension Fund of the Russian Federation according to appendix No. 7;

the instruction for filling of the application form of insured person about early transition from non-state pension fund to the Pension Fund of the Russian Federation according to appendix No. 8;

the application form of insured person about transition from one non-state pension fund to other non-state pension fund according to appendix No. 9;

the instruction for filling of the application form of insured person about transition from one non-state pension fund to other non-state pension fund according to appendix No. 10;

the application form of insured person about early transition from one non-state pension fund to other non-state pension fund according to appendix No. 11;

the instruction for filling of the application form of insured person about early transition from one non-state pension fund to other non-state pension fund according to appendix No. 12;

form of the notification of insured person, about replacement of the insurer chosen by it on mandatory pension insurance (the investment portfolio (managing company) specified in the statement of insured person for transition according to appendix No. 13;

the instruction for filling of form of the notification of insured person, about replacement of the insurer chosen by it on mandatory pension insurance (the investment portfolio (managing company) specified in the statement of insured person for transition according to appendix No. 14;

Procedure for bringing to data of insured persons of forms of statements of insured persons for transition and statements of insured persons for early transition from the Pension Fund of the Russian Federation to the non-state pension fund performing activities for mandatory pension insurance, from non-state pension fund in the Pension Fund of the Russian Federation, from one non-state pension fund in other non-state pension fund, the notification of insured person, about replacement of the insurer chosen by it on mandatory pension insurance (the investment portfolio (managing company) specified in the statement of insured person for transition and also instructions for filling of the specified forms of statements and the notification according to appendix No. 15.

2. Declare invalid the resolution of Board of the Pension Fund of the Russian Federation of June 9, 2014 No. 169p "About approval of forms of statements" (it is registered by the Ministry of Justice of the Russian Federation on July 11, 2014, registration No. 33068).

Chairman

A. Drozdov

Appendix No. 1

to the Resolution of Board of the Pension Fund of the Russian Federation of May 12, 2015 No. 158p

Form

   IN _____________________________________________________________________

           (name of territorial authority of the Pension fund

                             Russian Federation)

The statement of insured person for transition from the Pension Fund of the Russian Federation to the non-state pension fund performing activities for mandatory pension insurance

                              

+-+

¦ ¦ - the application is submitted by insured person personally

+-+

+-+

¦ ¦ - the application is submitted by the representative of insured person

+-+

(necessary to note sign X)

 

___________________________________________________________________________

       (surname, name, middle name (in the presence) insured person)

 

+-+-+ +-+-+ +-+-+-+-+

¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦

+-+-+ +-+-+ +-+-+-+-+

   (number, month,

    year of birth)

                                                                    +-+

                                                       Sex: male ¦ ¦

                                                                    +-+

                                                                    +-+

                                                            women's ¦ ¦

                                                                    +-+

                                                          (necessary to note

                                                              sign X)

+-+-+-+ +-+-+-+ +-+-+-+ +-+-+

¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦

+-+-+-+ +-+-+-+ +-+-+-+ +-+-+

     (number of insurance

certificates obligatory

 pension insurance)

 

Information  about  the representative  (if  the application  is submitted by the representative

insured person):

___________________________________________________________________________

           (surname, name, middle name (in the presence) representative

                          insured person)

 

+-+-+ +-+-+ +-+-+-+-+

¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦

+-+-+ +-+-+ +-+-+-+-+

   (number, month,

    year of birth)

 

Identity document of the representative of the insured person ______

___________________________________________________________________________

                 (name, number and series of the document,

___________________________________________________________________________

                            whom and when it is issued)

__________________________________________________________________________,

 

The document confirming powers of the representative of insured person ____

___________________________________________________________________________

                 (name, number and series of the document,

___________________________________________________________________________

___________________________________________________________________________

                            when also by whom it is issued,

___________________________________________________________________________

__________________________________________________________________________,

                            effective period <1>)

performing  (performing)  forming   of funded   pension

through    the Pension Fund of the Russian Federation, I report about intention since year,

following after year in which  five-year term since year of giving expires

this   statement   to perform  further  forming  of mine

funded pension through ______________ non-state pension fund

___________________________________________________________________________

           (name of non-state pension fund)

___________________________________________________________________________

___________________________________________________________________________

 

+-+-+-+-+-+-+-+-+

¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦

+-+-+-+-+-+-+-+-+                 ________________________________________

(date of filling                       (signature of insured person /

statements)                                      representative

 



Office marks of the Pension Fund of the Russian Federation

Place of certifying text

 

--------------------------------

<1> The field "effective period" is filled if the specified term is provided by the document confirming powers of the representative of insured person.

 

Appendix No. 2

to the Resolution of Board of the Pension Fund of the Russian Federation of May 12, 2015 No. 158p

The instruction for filling of the application form of insured person about transition from the Pension Fund of the Russian Federation to the non-state pension fund performing activities for mandatory pension insurance

1. The statement of insured person for transition from the Pension Fund of the Russian Federation to the non-state pension fund performing activities for mandatory pension insurance (further - the statement), is filled in with insured person (his representative) according to this instruction on the form approved by this resolution according to appendix No. 1.

2. In case of filing of application on paper the statement can be completed by insured person (his representative) by hand or with use of technical means (using the typewriter, the computer) (further - technical means).

When filling the statement with insured person (his representative) by hand it is necessary to use ink (paste) of blue or black color.

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