Surrender / Part Surrender As surrendering will influence your policy and the overall return that you will receive, it is seldom in your best interest to surrender the policy early Please take note of the following: Surrender: Surrender means the right to cancel an annuity or life insurance contract in exchange for its cash value. A surrender is allowed only after the first 12 months that the policy has been in force and is calculated at market value. An administration fee amounting to 3% of the calculated surrender value will be applicable. Example Surrender value Administration fee Total payable - R 50 000 R 1 500 R 48 500 Part Surrender: Partial surrender means the removal of a portion of the original cash balance of an insurance policy. Growth Plan One partial surrender is allowed after the first 12 months of the policy term. The larger of 10% of the investment amount or R 30 000 must remain in the policy. An administration fee of 3% of the calculated partial surrender value will be applicable. Example Investment amount R 100 000 R 30 000 is larger than 10% on R100 000 (which is R10 000) Maximum surrender value R 70 000 Minus administration fee of 3% R 2 100 Amount payable R 67 900. Clientèle Life Assurance Company Limited Reg No 1973/016606/06. P.O.Box 1316, Rivonia, 2128, Soth Africa. Clientèle Office Park, Cnr. Rivonia and Alon Roads, Morningside. Tel: 011 320 3233, Fax: 011 783 0115, email: [email protected] VAT Reg No 4230166979 Directors: GQ Routledge (Chairman) BA LLB, B Journ, BW Reekie (Managing) FASSA, FFT De Buck CA(SA) ADT Enthoven (alternate) PhD Political Science, PR Gwangwa LLM, IB Hume CA (SA), ACMA, JWF Pretorius Bsc, GJ Soll CA (SA),BA Stott CA (SA), RD Williams BSc (Hons), FASSA,W van Zyl (Company Secretary) CA (SA) , G Simpson MBA, DBA (Compliance Officer # 5734) Clientèle Life is an authorized Financial Services Provider FSP Number 15268 Income Plan Partial surrender means the removal of a portion of the original cash balance of an insurance policy. One partial surrender is allowed on the endowment portion after the first 12 months of the policy term and is calculated at market value. The larger of 10% of the investment amount or R 30 000 must remain in the policy. An administration fee of 3% of the calculated partial surrender value will be applicable. Example Investment amount R 100 000 Endowment portion R 70 000 R 30 000 is larger than 10% on R70 000 (which is R7 000) Maximum partial surrender value R 40 000 Minus administration fee of 3% R 1 200 Amount payable R 38 800 We should also remind you that in terms of current income tax legislation, certain policy gains are taxable should you surrender your policy within five years. After this period the entire benefit you receive will be tax free. Surrender amounts are limited to the original investment plus a maximum of 5% annually compounded interest. Should the cash be higher than this limited amount, the remainder will be paid to you in the policy’s maturity date. Please note that only one surrender or part surrender is allowed on a policy. In order to receive the full benefit of your investment it is advisable that the initial investment amount be held until maturity. Should you require any further information, please do not hesitate to contact us on 0860 320 320. Signed at ________________ on the ____________ day of ____________ 20 ______ _______________________ Signature of policy holder ____________________ Signature of witness Clientèle Life Assurance Company Limited Reg No 1973/016606/06. P.O.Box 1316, Rivonia, 2128, Soth Africa. Clientèle Office Park, Cnr. Rivonia and Alon Roads, Morningside. Tel: 011 320 3233, Fax: 011 783 0115, email: [email protected] VAT Reg No 4230166979 Directors: GQ Routledge (Chairman) BA LLB, B Journ, BW Reekie (Managing) FASSA, FFT De Buck CA(SA) ADT Enthoven (alternate) PhD Political Science, PR Gwangwa LLM, IB Hume CA (SA), ACMA, JWF Pretorius Bsc, GJ Soll CA (SA),BA Stott CA (SA), RD Williams BSc (Hons), FASSA,W van Zyl (Company Secretary) CA (SA) , G Simpson MBA, DBA (Compliance Officer # 5734) Clientèle Life is an authorized Financial Services Provider FSP Number 15268 In order to process your surrender / part surrender, please fax this application form to (011) 783 1005 together with: A copy of your identity document Proof of bank account Proof of physical address (ie. Utility bill) Policy Number: _________________ Policy holder: _________________ Investment Pan: Guaranteed Growth Plan Initial Investment amount: Guaranteed Income Plan ________________ I hereby apply for a: Surrender: Partial Surrender: of the above mentioned policy for the sum of R ________________ Reason for Surrender /Part Surrender: _________________________________________ Contact Number: ________________ Fax Number / e-mail address: _____________________________________ I hereby declare that: I have not ceded or pledged the said policy to anyone either by ante-nuptial contract or otherwise. My estate has not been declared insolvent. Signed at ________________ on the ____________ day of ____________ 20 ______ _______________________ Signature of policy holder ____________________ Signature of witness Kindly note in case of a part surrender has been processed, a policy endorsement indicating the new maturity value of your policy will be forwarded to you. Please ensure that you place this endorsement together with the policy documents in your possession. Clientèle Life Assurance Company Limited Reg No 1973/016606/06. P.O.Box 1316, Rivonia, 2128, Soth Africa. Clientèle Office Park, Cnr. Rivonia and Alon Roads, Morningside. Tel: 011 320 3233, Fax: 011 783 0115, email: [email protected] VAT Reg No 4230166979 Directors: GQ Routledge (Chairman) BA LLB, B Journ, BW Reekie (Managing) FASSA, FFT De Buck CA(SA) ADT Enthoven (alternate) PhD Political Science, PR Gwangwa LLM, IB Hume CA (SA), ACMA, JWF Pretorius Bsc, GJ Soll CA (SA),BA Stott CA (SA), RD Williams BSc (Hons), FASSA,W van Zyl (Company Secretary) CA (SA) , G Simpson MBA, DBA (Compliance Officer # 5734) Clientèle Life is an authorized Financial Services Provider FSP Number 15268
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