Form Ppf 190 PDF Details

The PPF 190 form serves as a pivotal tool for members of the New York City Police Pension Fund (NYCPPF) who seek to modify how they receive their monthly pension payments. Embodied in this document is the election to halt the direct deposit mechanism, thus shifting the mode of payment to a physical mailing of the pension checks. This change is significant for members who may either prefer receiving a tangible check or require it due to specific circumstances such as relocation or accessibility concerns. The form not only demands the member's decision to stop electronic funds transfer but also facilitates updating their personal information, including a possible change of address. This ensures that the NYCPPF directs the mail to the current and correct location. Moreover, the form incorporates a section for account authorization which is critical in the event of an overpayment; it obligates the designated financial institution to refund any excess amount received, thus safeguarding the fund's integrity. Expectedly, the completion and return of this form require notarization if sent by mail, underscoring the importance and seriousness of the information and authorizations provided therein. Through this procedure, the NYCPPF maintains a robust, transparent process for pension payment alterations, simultaneously ensuring member preferences are accommodated within the operational boundaries of the pension system.

QuestionAnswer
Form NameForm Ppf 190
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesyyyy, overpayment, affix, PPF

Form Preview Example

New York City

233 Broadway, 19th floor

Ofice use only

New York, NY 10279

 

Police Pension Fund

212-693-5100

 

 

www.nyc.gov/nycppf

 

 

 

STOP Direct Deposit (Electronic Funds Transfer)

Time and date

 

 

 

I hereby elect to STOP direct deposit (electronic funds transfer) of my monthly pension. Instead, I direct NYCPPF to mail my pension check to the address indicated in MEMBER INFORMATION below.

Member signature:

 

Date:

/ /

 

mm dd yyyy

After direct deposit cancellation, the NYC Police Pension Fund (NYCPPF) will send your monthly pension check to you at the address you provide in Member Information, below. If you recently moved, or plan to move, to a new permanent address, provide the new address and check the new address box. If you have any questions, call the Pension Payroll Unit at (212) 693-6888.

Member Information (please print)

This is a new address

 

Daytime phone: (

)

 

 

 

Pension #:

 

 

 

 

 

SSN, last 4 digits:

First name:

 

 

 

 

 

 

M.I.:

 

 

Last name:

 

 

 

 

 

 

 

 

 

 

In care of (if applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent address:

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt./Fl.:

 

 

City:

 

 

 

 

 

 

 

 

 

State:

 

 

Zip code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account Authorization

If you return this form by mail, you must notarize it. Mail it to:

 

 

 

 

 

 

NYC Police Pension Fund, Pension Payroll, 233 Broadway, New York, NY 10279.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I authorize and direct the inancial institution designated herein to immediately refund any overpayments to the

NYC Police Pension Fund (herein, “NYCPPF”), including all payments made by the NYCPPF on or after the date of my death, and to charge the same to the designated account. NYCPPF’s certiication of overpayment shall be suficient evidence of an overpayment. If the funds remaining in the account are not suficient to permit the inancial institution to fully refund overpayments by the NYCPPF, I authorize and direct the inancial

institution to provide to the NYCPPF all information related to the designated account, including withdrawals after the irst of the month in which my death occurs, the names and addresses of all joint account holders and any

individuals authorized to withdraw funds from the designated account, and any changes of address within one year prior to the date of my death.

 

 

Member signature:

 

 

 

 

 

Date:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notarization

[Notarization is required if you mail this form to the NYCPPF]

 

 

 

 

 

 

Before me, the undersigned authority, on this day personally appeared

 

 

 

 

 

 

(print full name) _________________________________________________, known to me

 

 

 

 

 

to be the person whose name is signed above, and who, upon his or her oath, acknowledges

 

 

 

 

 

to me that he or she executes this instrument for the purposes herein expressed.

 

 

 

 

 

 

Sworn and executed this _____ day of ___________________, 20_____

 

 

 

 

 

 

Signature of Notary Public or Commissioner of Deeds:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commission expir. date:

 

/

/

 

 

 

 

 

 

 

 

 

 

 

Registration #:

 

 

 

 

 

 

Qualiied county:

 

 

 

 

 

 

 

 

Or afix stamp or seal if available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ofice use only

 

Completed by (last name):

 

 

 

 

 

Date:

 

/

/

 

 

 

 

 

 

 

 

Withdrawal #:

 

 

 

 

 

Tax ID #:

 

 

 

 

 

 

PPF 190 06/11

How to Edit Form Ppf 190 Online for Free

The nyc police pension fund direct deposit filling in procedure is quick. Our PDF editor lets you work with any PDF file.

Step 1: You can click the orange "Get Form Now" button at the top of this web page.

Step 2: The document editing page is currently open. Include information or manage present information.

The PDF form you decide to fill out will include the following sections:

completing New_York step 1

Write the information in Account Authorization If you, Member signature, Date, Notarization Before me the, Notarization is required if you, print full name known to me to be, Commission expir date, Registration, Qualiied county, Or afix stamp or seal if available, Ofice use only, Completed by last name, Withdrawal, Date, and Tax ID.

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