Free divorce agreement 33Free divorce agreement 33
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OLD MUTUAL SUPERFUND

APPLICATION FOR SETTLEMENT
OF DIVORCE BENEFITS
BY NON-MEMBER SPOUSE
Please complete in BLOCK LETTERS using black or blue ink.

PLEASE E-MAIL, FAX OR POST THE COMPLETED FORM AND SUPPORTING DOCUMENTS TO:
SuperFund Claims Department
Old Mutual SuperFund
PO Box 728
Cape Town 8000
E-mail [email protected]
Fax

0860 383 848

TO BE COMPLETED BY THE NON-MEMBER SPOUSE IN THE EVENT OF A DIVORCE SETTLEMENT CLAIM
Note:
An application by the non-member spouse for the settlement of a divorce award will only be deemed to have been received once all the required
documents and information are in the possession of this office.
The following documents must accompany this application (please tick appropriate box):

Already supplied

Attached

N/A

n Original certified copy of non-member spouse identity document
n Original certified copy of the Divorce Court Order
n Original certified copy of any Settlement Agreement that has been made an order of court
n Application forms for t