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4. For the purposes of section 48(1)(f)(ii) of the 1999 Act, the provision which corresponds to the provision which may be made by a pension sharing order under the 1985 Act shall be in a form which contains in an annex to, and which is separable from, the qualifying agreement referred to in section 48(1)(f)(i) of the 1999 Act, the following information—
(a)in relation to the party who is the transferor—
(i)full name;
(ii)date of birth;
(iii)address;
(iv)national insurance number, and
(v)details of the specified amount or, as appropriate, the specified percentage of the cash equivalent on the transfer day of the transferor’s relevant state scheme rights immediately before that day;
(b)in relation to the party who is the transferee—
(i)full name by which the transferee is or will be known;
(ii)date of birth;
(iii)address, and
(iv)national insurance number, and
(c)a statement by the transferor and the transferee that they have received confirmation from the Secretary of State that shareable state scheme rights are held in the name of the transferor and that on the grant of decree of divorce or declarator of nullity of marriage a pension-sharing agreement will be implemented.
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