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Contact Name Suite No. Province Postal Code area code Fax Number Form 5- Application to Withdraw or Transfer Money from an Ontario Locked-in Account Approved pursuant to the Ontario Pension Benefits Act R.S.O. LIRA Locked-in retirement account LIF Life income fund Updated 2010/01/01 FSCO 1167E -I Pensions- Instructions for Form 5 Page 1 of 7 How to Complete the Application Before completing any Part of the application please read all of these i.

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