COURT FORM 6 Eff. 7/1/04 IN THE COMMON PLEAS COURT OF HURON COUNTY, OHIO DOMESTIC RELATIONS DIVISION PENSION INFORMATION SHEET Attorney Name: _______________________________________________________ Employee Name: _______________________________________________________ Date of Birth: _______________________________________________________ Date of Marriage: _______________________________________________________ Date for Beginning Employment: ___________________________________________ Last date of work if not a current employee: ____________________________________ Evaluation Date(normally the hearing date): ____________________________________ Normal Retirement Age: _________________________________________________ Social Security Number: _________________________________________________ Pension Plan Name: _______________________________________________________ Pension Plan Address: ______________________________________________________ Pension Plan Phone: _______________________________________________________ Please provide the last benefit statement (Should be no older than a year!) ERISA requires one a year. The statement must have an accrued benefit section. That is the amount of yearly pension the employee will receive at normal retirement age if he/she were to terminate their employment at this time. American LegalNet, Inc. www.FormsWorkflow.com