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NHS Pension Scheme - Att8698374

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Date: 31/07/2023 Dental Services

Private and Confidential Head Office


Mrs ST Tariq NHSBSA
4 RIDGEWAY GARDENS Dental Pensions Administration
ILFORD PO Box 679
Newcastle upon Tyne
NE5 2DZ
IG4 5HJ
Telephone: 0300 330 1348
e-mail: nhsbsa.dentalservices@nhsbsa.nhs.uk
Website: http://www.nhsbsa.nhs.uk/Pensions
NATIONAL HEALTH SERVICE PENSION SCHEME
Dear Mrs Tariq,
With reference to the Performers supplement to the 'Green Guide' below is a copy of the actual entry made by this authority in the record sent to NHS
Pensions showing the amount of your actual superannuation for the financial year ended 31 March 2023.

It will be assumed that you accept these figures as being correct unless you communicate with the NHS Dental Services within 2 months of this notification.
The allocation of the contribution tiers for future years will be based on these figures.

Please quote the Personal No. and S.D. Number below if writing to NHS Dental Services, or the N.I. Number and S.D. Number if writing to the Department
of Social Security.

Please note that if you have a trust contract that your AT pays you directly for, these earnings will not be included on this certificate, the AT would need to
issue a separate certificate to you.

Year Ending: 31 March 2023 Personal No.: 112881


S.D. Number: 10/887995 N.I. Number: SP-17-69-25-B Tier Number: 7
Superannuable Remuneration Employee Pension Contributions
Declared Other
Pensionable Superannuable Total Standard Additional Employers
Foundation Earnings Payments/ Superannuable Contributions Added Benefit ERRBO Total Pension Contributions
Contract Dentist Y/N (ARR) Deductions Remuneration (see below) Contributions Contributions Contributions Contributions at 14.38%
1017730000 N 7,208.30 0.00 7,208.30 706.41 0.00 0.00 706.41 0.00 1,036.55
2990490001 N 30,000.00 0.00 30,000.00 2,924.89 0.00 0.00 2,924.89 0.00 4,314.00
3411260001 N 2,000.00 0.00 2,000.00 191.00 0.00 0.00 191.00 0.00 287.60
Totals 39,208.30 0.00 39,208.30 3,822.30 0.00 0.00 3,822.30 0.00 5,638.15

Standard Contributions Breakdown:


01/04/2022 to 30/09/2022 01/10/2022 to 31/03/2023
Declared Other
Pensionable Superannuable Total Superannuable Standard Superannuable Standard
Foundation Earnings Payments/ Superannuable Remuneration for Contributions Remuneration for Contributions Total Standard
Contract Dentist Y/N (ARR) Deductions Remuneration Tier 4 at 9.30% Tier 7 at 9.80% Contributions
1017730000 N 7,208.30 0.00 7,208.30 0.00 0.00 7,208.30 706.41 706.41
2990490001 N 30,000.00 0.00 30,000.00 3,022.77 281.12 26,977.23 2,643.77 2,924.89
3411260001 N 2,000.00 0.00 2,000.00 999.96 93.00 1,000.04 98.00 191.00
Totals 39,208.30 0.00 39,208.30 4,022.73 374.12 35,185.57 3,448.18 3,822.30

Supporting the NHS, supplying the NHS, protecting the NHS


NHS Dental Services is a service provided by the NHS Business Service Authority
Form SD86c (07/23)

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