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Group Term Life (GTL) and Accidental Death and Dismemberment ...

Employee/Retired Employee Signature_____ Date_____ Important Note For Married Employees: If you reside in AZ, CA, ID, LA, NV, NM, TX, WA or WI, and you name someone other than your spouse as primary beneficiary, your spouse's consent will be necessary ...

First Name Middle Initial Last Name Maiden Name Member Social ...

Member Information and Beneficiary Designation Form. First Name Middle Initial Last Name Maiden Name. Member Social Security number (required for tax-reporting purposes)

VHA Handbook 1601B.05, Beneficiary Travel

T-1 Department of Veterans Affairs VHA HANDBOOK 1601B.05 Veterans Health Administration Transmittal Sheet Washington, DC 20420 July 21, 2010 BENEFICIARY TRAVEL 1.

Quik! Form by Efficient Technology, Inc.

1. Account Information Account Holder Name (First/M.I./Last) Name of Custodian or Trustee (if applicable) Account Holder's Social Security Number Taxpayer Identification Number OR Daytime Phone Number Current Beneficiary's Name (First/M.I./

Inheriting an IRA: Planning techniques for primary beneficiaries

Beneficiary designation on contract IRA owners should make a beneficiary designation on their IRAs to maximize the income tax deferral rules available for qualified "designated beneficiaries."

10341 Designation of Beneficiary

Return to: ND Retirement and Investment Office Telephone: 701-328-9885 1930 Burnt Boat Drive, PO Box 7100 Toll free: 800-952-2970 Bismarck ND 58507-7100 Fax: 701-328-9897 This form is available in an alternate format upon request. www.nd.gov/rio DESIGNATION OF BENEFICIARY (020) NORTH DAKOTA ...

Designation of Beneficiary

Designation of Beneficiary Unpaid Compensation of Deceased Civilian Employee Standard Form 1152 Revised June 2002 Important: Read all instructions before filling in this form A. Identification Name (Last, first, middle) Date of birth (mm, dd, yyyy) Social Security Number Department or agency in ...

Designation of Beneficiary Form

WHEN COMPLETED, PLEASE RETURN THIS FORM TO: PARS at P.O. Box 12919, Newport Beach, CA 92658 North Texas School District Consortium 457(b) FICA Alternative Plan Designation of Beneficiary Form INSTRUCTIONS 1.

Designation of Beneficiary

Federal Employees Group Life Insurance U.S. Office of Personnel Management FEGLI Handbook (RI 76-26) NSN 7540-01-231-6228 2823-103 SF 2823 Previous editions are not usable.

Beneficiary's Share of Income, Deductions, Credits, etc.

Schedule K-1 (Form 1041) Department of the Treasury Internal Revenue Service 2009 For calendar year 2009, or tax year beginning,, 2009, and ending, 20 Beneficiary's Share of Income, Deductions, Credits, etc.