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Get Tn Tr-0020 2012-2024

000 Refer to pages 5 and 6 for detailed instructions. Do NOT complete this form if you are applying for disability retirement benefits. Section 1. Member Information To be completed by the Applicant. Member SSN Date of Birth Full Name Mailing Address City State Zip Code Email Home Phone Last Employer (Department or Institution Name) Title of Position Date of Retirement Date Employment Terminated 55th Birthday Day After Last Paid Day 60th Birthday Other Section 2. Payment Plan Electi.

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