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Get NC National Guard Form 127-1-R 2022-2024

Ld Star Drive, Raleigh, NC 27607-6410 I hereby apply for the North Carolina National Guard State Pension. I have read the eligibility criteria for the pension as listed on the reverse of this form and certify that I meet the requirements. Service creditable for retirement is evidenced by attaching my NGB 22. Last Name First Name Home Address Middle Social Security Number City State Zip Code NOTE: Submission of the attached State Retirement Form 170 is mandatory to permit direct deposit o.

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