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Get 280-106 2012-2024

Date: Month I - - Day Hire Date: Year Month - - Zip Code Day - Year ROLLOVER INSTRUCTIONS The Rollover Form is used to invest prior plan money in your Plan account. The rollover must be completed within 60 days of receipt of the distribution, come from another employer s plan or an IRA and represent all or a portion of a lump sum distribution, or an installment distribution of less than ten years. In the context of a direct rollover, in which the funds are never actually made pay.

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