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1. CORRECTION TO SOCIAL SECURITY NUMBER, …

HOUSING AGENCY RETIREMENT TRUST. NOTICE OF CHANGES FORM #160. (MARK APPLICABLE BLOCKS WITH X). 1. CORRECTION TO SOCIAL SECURITY number , DATE OF BIRTH, DATE OF HIRE, OR DATE OF PARTICIPATION. Correct SOCIAL SECURITY No. Correct Date of Birth Correct Date of Hire Correct Date of Participation 2. CHANGE OF VOLUNTARY AFTER-TAX CONTRIBUTION PERCENTAGE OR AMOUNT. Discontinue Voluntary After-Tax Contributions effective , 20. Begin Voluntary After-Tax Contributions effective , 20. Complete One: Start deducting % of my basic compensation, or $ per month.

housing agency retirement trust notice of changes form #160 (mark applicable blocks with x) correction to social security number, date of …

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