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Refund Election Application - CalPERS

Refund Election Application - CalPERS

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Other Eligible Retirement Plan Percent of Refund Combination of a Direct Payment to You and a Rollover to another eligible retirement plan or IRA. I elect to receive a combination in-hand distribution and rollover. The amount I want to receive in-hand (after taxes) is $. Complete the enclosed Refund Direct Deposit Authorization form.

  Applications, Direct, Election, Rollovers, Calpers, Refund, Refund election application, Refund direct

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