IN THE FAMILY STATE OF WEST VIRGINIA Petitioner

Medical Power of Attorney - West Virginia

state of west virginia medical power of attorney dated: , 20 i, , hereby

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EXECUTIVE DIRECTOR Jeffrey E. Fleck

CHIEF OPERATING OFFICER DEPUTY DIRECTOR Terasa L. Miller Executive Assistant Nancy Butcher BOARD ACTUARY Ken Woodson Actuarial Analyst Melody Bailey

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DIRECT DEPOSIT INSTRUCTIONS - West Virginia

DIRECT DEPOSIT INSTRUCTIONS. 1. Complete, sign and return the Direct Deposit form to the Consolidated Public Retirement Board / Benefits Section / 4101 MacCorkle Avenue SE / Charleston, WV 25304.

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BENEFIT ESTIMATE REQUEST PUBLIC EMPLOYEES …

State of West Virginia Consolidated Public Retirement Board Internet Form (Signature in Blue Ink Only) 4101 MacCorkle Avenue SE, Charleston, West Virginia 25304-1636

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Combined Living, Power - West Virginia

state of west virginia combined medical power of attorney and living will dated: , 20 i, , hereby

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STATE OF WEST VIRGINIA LIVING WILL

STATE OF WEST VIRGINIA LIVING WILL Living will made this day of (month, year).

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WV Public Employees Retirement System IMPORTANT NOTICE

WV Public Employees Retirement System NOTE: If you become reemployed by an employer participating in this retirement system while your refund application is being processed, CPRB will stop processing your refund request and you will remain a member of this retirement system.

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2021 DIRECT DEPOSIT CALENDAR FOR RETIREES

Date deposit funds will be available in your account. (Also indicates the date paper checks will be mailed) If the amount of your direct deposit is wrong:

RETIREMENT PLANS: WHAT TO DO WHEN NO QDRO IS …

Retirement Plans: What to Do Wh en No QDRO is Honored Section 65 1 RETIREMENT PLANS: WHAT TO DO WHEN NO QDRO IS HONORED I. INTRODUCTION The focus of this paper is to alert the

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QUALIFIED DOMESTIC RELATIONS ORDER (QDRO)

Page 1 of 2 Order #204773 03/01/2019 TM: PLNWTHEAS/PWEPPWK QUALIFIED DOMESTIC RELATIONS ORDER (QDRO) 2. GENERAL INFORMATION Submission of this completed form along with the required supporting documentation identified below will facilitate our servicing

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HOW DIVORCE CAN - WI ETF

4 A QDRO must include: • The member’s correct name, birth date, Social Security number and current address. • The alternate payee’s correct name, birth date,

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State of Michigan Deferred Compensation Plan I / 457 …

A Qualified Domestic Relations Order ("QDRO") is a DRO that has met the specific requirements mandated by federal law and the provisions of the Plan as determined by the Plan Administrator.

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QUALIFIED DOMESTIC RELATIONS ORDER (QDRO)

D. Conditions of division of the IRAs: i. All ownership and interest in the balance of the Existing IRA not transferred will belong to the Participant.

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QDRO'S: WHAT YOU NEED BEFORE YOU DO THE ORDER …

1 QDRO'S: WHAT YOU NEED BEFORE YOU DO THE ORDER PHILIP D. PHILLIPS Cochran & Phillips, L.L.P. 101 W. Randol Mill Rd., Suite 110 Arlington, Texas 76011

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Administration of Qualified Domestic Relations Orders ...

Administration of Qualified Domestic Relations Orders Under ERISA Michael Luis American Benefit Evaluators LLC Columbus, Ohio William Napoli American Benefit Evaluators, LLC

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