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Get Board Form Ba

EMPLOYER BA NO. 5b. Street Address Line 1 Line 2 City State ZIP Code Effective Date 46-75 76-105 106-125 126-127 128-132 145-152 Form BA-6a 07-12 calendar year. UNITED STATES OF AMERICA RAILROAD RETIREMENT BOARD FORM APPROVED OMB NO. 3220-0005 FORM BA-6a ADDRESS REPORT SEE INSTRUCTIONS FOR COMPLETING AND MAILING THIS FORM ON REVERSE SIDE The information specified on this form which is required by law under Section 7 b 6 of the Railroad Retirement.

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