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515. 6800 or 888. 4. SDCERA www. sdcera.org Continued on reverse side. For office use only Rev. 8/2014 copy of the trust a properly executed certificate of trust and a list of all of the beneficiaries of the trust with this designation. SECTION 4 TRUST AS BENEFICIARY FOR LUMP-SUM DEATH BENEFIT Two signatures required. Bene ciary information will not be accepted without the required signatures. You must certify your designation with your signatur.

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