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Get Attorney In Fact Form

Rmation (please print) NAME (last, first, initial) client id or social security number attorney-in-fact daytime telephone number (attorney-in-fact) ( ) ADDRESS (attorney-in-fact) city state zip code I declare that at the time I exercised the power of attorney described below via my request to CalSTRS to , to my knowledge state the action calstrs was asked to take; for example, change home address the power of attorney, naming me as the agent of member/benefit.

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