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Trs. state. tx. us TRS 15 Rev. 01-12 DESIGNATION OF BENEFICIARY Name Social Security No. As it appears on TRS records Complete this form TRS 15 to designate a beneficiary or beneficiaries for active member death benefits or retiree survivor benefits. Signature of Member or Retiree STATE OF On date a notary public. Signature of Notary Public Date COUNTY OF printed name of person whose signature appears above acknowledged this document before me SE.

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