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PAGE OF INSTRUCTIONS Form 1102 Page 2 USE THIS FORM FOR ACTIVE MEMBER BENEFICIARY DESIGNATIONS WHICH DO NOT REQUIRE A TRUSTEE APPOINTMENT. Form 1102 Revised 03/25/2005 Page 1 ACTIVE MEMBER BENEFICIARY FORM BENEFICIARY DESIGNATION CONTINGENT BENEFICARY FOR Please read the instructions on the reverse page 2 before completing this form. Change of Beneficiary South Carolina Retirement Systems State Budget and Control Board Box 11960 Columbia SC 29211.

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