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  • Ny Nyslrs Rs 5025-a 2009

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Ly (Rev. 6/09) Please see pages 3 and 4 for instructions on completing this form. We cannot accept faxed loan applications. If you are not sure you are eligible for a loan, please call us toll-free at (866) 805-0990 or (518) 474-7736 in the Albany, New York area. You must answer all questions in ink and the application must be signed and notarized, or it will be rejected. 1 Personal Information A. Social Security Number - Registration Number (if known) - - Last Name First Name M.I. P.

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How to fill out the NY NYSLRS RS 5025-A online

Filling out the NY NYSLRS RS 5025-A online can be a straightforward process when you have the right guidance. This guide will walk you through the necessary steps to ensure that your application is completed accurately and submitted successfully.

Follow the steps to complete your application with ease.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your personal information in Section 1. This includes your Social Security number, registration number (if known), last and first name, middle initial, and your permanent mailing address. Include a phone number where you can be reached.
  3. In Section 2, carefully answer the required questions regarding any existing loans from a deferred compensation or tax sheltered annuity plan. If applicable, provide your current balances as requested.
  4. For Section 3, select one type of loan that best describes your situation: whether it is a new loan, a multiple loan, or a refinanced loan.
  5. In Section 4, indicate the loan amount you are applying for by checking the appropriate box. Additionally, specify your repayment amount per pay period.
  6. Section 5 requires your payroll information. Provide the name of your employer, your gross annual salary, payroll frequency, and your employment term.
  7. Proceed to sign the application in Section 6. Your signature must be in ink, indicating your agreement to the loan terms.
  8. Finally, ensure that the notarization section in Section 7 is completed, as a notary must acknowledge your signature for the application to be valid.
  9. Review all completed sections carefully for accuracy before submitting your application. Once satisfied, you can save changes, download, print, or share the form.

Start filling out your NY NYSLRS RS 5025-A application online today!

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NY NYSLRS RS 5025-A
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