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Get TX TRS 6 2017

Ial Security No. Address: Street Address or Box Number Telephone No. City Date of Birth State Zip Code Last Day of Employment To be completed if your refund will be sent to a foreign address: Are you a U.S. citizen? If you are not a U.S. citizen, are you a resident alien of the U.S.? Yes Yes No No AFFIRMATION THAT EMPLOYMENT HAS PERMANENTLY TERMINATED I hereby affirm that I have permanently terminated my employment with any employer covered by the Teacher Retirement System of Texas.

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