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Reset Formalization FOR SURVIVOR BENEFITS
State Form 53671 (R3 / 215)
Approved by State Board of Accounts, 2015INDIANA PUBLIC RETIREMENT SYSTEM
LEGISLATORS DEFINED BENEFIT PLAN
1 North Capitol Avenue,
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Individuals who are applying for a specific state program or benefit that requires the completion of form 53671 r3.
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What is state form 53671 r3?
State form 53671 r3 is a document used for reporting specific information to the state.
Who is required to file state form 53671 r3?
All individuals or entities specified by the state regulations are required to file state form 53671 r3.
How to fill out state form 53671 r3?
State form 53671 r3 can be filled out electronically or manually following the instructions provided by the state.
What is the purpose of state form 53671 r3?
The purpose of state form 53671 r3 is to gather necessary information for compliance and regulatory purposes.
What information must be reported on state form 53671 r3?
State form 53671 r3 requires reporting of income, expenses, and other relevant financial information.
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