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Sample Language for a Spouse s Waiver to a QJSA or a QPSA Notice 97 10 I. PURPOSE This Notice provides sample language designed to make it easier for spouses of plan participants to understand their rights to survivor annuities under qualified plans. The QDRO sample language is contained in Notice 97 11 in this Bulletin. III. SAMPLE LANGUAGE The Appendices to this Notice contain four sets of sample language Appendix A contains sample language tha...
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Notice 97 10 form is a document that is used to report certain information to the relevant authorities.
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