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Sample QDRO DISCLAIMER This is a sample QDRO that is provided for illustrative purposes only. It should not be used without independent review by legal counsel for both the member and the alternate payee. Death of Alternate Payee or Payee s designated beneficiary until the death of the Participant. VI. Tax Treatment of Benefits him/her by the Plan. VII. A. Alternate Payee shall mean insert alternate payee name whose present address is insert address. The Alternate Payee s date of birth is...

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