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Mid-Atlantic UFCW and Participating Employers Pension Fund 911 Ridgebrook Road Sparks Maryland 21152-9451 Telephone 410 683-6500 800 638-2972 www. 00. If no withholdings are requested enter zero 0 and return form. ANNUITANT S REQUEST FOR STATE INCOME TAX WITHHOLDING PENSION Section A. Associated-admin.com 8400 Corporate Drive Suite 430 Landover Maryland 20785-2361 Telephone 301 459-3020 NOTE THIS FORM MUST BE RETURNED REGARDLESS OF WHETHER OR NOT WITHHOLDINGS ARE ELECTED PENSION STATE TAX...
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