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Commonwealth of Pennsylvania - Public School Employees Retirement System 5 N 5th Street Harrisburg PA 17101-1905 Toll-free 1. 888. 773. 7748 www. psers. state. pa.us Fax 717. 772. 3860 PSRS-116 03/2015 Mail Center Authorization for Direct Deposit Electronic Transfer of Monthly Benefit Instructions The payee must complete this form. All entries must be typed or legibly printed in black ink. Payee s Signature required Date Signed Depositor Account Number Area Code/Telephone Number Name of...
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The Commonwealth of Pennsylvania is a state in the United States located in the northeastern and Mid-Atlantic regions.
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