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FN03390917PO BOX 295 TRENTON, NJ 086250295STATE OF NEW JERSEY DEPARTMENT OF THE TREASURYPensions & BenefitsDIVISION OF PENSIONS & BENEFITSDECLINATION OF PREMIUM OPTION PLAN (POP) FOR PLAN YEAR 2018
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fn-0339-0917 is a specific form used for reporting certain information to the relevant tax authority.
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