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Declining to Participate in the Local
Governmental Employees\' Retirement System
Please print or type in black ink. Section A. Employee, tell us about yourself.
FIRST NAMEMISUFFIXLAST NAMESSNMAILING
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Form 2fr 1 2 is a tax form used for reporting financial information.
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Form 2fr 1 2 requires reporting of income, expenses, deductions, and other financial details.
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