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53855 LIFE INSURANCE DESIGNATION OF BENEFICIARY NORTH DAKOTA PUBLIC EMPLOYEES RETIREMENT SYSTEM SFN 53855 (Rev. 012014) In compliance with the Federal Privacy Act of 1974, the disclosure of the individual\'s

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1974 North_Dakota NDPERS ies SFN beneficiarys predecease revokes successors designations DESIGNATION beneficiaries pursuant guardianship certify Widowed designate executor payable TRUSTEE specify compliance disclosure Contingent distributed BENEFICIARY ad

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