About the State Retirement Plan:
Name:
Retirement Plan Information:
Date of birth (mm/dd/yyyy):
If you are working part time give the percentage of a full time schedule worked: %
Total years of creditable service under this retirement plan as of the end of the tax year being computed:
Current Annual compensation: $
Number of years until expected retirement date:
(Count from the end of the current tax year)
Annual expected percentage rate of salary increase: %
Beneficiary's date of birth (mm/dd/yyyy):
(not required for all plans)

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Still River Retirement Planning Software, Inc.
· 69 Lancaster County Rd., Harvard, MA 01451 · (978) 456-7971 · Fax: (978) 456-7972
· E-mail: info@stillriverretire.com