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PDF Fillable/saveable: PF-122E (size 1.3 Mb)
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Last Update: January 2021
Form No.: PF-122E
Title: Actuary’s Certification, DB SEPP to JSPP transfers under 80.4
Purpose of Form:
To facilitate the application process for an asset transfer under s. 80.4. This is an actuarial certification that was included as part of the asset transfer guidance issued in January 2021
Instructions on How to Use the Form: Instructions are included in the form.