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[DOC File]FINANCIAL DISCLOSURE AFFIDAVIT - New York …
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CSMS Case ID No: _____ Local District Name: _____ Complete all items in blue or black ink. Include copies of your 2007 Federal and State income tax returns, your W-2s, current paycheck stubs and other proof of income, benefits, assets, allowable deductions, expenses, and liabilities.
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[DOC File]Separate Account Agreements Product Outline …
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To fund benefits under any employee benefit plan as defined in the federal Employee Retirement Income Security Act of 1974, 29 U.S.C. §§ 1001 et seq, maintained in the United States or in any foreign country. ... [mutual life insurer’s authority to write nonparticipating business]. ... Such filing must include a copy of the approval letter ...
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[DOCX File]NTIS.gov Homepage
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SECURITY MUTUAL LIFE INSURANCE COMPANY OF NEW YORK. SECURITY SOFTWARE SOLUTIONS. Shands Teaching Hospital and Clinics, Inc. SOUTH CAROLINA PEBA. Sovos Compliance. St. Luke's University Health Network. STANISLAUS COUNTY DISTRICT ATTORNEY'S OFFICE. State Compensation Insurance Fund .
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[DOC File]Companies Supporting Matching Gifts
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Mutual Benefit Life Ins. Co. Mutual Life Insurance Co of NY. National Computer Systems. National Processing Center, Inc. National Service Foundation. National Starch & Chemical. ... Security Life of Denver. Security Pacific Corp. Sedgwick Inc. Signa Corporation. Six Continents Hotels. Smith Kline Beecham Foundation.
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[DOC File][Section 1 - Health] Information - [ For Life/AD&D ...
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This service arrangement in no way alters Metropolitan Life Insurance Company's obligations to you. Services will not be performed by our affiliate if prohibited by state or local law or by mutual agreement with the Group Customer. STATEMENT OF HEALTH FORM Metropolitan Life Insurance Company, New York, NY
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[DOCX File]IFB Template .gov
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New York State political subdivisions and others authorized by New York State law may participate in Centralized Contracts. These include, but are not limited to, local governments, public authorities, public school and fire districts, public and nonprofit libraries, and certain other nonpublic/nonprofit organizations.
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[DOC File]SECURITY AGREEMENT - NACM
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If this agreement is security for a loan to be used to pay a part or all of the purchase price of the collateral; to use the proceeds of the loan to pay the purchase price, filing fees and insurance premiums. ... This Agreement may only be amended by the mutual agreement of the parties herein in a properly executed written instrument ...
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[DOC File]Code - Government of New Jersey
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NEW YORK NY 10038 COMM ONLY 108 Aspen American Insurance Company 590 Madison Ave, 6 th Flr New York NY 10022 COMM ONLY 109 Canal Insurance Company PO BOX 7 Greenville SC 29602 COMM ONLY 110 EMPLOYERS MUTUAL CASUALTY CO PO BOX 712 DES MOINES IA 50303 COMM ONLY 111 EMPIRE FIRE & MARINE INS CO 1400 AMERICAN LANE SCHAUMBURG IL 60196-5202 …
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[DOC File]AUTHORIZATION FOR RELEASE OF FINANCIAL …
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TO: Custodian of Records. RE: DATE OF BIRTH: SOCIAL SECURITY NUMBER: You are hereby authorized to furnish to the law firm of , and their duly authorized representatives, copies of any and all information they may request concerning any salaries, bonuses, commissions, allowances, travel expenses, stocks, investments, retirement and pension plans, stock ownership or option plans, pay …
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[DOC File][Section 1 - Health] Information - [ For Life/AD&D ...
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Fill in your name and Social Security # on the Statement of Health form. The Employee's Name and the Employee’s Social Security # must appear on the form. ... LLC., unless prohibited by state or local law or by mutual agreement with the group customer. ... Metropolitan Life Insurance Company, New York, NY …
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Security mutual life ny