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MINNESOTA RETIREES UNITED FOR RETIREE POWER
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Membership and Authorization for Dues Deductions
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Authorization
I, the undersigned, hereby join Minnesota Chapter 5, AFSCME, and designate said chapter as my duly chosen and authorized representative to promote and protect my economic welfare to the extent authorized by law. I hereby request and authorize the Public Employee Retirement Systems of Minnesota to deduct from my retirement allowance the amount certified by the Retiree Chapter as the current rate of dues. Notice: In order to comply with Internal Revenue Service rulings, be advised that your membership dues are not deductible for federal income tax purposes.
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