TO Cee esac ecru
Instructions for Notice of Final Deposit Before Retirement
Last Name
First Name
Middle Name {
SSN 5215
Name of Employing RICHARDSON ISD
Insitution
Was the participant in a
TRS membership eligible
position in the last school
year of employment?
Efectve Date of
Resignation/Termination
Semester dates for current school year or last school year of employment
Fall Semester
Begin Date
End Date
Spring Somostr
Begin Date January ov
End Date May v
Total amount of ary
casein
Fal Member
Contribution Amount
Final Report Month for
TRS Contributions
(month and year)
Annual aly paldfor
final year (September 1
through termination date)
Has any non-creditable
‘compensation been
converted to salary for
the above named
‘employee during any of
the last five school years
before retirement?