Notary psers 2026

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The document is a Non-Durable Power of Attorney Affidavit for the Pennsylvania Public School Employees' Retirement System, certifying that an agent has been granted authority by a member to act on their behalf. It includes sections for the agent's information, certification of the member's status, and notarization.

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Click ‘Get Form’ to open the notary psers in the editor.
Begin by entering the last four digits of the Member’s Social Security Number in the designated field.
In the next section, input the PSERS Member’s Name clearly to ensure accurate identification.
The Agent must write their name in the space provided, certifying under penalty of perjury that they have been granted authority as an agent.
Fill in the date of the Power of Attorney document and confirm that the Member is alive and has not revoked this authority.
The Agent should then sign and date the form, providing their printed name, phone number, and address.
Leave space for a Notary Public to complete their section, including signature, printed name, and commission expiration date.

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