I certify that I have read the Your Tax-Deferred Annuity Program brochure and the online instructions, and that I understand the conditions of withdrawing funds from my TDA Program account. I understand that, if I am a non-retired member, I must have valid date-of-birth documentation on file in order for TRS to process this TDA withdrawal. I authorize TRS to implement the TDA withdrawal as indicated, and I understand that withdrawn TDA funds would generally be distributed within 15 to 45 days after TRS receives my application (or within 15 days, if the withdrawal is drawn only from my balance in the Fixed Return Fund). I further understand that all transactions applied for on this application are final. I am aware of the tax consequences of this withdrawal, and that, by law, I must be given notice of a distribution not less than 30 days, nor more than 90 days, prior to receiving it. I hereby waive this right. I hereby certify that the information I have provided on this application is accurate to the best of my knowledge.

Note for members making a withdrawal when separating from service

TRS must receive the following documentation in order to process your withdrawal. As a result, payment may not occur within the general time frame noted above.

• For teachers—An official resignation or termination notice supplied by the Department of Education (DOE).
• For all members working in Charter Schools—An official service history and resignation or termination notice supplied by your school's business manager or Human Resources representative.
• For college personnel—An official service history and resignation or termination notice supplied by the college's Personnel Office.
• For paraprofessionals—An official resignation or termination notice supplied by your District Office, the DOE, or your payroll secretary.