P (209) 525-6393 | F (209) 558-4976 | www.stancera.org
832 12th Street, Suite 600, Modesto, CA 95354 | P.O. Box 3150, Modesto, CA 95353
ERVICE RETIREMENT ESTIMATE REQUEST
DATE OF MARRIAGE/RDP:
Request Estimate Returned to me via:
ESTIMATE DATES: MUST BE WITHIN FIVE (5) YEARS OF TODAY’S DATE
Use current salary StanCERA has on file.
Use my own projected salary as: $
Use my estimated reciprocal salary as: $
Tier 3 Members are required to provide and attach copy of Social Security Estimate.
SOCIAL SECURITY MODIFICATION (OPTIONAL)
I request a Social Security Modification be added to my estimate:
Estimated Social Security amount at age 62:
StanCERA will calculate one (1) estimate request per member in a six (6) month period. Member may choose up to
three (3) dates within five (5) years of submission date.
Estimate requests beyond five (5) years or within (6) months of the date of last ca
lculations will not be calculated.
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