407.6E1 - Resignation and Request for Early Retirement

RESIGNATION AND REQUEST FOR EARLY RETIREMENT

 

I, _____________________________, born on _________________, hereby submit my resignation to the Board of Directors of the Colo-NESCO  Community School District and elect the early retirement benefits available to employees in the Colo-NESCO Community School District.  This resignation is subject to the acceptance of my application for early retirement benefits.

 

I commenced my most recent continuous service in the Colo-NESCO Community School District on ________________________.

 

 

 

COMPUTATION OF EARLY RETIREMENT BENEFIT

 

1.    Current Salary Schedule & TSS Funds:            _______________________________

 

                              X   

2.    30%     Early Retirement Benefit            _______________________________

 

 

 

 

 

DESIGNATION OF BENEFICIARY

 

If the Board approves my application for early retirement benefits and I die before I receive the Benefit, I direct the Board to pay the Benefit to:

 

 _____________________________________

  (Name of Beneficiary)

 

Print Full Name __________________________________________________

 

Signed ___________________________________ Date _________________

 

The resignation and request for early retirement was accepted by the Board of Directors on the _____ day of _________________, 2019, by action as noted in the minutes of the Board.

 

_______________________________________________

Secretary of Board of Directors

Colo-NESCO Community School District