Premium credit balance (overpayment) from previous years or other credit (See instructions, page 5.) S 8. Amount Due I I I I I I I I (a) Enter ... I M M 0 0 Y Y Y Y Signature of Plan Administrator Dam I I Print or type first name of individual who signs Print or type last name oi individual who signs Telephone Number (indude Area 0008) -a| 3 the bottom of the form. Beneath the signature. (If more than 1, attachanbsp;...
|Title||:||BNA Pension Reporter|