ThreemonthsAccountValue forRefundFreeSpace591/2CheckPrintDateTransmittedBenefitForfeiture20%SpousalConsentEmployerCertificationDCportion ofthe COAge65Approved10%W-210 mailingdays(Mon.-Sat.)30-days apart1099RMemberDirectedPlanRefund7-10bus.days11am& 4pmReconciledon or after07/01/2015AddressChangeThreemonthsAccountValue forRefundFreeSpace591/2CheckPrintDateTransmittedBenefitForfeiture20%SpousalConsentEmployerCertificationDCportion ofthe COAge65Approved10%W-210 mailingdays(Mon.-Sat.)30-days apart1099RMemberDirectedPlanRefund7-10bus.days11am& 4pmReconciledon or after07/01/2015AddressChange

Refund - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Three months
  2. Account Value for Refund
  3. Free Space
  4. 59 1/2
  5. Check Print Date
  6. Transmitted
  7. Benefit Forfeiture
  8. 20%
  9. Spousal Consent
  10. Employer Certification
  11. DC portion of the CO
  12. Age 65
  13. Approved
  14. 10%
  15. W-2
  16. 10 mailing days (Mon.-Sat.)
  17. 30-days a part
  18. 1099R
  19. Member Directed Plan Refund
  20. 7-10 bus. days
  21. 11am & 4pm
  22. Reconciled
  23. on or after 07/01/2015
  24. Address Change