Final Personnel Record for Newhouse, Delbert C., U.S. Navy, 1957

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INFORMATION AND INSTRUCTIONS CONCERNING THIS ELECTION FORM
(For Nonretired members)
1.
It is desired that all members with 17 years service creditable for basic pay ·purposes, active or inactive, either decline or
elect to provide certain annuities for their dependents under the provisions of the Uniformed Services Contingency Option Act of
1953 (Public Law 239-83rd. Congress). If you desire to receive a reduction in the retired pay which you may subsequently receive,
thereby providing an annuity for your dependents, you must elect the desired option (s) not later than 30 Apri l 1954 or prior
to completion of 18 years service creditable for basic pay purposes, whichever is later. The terms of the election may be modi­
fied or revoked prior to retirement, but any modification or revocation will not be effective if you retire within five years from
the date of such modification or revocation.
2.
If you do not desire to receive reduced retired pay to provide an annuity for your dependents, check the square opposite
"I do not desire to receive reduced retired pay in order to provide an annuity for my dependents" on the face of this form,
sign all copies of the form and return it to the Bureau of Naval Personnel, Washington 25, D. C. You may subsequently elect
to be covered by this Act, provided you submit such election to the Bureau of Naval Personnel, W ashington 25, D. C., ,!!2!
later than 30 April 1954 or prior to completion of 18 yc:irs service creditable for basic pay purposes. whichever is later.
3.
If you desire to receive reduced retired pay to provide an annuity for your dependents, fill out the form completely check­
ing desired option (s) ; a ll copies must be signed and notarized or attested.
4.
If either Option 2 or 3 is elected, it is required that all eligible children be named.­
5.
If should be noted that, under Option 3, all benefits are paid to the widow until her death or remarriage and thereafter
in equal shares to or on behalf of the surviving children remaining eligible at the time the payment is due. Consequently, if it
is desired that children of a former marriage receive payments concurrently with the widow, Options l and 2 should be elected.
6.
In indicating the place of dissolution of a former marriage, please include the city, county and state.
7.
The triplicate of this form is to be retained by you for your personal file. For active duty personnel, the original will be
forwarded to the Bureau of Naval Personnel, W ashington 25, D. C., and the duplicate is to be filed in your personnel jacket at
your station of duty. For members in the reserve components, the original and duplicate will be forwarded to the Bureau of
Naval Personnel, W ashington 25, D. C.
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