Form Cbc 12870 3 PDF Details

Form Cbc 12870 3 is a critical form that agricultural producers and other taxpayers use to request an allocation of the corporate tax base in order to calculate their Nebraska modified adjusted gross income. The form must be filed by January 31st of every year, and it's important to understand how to correctly fill out and submit the form in order to receive the correct allocation. In this blog post, we'll provide an overview of Form Cbc 12870 3 and explain how to correctly complete it. Stay tuned for future blog posts that will provide more detailed instructions on how to use this form.

QuestionAnswer
Form NameForm Cbc 12870 3
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesPage1, OFEGLI, cbc 12870 3, SSN

Form Preview Example

INTER VIVOS TRUSTEE DESIGNATION

FOR FEDERAL EMPLOYEES’ GROUP LIFE INSURANCE

(Trust That An Employee Establishes During His/Her Lifetime.)

This form is to be attached to and made part of designation of beneficiary dated _____________________.

Name of Insured:

SSN:

I request that the amount payable under the FEDERAL EMPLOYEES’ GROUP LIFE INSURANCE PROGRAM (Proceeds) to be paid to the Trustee(s) or Successor Trustee(s) as provided under (Name of Trust Agreement)

________________________________________________________________________________________

bearing the date of____________________________________________ executed by me.

I further request that in the case of the failure of said Trustee(s) to be appointed as such or to qualify as such for any reason, or the termination for any reason of the trust prior to my death that the Proceeds shall be paid to:

Name

Address

Relationship

Share

The Office of Federal Employees’ Group Life Insurance (OFEGLI) shall not be responsible for the application or disposition of the proceeds by said Trustee and the receipt by said Trustee shall fully discharge OFEGLI’s liability under the FEDERAL EMPLOYEES’ GROUP LIFE INSURANCE PROGRAM.

Signature of Insured/Assignee

(Only the Insure/Assignee may sign. Signatures by guardians, conservators or through a power of attorney are not acceptable.)

Date of execution (Month, day, year)

TWO WITNESSES TO SIGNATURE

(A WITNESS IS NOT ELIGIBLE FOR RECEIVE PAYMENT AS A BENEFICIARY)

Signature of witness

Number and street address

City, state and ZIP code

Signature of witness

Number and street address

City, state and ZIP code

RECEIPT BY EMPLOYING OFFICE

Date of Receipt:

Receiving Agency:

Received By:

PRIVACY ACT NOTICE. This document includes material covered by the Privacy Act of 1974 and should be viewed only by personnel having an official "need to know" the information contained herein.

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CBC 12870-3 (Rev 10/23/09)

How to Edit Form Cbc 12870 3 Online for Free

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Step 1: Just click on the "Get Form Button" at the top of this page to get into our form editor. Here you will find all that is needed to fill out your file.

Step 2: The editor gives you the opportunity to customize PDF documents in many different ways. Improve it by writing your own text, adjust what is originally in the document, and put in a signature - all when it's needed!

As for the blank fields of this specific PDF, this is what you should know:

1. It is critical to fill out the CBC properly, thus be mindful while filling in the areas that contain these particular fields:

Part # 1 for filling out 1974

2. The next step is usually to fill out these fields: This form is to be attached to and, Date of execution Month day year, A WITNESS IS NOT ELIGIBLE FOR, TWO WITNESSES TO SIGNATURE, Signature of witness, Signature of witness, Number and street address Number, City state and ZIP code, City state and ZIP code, Date of Receipt Received By, RECEIPT BY EMPLOYING OFFICE, Receiving Agency, PRIVACY ACT NOTICE This document, and Page of CBC Rev.

TWO WITNESSES TO SIGNATURE, Date of execution Month day year, and PRIVACY ACT NOTICE This document inside 1974

As for TWO WITNESSES TO SIGNATURE and Date of execution Month day year, make certain you get them right here. Both of these could be the most significant ones in this page.

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