Form Cl 0259 0799 PDF Details

In order to file your taxes correctly, it is important that you have the correct form. The IRS has released a new form, Form Cl 0259 0799, which will help taxpayers declare their cryptocurrency investments. This new form will be required for all taxpayers who own cryptocurrencies and need to report their investment earnings on their tax return. If you have any questions about this new form or how to file your taxes correctly, please contact an accountant or the IRS directly. Thank you for your attention to this matter.

QuestionAnswer
Form NameForm Cl 0259 0799
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesloanapp nj divi ions of pensions form

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CL-0259-0799

State of New Jersey — Department of the Treasury

Division of Pensions and Benefits

L O A N A P P L I C A T I O N

PO Box 295

Trenton, NJ

08625-0295

1.

I am a member of: (check one only)

2.

Membership #:

 

 

 

Public Employees' Retirement System

3.

Social Security #:

 

 

Teachers' Pension and Annuity Fund

 

 

 

 

 

 

 

 

Police and Firemen's Retirement System

4.

Date of Birth:

 

 

State Police Retirement System

 

 

 

 

 

5.

Name:

 

 

 

 

 

 

 

 

(Please Print)

First

Middle Initial

Last

 

 

 

 

 

 

 

6.Mailing

Address:

Street

 

 

 

(Please Print)

 

 

 

City

State

Zip Code

7.Daytime Telephone #:

Area Code

8.Amount of Loan Requested - If you wish to borrow the highest amount allowable, write in the word "Maximum"; if not, write in a specific amount. Call (609) 777-1777 for loan availability figures.

$

9.Loan Repayment Requested - If you wish to repay at the lowest amount allowable, write in the word "Minimum"; if you wish to pay more than the minimum, write in an amount. Call (609) 777-1777 for customized repayment figures.

$

 

monthly or $

 

biweekly

 

 

(State employees only)

I understand that I must repay this loan together with any balance I may have outstanding on a present loan, with interest at 4% per annum, through payroll deductions or, in the case of retirement, as indicated in the "LOAN PROVISIONS" section of this application. I certify that I am an actively contributing member and that I am not currently on a leave of absence without pay. (See reverse side.)

 

 

 

Signature of Member

 

 

 

 

 

 

 

Current Employer

State of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

County of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sworn and subscribed before me this

 

 

 

day of

 

 

,

.

Signature of Notary or Commissioner of Deeds

 

 

 

 

 

 

 

 

 

My Commission expires

 

/

/

 

.

 

 

 

 

 

Official Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you have been out of work without pay within the last 6 months or have recently changed employers, please have your current employer certify the following information in order to process your loan application.

Date Member Returned to Payroll:

 

/

/

 

 

Current Salary: $

 

 

 

 

 

 

 

 

 

 

 

Amount of Loan Contributions submitted since return: $

 

 

New Location Code (for transfers only):

 

Signature of Certifying Officer

OVER

CL-0259-0799

LOAN PROVISIONS & INSTRUCTIONS

 

PO Box 295 Trenton, NJ 08625-0295

LOAN PROVISIONS —

Interest rate is 4% per annum on the declining balance of the loan.

To be eligible, you must be an active contributing member of an eligible retirement system.

To be eligible, you must have three years of contributing membership POSTED to your account. (This usually occurs three years and three months after enrollment.)

You are allowed only two loans in any calendar year. The Division of Pensions and Benefits will retain your loan application on file for one year only.

If you retire with an outstanding loan balance, under the provisions of Chapter 132, P. L. 1999, you have the option to pay-off the outstanding loan balance in its entirety or to repay the loan through deductions from your retirement benefit payments until the balance of the loan together with interest is repaid. Payments will be the monthly equivalent of the amount deducted from your compensation immediately before retirement.

If you die before the outstanding loan balance with interest has been recovered, the remaining balance will be repaid from the proceeds of any other benefit payable to your beneficiary(ies) including group life insurance or monthly payments.

INSTRUCTIONS —

ITEM 1 — RETIREMENT SYSTEM: Be sure to indicate the retirement system of which you are a member. If you are not sure, consult your personnel or payroll office.

ITEM 6 — ADDRESS: We suggest you have your check mailed to your home address instead of work, especially if you work for a large employer. Loan checks must be mailed. They cannot be picked up at the Division of Pensions and Benefits.

If your address changes between the time you file the application and the check is mailed, you may change your address by contacting the Division of Pensions and Benefits at (609) 292-7524.

ITEM 8 — AMOUNT OF LOAN REQUESTED: Loans are made in multiples of $10 and may not exceed 50% of your total contributions. No loan may be less than $50, and no loan may exceed $50,000. To hear loan availability and repayment figures customized to your account call

(609)777-1777 — 24 hours a day, seven days a week — from a touch tone phone.

ITEM 9 — LOAN REPAYMENT REQUESTED: Your minimum repayment is scheduled in equal payments which will be equal to or greater than your monthly or biweekly (for state employees only) base salary multiplied by your rate of contribution (5% PERS & TPAF, 8.5% PFRS, and 7.5% SPRS). You cannot repay less than the minimum amount. Repayments may not exceed 25% of your base salary (maxi- mum deduction). If you wish to repay within a specific period of time, write "Repay by (date)" in the repayment block.

SIGNATURE AND NOTARY: Be sure to sign your application and have your signature witnessed by a Notary Public. For your own protection, unsigned or improperly notarized applications will not be processed. The Division cannot accept photocopies or faxes of completed applications.

EMPLOYER CERTIFICATION: The bottom portion of the application is to be filled out by your employer only if you have been out of work without pay for two weeks or more within the last 6 months or have recently transferred employment. If you are unsure, please see your employer or call the Division of Pensions and Benefits at (609) 292-7524.

IMPORTANT — The following are commonly-asked questions concerning loans.

1.Will the amount I borrow affect the amount of the monthly deduction?

The minimum loan repayment deduction is calculated the same way regardless of the amount you borrow. Therefore, your loan deduction will be the same whether you borrow $200 or $5,000. However, the repayment of a larger loan will continue for a longer period than a smaller loan.

2.Can the deduction amount be changed later?

You cannot pay less than the minimum deduction. Once loan deductions are certified, deductions cannot be changed except if you are retiring within two years and want your loan paid off by your retirement date. You can request a recertification of loan deductions by contacting the Division of Pensions and Benefits at (609) 292-7524.

3.When will the deductions start?

Loan deductions begin approximately two months after the loan is processed. The Division of Pensions and Benefits will send two copies of a Certification of Payroll Deductions to your employer. This will explain when the loan deductions will start, how many deductions will be made and how much they will be. Your employer should give you a copy of the certification.

4.If I am out of work without pay or terminate employment, must I continue to make loan payments? Loan payments are only made as deductions from your salary. When you return to public employment, you or your employer must notify the Division of Pensions and Benefits. Upon such notification, loan deductions will be recertified with added interest. If you terminate public employment and withdraw your contributions, you will receive your total contributions less any outstanding loan balance.