Form No. 124A is a document used to declare the assets of an individual or company. It is also known as a statement of assets and liabilities. This form is used to provide detailed information about an individual's or company's assets and liabilities. The information provided in this form can be used to assess an individual's or company's financial status. The form must be filed with the Income Tax Department in India.
| Question | Answer |
|---|---|
| Form Name | Form No 124A |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | ibew pension information, ibew pension application form, form 124a, ibew form death |
BENEFICIARY DESIGNATION FORM - USA
For Death Benefits from the IBEW Pension Benefit Fund
Retired/Active "A" Members of the IBEW
Section A: Member's Information
First Name
MR
MS
Local Union |
Card Number |
MRS
MI Last Name
Social Security Number
- -
Section B: Beneficiary Information
MR
MS
MRS
MR
MS
MRS
If naming an individual, please complete this section and if you need additional beneficiaries attach Form No.124C.
First Name |
MI |
Last |
Name |
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Relationship |
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Choose One: |
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Primary |
Contingent |
First Name |
MI |
Last |
Name |
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Relationship
Choose One:
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Primary |
Contingent |
MR First Name |
MI Last |
Name |
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MS |
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MRS Relationship |
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Choose One: |
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Primary |
Contingent |
If naming an organization or trust, please complete this section |
Choose One: |
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Name of Organization, Institution or Trust |
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Primary |
Contingent |
Address (Street & Number)
City |
State |
Zip Code+4 |
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Today's |
Date (MM/DD/YYYY) |
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Member's Signature |
Today's |
Date (MM/DD/YYYY) |
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Notary or LU Seal
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Notary or Local Union Official's Signature
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Mail Completed Form to:
IBEW
900 7th Street, NW
Printed Name and Title of LU Official or Notary Washington, DC 20001
Attn: Pension & Death Claims Dept
Form No. 124A Rev. 08/01/08