Form Rs 6163 A – Fill Out and Use This PDF

Form Rs 6163 A is an important document used in commercial law. Often referred to as a creditor's rights filing, the form outlines details of a debtor's financial distress. In essence, this document is a record of all amounts owed by the debtor on overdue accounts as at a certain date. If a secured creditor or other entity wishes to take control over certain assets (bank account or receivable garnishment), then they must complete Form Rs 6163 A. By doing so, it will provide proper notice and comfort to any opposing debtors in order to defend their own rights if any counterclaim takes place in the future. Knowing how and when to use Form Rs 6163 A can protect yourself, business operations, and finances.

Form Rs 6163 A PDF Details

rs 6163 A is an important document for businesses and individuals in India. This document is a form that needs to be filed with the Income Tax Department of India. It is used to report certain types of income and transactions. The form must be filed by certain deadlines, so it's important to know what it is and how to complete it correctly. This blog post will give you all the information you need to know about rs 6163 A. We'll discuss what the form is for, who needs to file it, and when it should be submitted. We'll also provide a step-by-step guide on how to complete the form correctly. So, if you're looking for more information about rs 6163 A, keep reading!

Question	Answer
Form Name	Form Rs 6163 A
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	rs6163 a new york state and local police and fire retirement system retirement option election form

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	Office of the New York State Comptroller	Retirement Option Election Form
	New York State and Local Retirement System	Retirement Option Election Form
	New York State and Local Retirement System
	Employees’ Retirement System	For Tier 2 Members
	Police and Fire Retirement System	For Tier 2 Members
	Police and Fire Retirement System
	110 State Street, Albany, New York 12244-0001	RS 6163-A
		RS 6163-A
		(Rev. 12/04)

MAKE NO ALTERATIONS TO THIS FORM. Please review carefully the options available and the instructions provided. You must 1) elect an option by checking the appropriate box, 2) sign the completed form, 3) have it notarized, and 4) return it promptly.

IMPORTANT: You must file your Option Election form before your pension becomes payable, which is the first day of the month following your retire- ment. You have up to 30 days after your pension benefit becomes payable to change your option selection. If your election is not timely, by law, we must process your retirement as if you had selected the Cash Refund-Contributions (Option 1/2) with your estate named as beneficiary.

INFORMATION ABOUT YOU

1. Name (First, Middle Initial, Last)	3.	Social Security Number*

2. Address	4.	Registration Number
___________________________________________________________
___________________________________________________________	5.	Date of Birth
	5.	Date of Birth
___________________________________________________________		Month	Day	Year
___________________________________________________________		Month	Day	Year
___________________________________________________________

*Social Security Number required. (See statement on reverse side.)

To The Comptroller of The State of New York:


Single Life Allowance	ﾆ	I elect to receive the maximum lifetime retirement allowance payable to me. Stop all payments
(Option 0)		at my death. I understand that under this option I cannot elect a beneficiary.
000


Cash Refund - Contributions	ﾆ	I elect to receive a reduced lifetime retirement allowance. I understand that all payments shall
(Option 1/2)		stop at my death, except for the remaining balance of my total member contributions, if any.
		Pay any such balance to my beneficiary. If my beneficiary predeceases me, pay my Estate or
005		another beneficiary I may name.


Joint Allowance - Full	ﾆ	I elect to receive a reduced lifetime retirement allowance, based on my life expectancy and
(Option 2)		the life expectancy of my beneficiary. If I die before my beneficiary, continue paying the same
(Option 2)
		monthly amount to my beneficiary for life. If my beneficiary predeceases me, stop all payments
		at my death. I understand that I cannot change my beneficiary after the last day of the month in
002		which I retire.


Joint Allowance - Half	ﾆ	I elect to receive a reduced lifetime retirement allowance, based on my life expectancy and
(Option 3)		the life expectancy of my beneficiary. If I die before my beneficiary, continue paying one-half of
(Option 3)
		my retirement allowance to my beneficiary for life. If my beneficiary predeceases me, stop all
		payments at my death. I understand that I cannot change my beneficiary after the last day of
003		the month in which I retire.


Five Year Certain	ﾆ	I elect to receive a reduced lifetime retirement allowance. If I die within five years after my
		retirement date, continue paying my retirement allowance for the remainder of the five years to

		my beneficiary. If my beneficiary predeceases me, but I also die within five years following my
		retirement, continue payments for the rest of the five year period to another beneficiary I may
		name. If there is no surviving beneficiary, make a lump sum payment to my Estate. If I die
006		more than five years after my retirement date, stop all payments at my death.


Ten Year Certain	ﾆ	I elect to receive a reduced lifetime retirement allowance. If I die within ten years after my
		retirement date, continue paying my retirement allowance for the remainder of the ten years to
		my beneficiary. If my beneficiary predeceases me, but I also die within ten years following my
		retirement, continue payments for the rest of the ten year period to another beneficiary I may
		name. If there is no surviving beneficiary, make a lump sum payment to my Estate. If I die
007		more than ten years after my retirement date, stop all payments at my death.

Pop-Up Joint Allowance - Full

008

ﾆ

I elect to receive a reduced lifetime retirement allowance, based on my life expectancy and the life expectancy of my beneficiary. If I die before my beneficiary, continue paying the same amount to my beneficiary for life. If my beneficiary predeceases me, change my allowance to the Single Life Allowance (Option 0) amount and stop all payments at my death. I understand that I cannot change my beneficiary after the last day of the month in which I retire.

Pop-Up Joint Allowance - Half

009

ﾆ

I elect to receive a reduced lifetime retirement allowance, based on my life expectancy and the life expectancy of my beneficiary. If I die before my beneficiary, continue paying one-half of my retirement allowance to my beneficiary for life. If my beneficiary predeceases me, change my allowance to the Single Life Allowance (Option 0) amount and stop all payments at my death. I understand that I cannot change my beneficiary after the last day of the month in which I retire.

If you elect the Single Life Allowance (Option 0) do not provide any beneficiary information.

If you wish to elect one of the other options, please read all of the information on this form and then complete the following section. Use the beneficiary’s given name: Mary Smith NOT Mrs. John Smith. If you elect a Cash Refund, or a Year Certain option, and wish to name more than one beneficiary, please let us know and we will provide you with an appropriate form. Please print plainly or type.

INFORMATION ABOUT YOUR OPTION BENEFICIARY

1.	Beneficiary’s Name	3.	Beneficiary’s Social Security Number*

2.	Beneficiary’s Address (include Street, City, State and Zip Code)	4.	Relationship of Beneficiary to You
___________________________________________________________
___________________________________________________________		5.	Beneficiary’s Date of Birth
		5.	Beneficiary’s Date of Birth
___________________________________________________________			Month	Day	Year
___________________________________________________________			Month	Day	Year
___________________________________________________________

* Social Security Number required. (See statement below.)

Retiree’s Signature (sign name in full)

Acknowledgement To Be Completed by a Notary Public

State of____________________________________________________ County of ______________________________________________________

On the _______________ day of ________________________ in the year _______________________, before me, the undersigned, personally

appeared______________________________________________________________ personally known to me or proved to me on the basis of

satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they

executed the same in his/her/their capacity(ies) and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of

which the individual(s) acted, executed the instrument.

______________________________________________________

NOTARY PUBLIC (Please sign and affix stamp)

Electing an Option

The option you elect is important to both you and your beneficiary. Be sure you understand the nature of each option, and elect the one that best fulfills your needs. Be sure that you have checked the proper box for the option that you wish to elect. On this form, you are selecting a method of payment. When you have completed this form and have had it notarized, the original should be returned to: New York State and Local Retirement System, 110 State Street, Albany, New York 12244. When your option form is received in this office, we will acknowledge receipt of the option selection by sending you a letter.

Designating a Beneficiary

Only one beneficiary may be named in a Joint Allowance or Pop-Up option. Under these options, proof of your beneficiary’s date of birth must be submitted.

If you wish to elect a Cash Refund Option or one of the Years Certain Options, you may designate more than one beneficiary. If you wish to do so, please notify the Retirement System so that we may send you the proper form for completion. If you elect one of the Cash Refund or Years Certain Options, you may designate your Estate as beneficiary. Under these options, you may change your beneficiary at any time. For each change of beneficiary(ies), you must submit a form which can be obtained from the Retirement System.

Information Services

Information Representatives are available at 16 consultation sites throughout New York State. To find the one nearest you, visit our website at www.osc.state.ny.us/ retire. You can also contact our Call Center toll-free at (866) 805-0990, or (518) 474-7736 in the Albany area.

Social Security Disclosure Requirement

In accordance with the Federal Privacy Act of 1974, you are hereby advised that disclosure of your Social Security account number is mandatory pursuant to Sections 11, 34, 311 and 334 of the Retirement and Social Security Law. The number will be used in identifying retirement records and in the administration of the Retirement System.

Personal Privacy Protection Law

The Retirement System is required by law to maintain records to determine eligibility for and calculate benefits. Failure to provide information may interfere with the timely payment of benefits. The System may be required to provide certain information to participating employers. The official responsible for record maintenance is the Director of Member and Employer Services, NYS and Local Retirement System, Albany, NY 12244; call toll-free at 1-866-805-0990 or 518-474-7736 in the Albany area.

RS 6163-A (Rev. 12/04)

How to Edit Form Rs 6163 A Online for Free

Whenever you need to fill out Form Rs 6163 A, there's no need to download any software - simply use our online tool. Our editor is continually developing to give the very best user experience attainable, and that is due to our resolve for constant improvement and listening closely to user opinions. Starting is easy! All you have to do is adhere to these simple steps directly below:

Step 1: Access the PDF form inside our tool by pressing the "Get Form Button" at the top of this page.

Step 2: As you open the editor, you will find the form made ready to be filled out. Apart from filling out different fields, it's also possible to do many other actions with the file, including writing any textual content, modifying the initial textual content, adding graphics, putting your signature on the form, and more.

With regards to the blanks of this particular form, this is what you should consider:

1. To start with, when filling out the Form Rs 6163 A, start in the form section that features the next fields:

2. Your next step would be to fill in these particular blank fields: Joint Allowance Half Option, Five Year Certain, Ten Year Certain, I elect to receive a reduced, the life expectancy of my, I elect to receive a reduced, retirement date continue paying my, I elect to receive a reduced, and retirement date continue paying my.

Stage number 2 in completing Form Rs 6163 A

3. This next step is normally easy - complete every one of the fields in PopUp Joint Allowance Full, PopUp Joint Allowance Half, I elect to receive a reduced, life expectancy of my beneficiary, I elect to receive a reduced, If you elect the Single Life, INFORMATION ABOUT YOUR OPTION, Beneficiarys Name, Beneficiarys Social Security, Beneficiarys Address include, and Relationship of Beneficiary to You to conclude this process.

Form Rs 6163 A writing process outlined (portion 3)

4. This next section requires some additional information. Ensure you complete all the necessary fields - Beneficiarys Date of Birth, Month, Day, Year, Social Security Number required, Retirees Signature sign name in, Acknowledgement To Be Completed by, State of County of, On the day of in the year, appeared personally known to me or, satisfactory evidence to be the, executed the same in hishertheir, which the individuals acted, NOTARY PUBLIC Please sign and, and Electing an Option The option you - to proceed further in your process!

The best ways to fill out Form Rs 6163 A step 4

Concerning Month and Day, be certain that you don't make any mistakes in this current part. Both of these could be the most important fields in the PDF.

5. Lastly, this final portion is precisely what you will need to complete prior to closing the form. The blank fields in this case are the next: Information Services Information, Social Security Disclosure, Personal Privacy Protection Law, and RS A Rev.

Step 3: Revise all the information you've entered into the form fields and click on the "Done" button. Right after creating afree trial account with us, you will be able to download Form Rs 6163 A or email it at once. The PDF will also be accessible through your personal account with your modifications. We don't sell or share the details you enter whenever completing documents at our website.

Form Rs 6163 A – Fill Out and Use This PDF

Form Rs 6163 A PDF Details

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