Form Vrs 2A – Fill Out and Use This PDF

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Form Vrs 2A PDF Details

Form Vrs 2A is a brand new form that the IRS has just released. It is designed to help taxpayers with their tax returns, and make the process easier and faster. This form replaces Form Vrs 2, which was released last year. There are several changes to the form, so it is important that taxpayers review it carefully before filing their taxes. The deadline for filing taxes is April 15th, so there is still time to learn about the new form and get prepared.

Question	Answer
Form Name	Form Vrs 2A
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	vrs 2a vrs 2a continuation form

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DESIGNATION OF BENEFICIARY – CONTINUATION

VIRGINIA RETIREMENT SYSTEM

P.O. Box 2500  Richmond, Virginia 23218-2500 Toll Free 1-888-VARETIR (827-3847) www.varetire.org

1.Social Security Number

2.Employer Code

Use this form to designate additional beneficiaries when the number of beneficiaries you desire exceeds the number allowed on the Designation of Beneficiary (VRS-2).

Complete this form at the same time you complete the VRS-2. This form may only be used at the time a VRS-2 is completed; you cannot submit a VRS-2A to add to a VRS-2 that is already on file with VRS.

3.Name (First, Middle Initial, Last)

4. Birth Date

PART B. VRS BASIC AND OPTIONAL LIFE INSURANCE – CONTINUATION

List additional beneficiaries for basic and optional life insurance in the area below that were not included on the VRS-2 being submitted with this form.

Full Name (Person or Estate)			(First, Middle Initial, Last)			Social Security Number

Address		(Street, City, State and Zip+4)

Beneficiary Type		(Check one)		Share %	Relationship	Birth Date
 Primary	 Contingent

Full Name (Person or Estate)			(First, Middle Initial, Last)			Social Security Number

Address		(Street, City, State and Zip+4)

Beneficiary Type		(Check one)		Share %	Relationship	Birth Date
 Primary	 Contingent

Full Name (Person or Estate)			(First, Middle Initial, Last)			Social Security Number

Address		(Street, City, State and Zip+4)

Beneficiary Type		(Check one)		Share %	Relationship	Birth Date
 Primary	 Contingent

Full Name (Person or Estate)			(First, Middle Initial, Last)			Social Security Number

Address		(Street, City, State and Zip+4)

Beneficiary Type		(Check one)		Share %	Relationship	Birth Date
 Primary	 Contingent

VRS-2A (Rev. 01/14)

*VRS-00002A*

PART C. VRS DEFINED BENEFIT MEMBER ACCOUNT RETIREMENT CONTRIBUTIONS – CONTINUATION

List additional beneficiaries for VRS defined benefit member account retirement contributions in the area below that were not included on the VRS-2 being submitted with this form.

Full Name (Person or Estate)			(First, Middle Initial, Last)			Social Security Number

Address		(Street, City, State and Zip+4)

Beneficiary Type		(Check one)		Share %	Relationship	Birth Date
 Primary	 Contingent

Full Name (Person or Estate)			(First, Middle Initial, Last)			Social Security Number

Address		(Street, City, State and Zip+4)

Beneficiary Type		(Check one)		Share %	Relationship	Birth Date
 Primary	 Contingent

Full Name (Person or Estate)			(First, Middle Initial, Last)			Social Security Number

Address		(Street, City, State and Zip+4)

Beneficiary Type		(Check one)		Share %	Relationship	Birth Date
 Primary	 Contingent

Full Name (Person or Estate)			(First, Middle Initial, Last)			Social Security Number

Address		(Street, City, State and Zip+4)

Beneficiary Type		(Check one)		Share %	Relationship	Birth Date
 Primary	 Contingent

PART D. CERTIFICATION OF CONTINUATION

Member Certification

This is a continuation of the Designation of Beneficiary (VRS-2) under my signature and dated

(mm/dd/yyyy)

Member Signature

5. Social Security Number

VRS-2A (Rev. 01/14)

Form Vrs 2A – Fill Out and Use This PDF

Form Vrs 2A PDF Details

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