1152 Form PDF Details

Form 1152 is a form that is used to request an extension of time to file your taxes. This form can be used if you are experiencing difficulties filing your taxes on time, such as being out of the country or having been hospitalized. Filing for an extension gives you an extra six months to file your return. However, it is important to note that you are still required to pay any taxes that you may owe by the original deadline. If you do not pay what you owe by the deadline, you may be subject to penalties and interest. You can find more information about Form 1152 and how to file for an extension on the IRS website.

QuestionAnswer
Form Name1152 Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namessf1152 pdf, sf 1152, opm designation beneficiary, sf 1152 fillable

Form Preview Example

Designation of Beneficiary

Unpaid Compensation of Deceased Civilian Employee

Lpsruwdqw=#

Uhdg#doo#lqvwuxfwlrqv#ehiruh#

 

 

iloolqj#lq#wklv#irup#

A. Identification

Qdph#(Last, first, middle)

Gdwh#ri#eluwk#(mm, dd, yyyy)

Vrfldo#Vhfxulw|#Qxpehu#

Ghsduwphqw#ru#djhqf|#lq#zklfk#suhvhqwo|#hpsor|hg#(or former department or agency) =#

Ghsduwphqw#ru#djhqf|#Exuhdx#

Glylvlrq#

Orfdwlrq#(City, state and ZIP code)

L/#wkh#hpsor|hh#qdphg#deryh/#fdqfholqj#dq|#dqg#doo#suhylrxv#Ghvljqdwlrqv#ri#Ehqhilfldu#|#khuhwriruh#pdgh#e|#ph/#gr#qrz# ghvljqdwh#wkh#ehqhilfldu|#ru#ehqhilfldulhv#qdphg#ehorz#wr#uhfhlyh#dq|#unpaid compensation gxh#dqg#sd|deoh#diwhu#p|#ghdwk1# L#xqghuvwdqg#wkdw#wklv#Ghvljqdwlrq#ri#Ehqhilfldu|#uhodwhv#vroho|#wr#prqh|#gxh#dv#ghilqhg#lq#8#X1V1F1#88;4/#88;5/#88;6/#dqg#lq#qr# zd|# zloo#dii hfw# wkh#glvsrvlwlrq#ri#dq|#ehqhilw#zklfk#pd|# ehfrph#sd |deoh# xqghu#wkh#Uhwluhphqw#ru#Jurxs#Olih# Lqvxudqfh# Dfwv#

dssolfdeoh#wr#p|#Jryhuqphqw#vhuylfh1# L#ixuwkhu#xqghuvwdqg#wkdw#wklv#Ghvljqdwlrq#ri#Ehqhilfldu |#zloo#uhpdlq#lq#ixoo#irufh#dqg#hiihfw# xqwlo#+4,#L#h{suhvvo|#fkdqjh#ru#uhyrnh#lw#lq#zulwlqj/#+5,#L#wudqvihu#wr#dqrwkhu#djhqf|/#ru#+6,#L#dp#uhhpsor|hg#e|#wkh#vdph#ru#dqrwkhu# ghsduwphqw#ru#djhqf|#ri#wkh#Jryhuqphqw1#

B. Information Concerning The Beneficiaries (See Examples of Designations):

Iluvw#qdph/#plggoh#lqlwldo/#dqg#odvw#

Dgguhvv#+Lqfoxglqj#]LS#frgh,#ri#

Uhodwlrqvkls#

qdph#ri#hdfk#ehqhilfldu|#

hdfk#ehqhilfldu|#

 

Vkduh#wr#eh#sdlg#wr# hdfk#ehqhilfldu|#

Gdwh#ri#ghvljqdwlrq#(mm, dd, yyyy)

\rxu#vljqdwxuh#

Wrwdo#@# (#

C.Witnesses (A witness is not eligible to receive payment as a beneficiary):

Zh/#wkh#xqghuvljqhg/#fhuwli|#wkdw#wklv#vwdwhphqw#zdv#vljqhg#lq#rxu#suhvhqfh1#

Vljqdwxuh#ri#zlwqhvv#

Qxpehu#dqg#vwuhhw#

Flw|/#vwdwh#dqg#]LS#frgh#

Vljqdwxuh#ri#zlwqhvv#

Qxpehu#dqg#vwuhhw#

Flw|/#vwdwh#dqg#]LS#frgh#

Receiving agency certification

L#kdyh#uhylhzhg#wklv#ghvljqdwlrq#dqg#fhu wli|#wkdw#wkh#ghvljqdwhg#vkduhv#wrwdo#433(#dqg#wkdw#qr#zlwqhvvhv#duh#ghvljqdwhg#dv#ehqhilfldulhv1#

Gdwh#uhfhlyhg#

Vljqdwxuh#

Gdwh#

W|sh#ru#sulqw#|rxu#uhwxuq#dgguhvv#wr#lqvxuh#uhwxu q#

X1V1#Riilfh#ri#Shuvrqqho#Pdqdjhphqw#

Part 1 - Original

Doo#Suhylrxv#hglwlrqv#

#########Vwdqgdug#Irup#4485#

8#FIU#4:;#

QVQ#:873033096707673###########

duh#qrw#xvd#eoh1#

Uhylvhg#Vhswhpehu#5344#

 

 

 

Important - Wkh#ilolqj#ri#wklv#irup#zloo#frpsohwho|#fdqfho#dq|#Ghvljqdwlrq#ri#Ehqhilfldu|#|rx#pd|#kdyh#suhylrxvo|#ilohg1# Eh#vxuh#wr#qdph# lq#wklv#irup#doo#shuvrqv#|rx#zlvk#wr#ghvljqdwh#dv#ehqhilfldu lhv#ri#dq|#xqsdlg#frpshqvdwlrq#sd|deoh#dw#|rxu#ghdwk1#

Examples of Designations

1.HOW TO DESIGNATE ONE BENEFICIARY Gr#qrw#zulwh#qdphv#dv#P1H1#Eurzq#ru#dv#Puv1#Mrkq#K1#Eurzq1# Li#|rx#zdqw#wr#ghvljqdwh#|rxu#hvwdwh# dv#ehqhilfldu|/#hqwhu#ᄈP|#hvwdwhᄡ#lq#wkh#ehqhilfldu|#froxpq1#

Iluvw#qdph/#plggoh#lqlwldo/#dqg#odvw#

Dgguhvv#+Lqfoxglqj#]LS#frgh,#ri#

Uhodwlrqvkls#

Vkduh#wr#eh#sdlg#wr#

qdph#ri#hdfk#ehqhilfldu|#

hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

Mary E. Brown

214

Central Avenue ###########

Grphvwlf#Sduwq####################433(#

 

Muncie, IN 47303

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. HOW TO DESIGNATE MORE THAN ONE

Eh#vxuh#wkdw#wkh#vkduhv#wr#eh#sdlg#wr#wkh#vhyhudo#ehqhilfldulhv#dgg#xs#wr#433#shufhqw1#

 

 

 

 

 

Iluvw#qdph/#plggoh#lqlwldo/#dqg#odvw#

 

Dgguhvv#+Lqfoxglqj#]LS#frgh,#ri#

Uhodwlrqvkls#

Vkduh#wr#eh#sdlg#wr#

qdph#ri#hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

 

 

 

 

 

Alice M. Long

509

Canal Street

Aunt

25%

 

Red Bank, NJ 07701

 

 

 

 

 

 

 

Joseph P. Brady

360

Williams Street

Nephew

25%

 

Red Bank, NJ 07701

 

 

 

 

 

 

 

Catherine L. Rowe

792

Broadway

Mother

50%

 

Whiting, IN 46394

 

 

 

 

 

 

 

 

 

 

3. HOW TO DESIGNATE A CONTINGENT BENEFICIARY

 

 

 

 

 

 

 

Iluvw#qdph/#plggoh#lqlwldo/#dqg#odvw#

 

Dgguhvv#+Lqfoxglqj#]LS#frgh,#ri#

Uhodwlrqvkls#

Vkduh#wr#eh#sdlg#wr#

qdph#ri#hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

 

 

 

 

 

John M. Parrish, if living

810

West 180th Street

Father

100%

 

New York, NY 10033

 

 

 

 

 

 

 

Otherwise to: Susan A. Parrish

810

West 180th Street

Sister

100%

 

New York, NY 10033

 

 

 

 

 

 

 

 

 

 

 

 

4. HOW TO CANCEL A DESIGNATION OF BENEFICIARY AND EFFECT PAYMENT UNDER ORDER OF PRECEDENCE (See back of duplicate)

Iluvw#qdph/#plggoh#lqlwldo/#dqg#odvw#

Dgguhvv#+Lqfoxglqj#]LS#frgh,#ri#

Uhodwlrqvkls#

Vkduh#wr#eh#sdlg#wr#

qdph#ri#hdfk#ehqhilfldu|#

hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

Cancel prior designations

X1V1#Riilfh#ri#Shuvrqqho#Pdqdjhphqw#

Vwdqgdug#Irup#4485#(Reverse of Part 1)

8#FIU#4:;#########

Uhylvhg#Vhswhpehu#534

Designation of Beneficiary

Unpaid Compensation of Deceased Civilian Employee

Lpsruwdqw=#

Uhdg#doo#lqvwuxfwlrqv#ehiruh#

 

 

iloolqj#lq#wklv#irup#

A. Identification

Qdph#(Last, first, middle)

Gdwh#ri#eluwk#(mm, dd, yyyy)

Vrfldo#Vhfxulw|#Qxpehu#

Ghsduwphqw#ru#djhqf|#lq#zklfk#suhvhqwo|#hpsor|hg#(or former department or agency) =#

Ghsduwphqw#ru#djhqf|#Exuhdx#

Glylvlrq#

Orfdwlrq#(City, state and ZIP code)

L/#wkh#hpsor|hh#qdphg#deryh/#fdqfholqj#dq|#dqg#doo#suhylrxv#Ghvljqdwlrqv#ri#Ehqhilfldu|#khuhwriruh#pdgh#e|#ph/#gr#qrz# ghvljqdwh#wkh#ehqhilfldu|#ru#ehqhilfldulhv#qdphg#ehorz#wr#uhfhlyh#dq|#unpaid compensation gxh#dqg#sd|deoh#diwhu#p|#ghdwk1# L#xqghuvwdqg#wkdw#wklv#Ghvljqdwlrq#ri#Ehqhilfldu |#uhodwhv#vroho|#wr#prqh|#gxh#dv#ghilqhg#lq#8#X1V1F1#88;4/#88;5/#88;6/#dqg#lq#qr# zd|# zloo#dii hfw# wkh#glvsrvlwlrq#ri#dq|# ehqhilw#zklfk#pd|# ehfrph#sd|deoh# xqghu#wkh#Uhwluhphqw#ru#Jurxs#Olih# Lqvxudqfh# Dfwv#

dssolfdeoh#wr#p|#Jryhuqphqw#vhuylfh1# L#ixuwkhu#xqghuvwdqg#wkdw#wklv#Ghvljqdwlrq#ri#Ehqhilfldu|#zloo#uhpdlq#lq#ixoo#irufh#dqg#hiihfw# xqwlo#+4,#L#h{suhvvo|#fkdqjh#ru#uhyrnh#lw#lq#zulwlqj/#+5,#L#wudqvihu#wr#dqrwkhu#djhqf|/#ru#+6,#L#dp#uhhpsor|hg#e|#wkh#vdph#ru#dqrwkhu# ghsduwphqw#ru#djhqf|#ri#wkh#Jryhuqphqw1#

B. Information Concerning The Beneficiaries (See Examples of Designations):

Iluvw#qdph/#plggoh#lqlwldo/#dqg#odvw#

Dgguhvv#+Lqfoxglqj#]LS#frgh,#ri#

Uhodwlrqvkls#

qdph#ri#hdfk#ehqhilfldu|#

hdfk#ehqhilfldu|#

 

 

 

 

 

 

 

Vkduh#wr#eh#sdlg#wr# hdfk#ehqhilfldu|#

Gdwh#ri#ghvljqdwlrq#(mm, dd, yyyy)

\rxu#vljqdwxuh#

Wrwdo#@# (#

C.Witnesses (A witness is not eligible to receive payment as a beneficiary):

Zh/#wkh#xqghuvljqhg/#fhuwli|#wkdw#wklv#vwdwhphqw#zdv#vljqhg#lq#rxu#suhvhqfh1#

Vljqdwxuh#ri#zlwqhvv#

Qxpehu#dqg#vwuhhw#

Flw|/#vwdwh#dqg#]LS#frgh#

Vljqdwxuh#ri#zlwqhvv#

Qxpehu#dqg#vwuhhw#

Flw|/#vwdwh#dqg#]LS#frgh#

Receiving agency certification

L#kdyh#uhylhzhg#wklv#ghvljqdwlrq#dqg#fhuwli|#wkdw#wkh#ghvljqdwhg#vkduhv#wrwdo#433(#dqg#wkdw#qr#zlwqhvvhv#duh#ghvljqdwhg#dv#ehqhilfldulhv1#

Gdwh#uhfhlyhg#

Vljqdwxuh#

Gdwh#

W|sh#ru#sulqw#|rxu#uhwxuq#dgguhvv#wr#lqvxuh#uhwxuq#

X1V1#Riilfh#ri#Shuvrqqho#Pdqdjhphqw#

Part 2 - Employee Copy

Doo#suhylrxv#hglwlrqv#duh#

###########Vwdqgdug#Irup#4485#

8#FIU#4:;#

QVQ#:873033096707673################################################################################################# qrw#xvdeoh1#

#Uhylvhg#Vhswhpehu#5344##

IMPORTANT NOTICE – ORDER OF PRECEDENCE

Li#wkhuh#lv#qr#ghvljqdwhg#ehqhilfldu|#dolyh#dw#wkh#wlph#ri#|rxu#ghdwk/#dq|#xqsdlg#frpshqvdwlrq#rzhg#|rx#+wkdw#ehfrphv#sd|deoh# diwhu#|rx#glh,#zloo#eh#sdlg#wr#wkh#iluvw#shuvrq#ru#shuvrqv#lq#wkh#rughu#olvwhg#ehorzzkr#duh#dolyh#rq#wkh#gdwh#wkdw#hqwlwohphqw#wr# wkh#sd|phqw#rffxuv1#

41# Wr#|rxu#zlgrz#ru#zlgrzhu1#

51# Li#qhlwkhu#ri#wkh#deryh/#wr#|rxu#fklog#ru#fkloguhq#lq#htxdo#vkduhv1#Wkh#vkduh#ri#dq |#ghfhdvhg#fklog#lv#glvwulexwhg#wr#wkh#

ghvfhqgdqwv#ri#wkdw#fklog1#

61# Li#qrqh#ri#wkh#deryh/#wr#|rxu#sduhqwv#lq#htxdo#vkduhv#ru#wkh#hqwluh#dprxqw#wr#wkh#vxuylylqj#sduhqw1#

71# Li#qrqh#ri#wkh#deryh/#wr#wkh#gxo|#dssrlqwhg#ohjdo#uhsuhvhqwdwlyhri#|rxu#hvwdwh1# Li#wkhuh#lv#qrqh/#wr#wkh#shuvrq#ru#shuvrqv# hqwlwohg#xqghu#wkh#odzv#ri#wkh#Vwdwh#ru#rwkhu#grplfloh#zkhuh#|rx#olyhg1#

\rx#gr#qrw#qhhg#wr#ghvljqdwh#d#ehqhilfldu|xqohvv#|rx#zdqw#wr#qdph#vrph#shuvrq#ru#shuvrqv#qrw#olvwhg#deryhru#|rx#zdqw# wkh#sd|phqw#wr#eh#pdgh#lq#d#glii huhqw#rughu1#

INSTRUCTIONS

41# Wkh#h{dpsohv#rq#wkh#edfn#ri#wkh#iluvw#sdjh#ri#wklv#i rup#pd|#eh#khosixo#wr#|rx#lq#iloolqj#rxw#wklv#irup1#

51# H{fhsw#iru#vljqdwxuhv/#|rx#vkrxog#w|sh#ru#sulqw#doo#hqwulhv#lq#lqn#+w|slqj#lv#suhihuuhg,1# \rx#vkrxog#xvh#wklv#irup#iru#dq|#

ghvljqdwlrq#ri#ehqhilfldu|#ru#ehqhilfldulhv1# Wkh#irup#pxvw#eh#vljqhg#dqg#zlwqhvvhg1#

61# Wkh#irup#vkrxog#eh#iuhh#ri#hudvxuhv#ru#dowhudwlrqv#wr#dyrlg#d#srvvleoh#ohjdo#frqwhvw#diwhu#|rxu#ghdwk1#

71# \rx# gr#qrw#qhhg#wr#iloo#rxw#d#qhzirup# zkhq#|#rxu# qdph#ru#dgguhvv#fkdqjhv#ru#zkhq#wkh#qdph#ru#dgguhvv#ri#|rxu#

ehqhilfldu|#fkdqjhv1#

81# \rx#pxvw#frpsohwh#wkh#irup#lq#gxsolfdwh#dqg#iloh#lw#zlwk#|rxu#hpsor|lqj#djhqf|1# Wr#eh#ydolg/#|rxu#djhqf|#pxvw#uhfhlyh#wkh# frpsohwhg#irup#sulru#wr#|rxu#ghdwk1# Wkh#gxsolfdwh#zloo#eh#dqqrwdwhg#dqg#uhwxuqhg#wr#|rx#dv#hylghqfh#wkdw#wkh#ruljlqdo#zdv# uhfhlyhg#dqg#ilohg#zlwk#|rxu#djhqf|1# Zh#vxjjhvw#wkdw#|rx#iloh#wkh#gxsolfdwh#zlwk#|rxu#lpsruwdqw#sdshuv1#

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:1# Wklv#ghvljqdwlrq#uhpdlqv#ydolg#xqohvv#+d,#|rx#fkdqjh#ru#uhyrnh#lw/#+e,#|rx#wudqvihu#wr#dqrwkhu#djhqf|/#ru#+f,#|rx#ohdyh#dqg# wkhq#duh#uhhpsor|hg#e|#wkh#Ihghudo#Jryhuqphqw1# Li#|rx#duh#fryhuhg#e|#+e,#ru#+f,/#|rx#pxvw#iloo#rxw#d#qhz#irup#li#|rx#zdqw# wr#fkdqjh#wkh#rughu#ri#sd|phqw#ghvfulehg#xqghu#ᄈRughu#ri#Suhfhghqfh1ᄡ#

QRWH=# Li#wklv#irup#lv#qrw#dydlodeoh/#dq|#ghvljqdwlrq/#fkdqjh#ru#fdqfhoodwlrq#ri#ehqhilfldu|#wkdw#lv#zlwqhvvhg#dqg#ilohg#dffruglqj# wr#wkhvh#lqvwuxfwlrqv#zloo#eh#ydolg1#

This form is not to be confused with Standard Form 2808, Designation of Beneficiary, Civil Service Retirement System,

Standard Form 2823, Designation of Beneficiary, Federal Employees’ Group Life Insurance Program, or

Standard Form 3102, Designation of Beneficiary, Federal Employees Retirement System.

Privacy Act Statement

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X1V1#Riilfh#ri#Shuvrqqho#Pdqdjhphqw#

Vwdqgdug#Irup#4485#+Uhyhuvh#Sduw#5,#

8#FI#

##Uhylvhg#Vhswhpehu#5344#

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Writing segment 1 in sf1152 pdf

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Part number 2 of completing sf1152 pdf

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Stage # 3 of filling out sf1152 pdf

4. To go ahead, the next step requires filling in a couple of fields. Examples of these are A Identification QdphLast first, Gdwhrieluwkmm dd yyyy, OrfdwlrqCity state and ZIP code, and B Information Concerning The, which you'll find essential to carrying on with this particular PDF.

Filling out part 4 of sf1152 pdf

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sf1152 pdf completion process detailed (part 5)

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