Trsnyc Form Rw116 PDF Details

Are you looking for information about TrsNYC Form Rw116? Well, you've come to the right place! In this blog post we'll provide an in-depth explanation about what TrsNYC Form Rw116 is, why it's so important, and how you can use it to protect yourself legally. We'll also discuss any potential issues or questions that may arise during the process. After reading through all the information here, you should have a better understanding of what TrsNYC Form Rw116 is and be able to make informed decisions going forward. So let's dive in and discover more!

QuestionAnswer
Form NameTrsnyc Form Rw116
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesIRAs, DM13, EFT, attestation

Form Preview Example

APPLICATION FOR WITHDRAWAL OF

ADDITIONAL MEMBER CONTRIBUTIONS

AT RETIREMENT

INSTRUCTIONS

PLEASE READ CAREFULLY

•฀฀฀Please฀ile฀this฀application฀if฀you฀elect฀to฀withdraw฀(and/or฀directly฀roll฀over)฀the฀employee฀portion฀of฀your฀ Additional฀Member฀Contributions฀(AMCs).

•฀฀฀You฀may฀use฀this฀application฀if฀you฀were฀previously฀enrolled฀in฀the฀Age฀55฀Retirement฀Program฀and฀one฀of฀ the฀following฀applies:฀฀฀

➢You฀retired฀at฀age฀62฀or฀above฀and฀met฀the฀following฀requirements:฀

•฀฀฀You฀were฀in฀active฀service฀immediately฀prior฀to฀your฀effective฀retirement฀date;฀

•฀฀฀You฀were฀in฀active฀service฀for฀a฀total฀of฀at฀least฀six฀months฀out฀of฀each฀of฀the฀two฀ twelve-month฀periods฀preceding฀your฀retirement.

➢฀You฀retired฀under฀Ordinary฀Disability฀or฀Accident฀Disability฀retirement.

•฀฀฀If฀you฀elect฀to฀directly฀roll฀over฀all฀or฀part฀of฀the฀taxable฀portion฀of฀your฀withdrawal฀to฀one฀or฀more฀eligible฀ Individual฀Retirement฀Arrangements฀(IRAs)฀or฀other฀successor฀programs,฀you฀must฀attach฀a฀completed฀ “QPP฀Direct฀Rollover฀Election฀Form”฀(code฀RW29)฀with฀this฀application.฀In฀all฀cases,฀the฀tax-free฀portion฀of฀ your฀withdrawal฀will฀be฀paid฀directly฀to฀you.

•฀฀฀For฀your฀convenience,฀TRS฀forms฀and฀publications฀are฀available฀on฀our฀website.฀If฀you฀require฀additional฀ assistance,฀we฀encourage฀you฀to฀contact฀our฀Member฀Services฀Center฀at฀1฀(888)฀8-NYC-TRS.

In฀Part฀A:฀฀All฀information฀must฀be฀provided.

In฀Part฀B:฀฀You฀must฀elect฀how฀your฀withdrawal฀will฀be฀distributed.

You฀may฀elect฀to฀receive฀your฀withdrawal฀through฀one฀of฀the฀following฀methods฀or฀a฀combination:

•฀฀Direct฀Withdrawal,฀in฀which฀the฀withdrawal฀would฀be฀made฀payable฀directly฀to฀you.

•฀฀฀Direct฀Rollover,฀in฀which฀all฀or฀part฀of฀the฀taxable฀portion฀of฀your฀withdrawal฀would฀be฀made฀payable฀directly฀to฀an฀eligible฀IRA(s)฀or฀ other฀successor฀program(s).

If฀you฀are฀receiving฀payments฀from฀TRS฀via฀Electronic฀Fund฀Transfer฀(EFT)฀to฀your฀checking฀or฀savings฀account,฀you฀may฀be฀eligible฀ to฀have฀your฀Direct฀Withdrawal฀also฀forwarded฀to฀this฀account.฀If฀you฀are฀not฀eligible฀to฀receive฀your฀withdrawal฀via฀EFT,฀it฀will฀be฀ mailed฀to฀your฀home฀address.

If฀you฀elect฀to฀directly฀roll฀over฀all฀or฀part฀of฀your฀withdrawal฀of฀your฀AMCs,฀you฀must฀ile฀a฀“QPP฀Direct฀Rollover฀Election฀Form”฀in฀ conjunction฀with฀this฀application.

In฀Part฀C:฀฀You฀must฀read฀the฀attestation฀and฀sign฀and฀date฀this฀form.

In฀Part฀D:฀฀You฀must฀have฀this฀application฀notarized.

RW116 (10/11)

CONTINUED ON PAGE 2

PAGE 1

CONTINUED฀FROM฀PAGE฀1

TAX CONSEQUENCES

•฀฀฀The฀taxable฀portion฀of฀any฀withdrawn฀Qualiied฀Pension฀Plan฀(QPP)฀funds฀is฀taxable฀upon฀receipt฀and฀will฀be฀reported฀to฀ the฀Internal฀Revenue฀Service฀(IRS)฀in฀January฀following฀the฀calendar฀year฀in฀which฀it฀is฀distributed.฀The฀IRS฀requires฀that฀ TRS฀withhold฀20%฀of฀any฀taxable฀amount฀you฀withdraw฀that฀you฀do฀not฀instruct฀TRS฀to฀directly฀roll฀over฀into฀an฀eligible฀ IRA(s)฀or฀other฀successor฀program(s).฀This฀20%฀will฀be฀forwarded฀to฀the฀IRS฀and฀credited฀toward฀your฀taxes฀for฀the฀year฀of฀ distribution.฀(Within฀60฀days฀of฀the฀distribution฀date,฀you฀may฀roll฀over฀any฀taxable฀amount฀you฀receive,฀or฀roll฀over฀the฀entire฀ amount฀of฀the฀distribution฀by฀replacing฀the฀20%฀withheld฀by฀TRS฀with฀money฀from฀other฀sources.)

RW116 (10/11)

CONTINUED ON PAGE 3

PAGE 2

APPLICATION FOR WITHDRAWAL OF

ADDITIONAL MEMBER CONTRIBUTIONS

AT RETIREMENT

Please฀read฀the฀instructions฀before฀completing฀this฀application.

(NOTE:฀Please฀print฀in฀black฀or฀blue฀ink,฀and฀initial฀any฀changes฀that฀you฀make฀on฀this฀application.)

PART฀A:฀฀All฀information฀must฀be฀provided.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First฀Name฀

 

MI฀

Last฀Name฀฀

 

฀

 

Social฀Security฀Number฀(last฀4฀digits฀only)

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

X

 

X

 

 

 

 

X

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent฀Home฀Address฀

 

฀

฀

 

 

฀

 

Apt.฀No.฀ TRS฀Membership฀Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City฀

 

฀

State฀฀ Zip฀Code฀

 

฀

 

Primary฀Phone฀Number฀(Check฀one:฀฀฀฀฀฀฀Home฀฀฀฀฀฀฀Work฀฀฀฀฀฀฀Mobile)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(฀

 

 

 

฀฀฀฀฀

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

฀฀

 

฀

 

฀

 

 

฀

 

฀

 

Alternate฀Phone฀Number฀(Check฀one:฀฀฀฀฀฀฀Home฀฀฀฀฀฀฀Work฀฀฀฀฀฀฀Mobile)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(฀

 

 

 

฀฀฀฀฀

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please฀keep฀your฀personal฀information฀with฀TRS฀up฀to฀date.฀฀We฀will฀update฀our฀records฀based฀on฀the฀information฀you฀provide฀ above,฀so฀do not enter a temporary address;฀instead,฀TRS฀suggests฀that฀you฀consult฀the฀U.S.฀Postal฀Service฀about฀having฀your฀mail฀ forwarded฀on฀a฀temporary฀basis.฀฀To฀register฀any฀changes฀to฀your฀permanent฀address฀(and/or฀phone฀number),฀please฀access฀our฀ website฀or฀ile฀a฀“Member’s฀Change฀of฀Address฀Form”฀(code฀DM13)฀with฀TRS.

If฀you฀are฀providing฀new฀information฀above,฀please฀indicate฀the฀effective฀date:฀฀

PART฀B:฀฀Please฀elect฀ONE฀of฀the฀following฀choices฀and฀write฀your฀initials฀in฀the฀space฀provided฀next฀to฀your฀choice.

___฀

I฀ want 100% of my withdrawal paid directly to me. I understand that TRS is required to withhold 20% of the taxable amount distributed, that this amount will be forwarded to the IRS, and that I may claim the amount as federal tax paid on my tax return for the year of distribution.

฀

฀

฀

___฀

Please฀elect฀how฀you฀would฀like฀to฀receive฀your฀payment;฀see฀EFT฀eligibility฀requirements฀on฀page฀1.

฀฀฀฀฀฀฀by฀Mail฀฀฀฀฀฀฀฀฀฀via฀EFT฀(If฀you฀are฀ineligible฀to฀receive฀your฀payment฀via฀EFT,฀a฀check฀will฀be฀mailed฀to฀your฀home฀address.)

฀

฀

฀

฀

OR

I฀ want to roll over ALL OR PART of the taxable portion of my withdrawal, and I have therefore attached a “QPP Direct

Rollover Election Form” (code RW29) to this form.

RW116 (10/11)

CONTINUED ON PAGE 4

PAGE 3

CONTINUED฀FROM฀PAGE฀3

PART฀C:฀฀Please฀complete฀the฀following฀and฀sign฀and฀date฀below฀in฀the฀presence฀of฀a฀notary.

I certify that I have retired from my TRS-eligible position and hereby apply to withdraw the employee portion of my Additional Member Contributions (AMCs). I have read the accompanying instructions, including the eligibility requirements for this withdrawal, and I certify that the information I have provided above is accurate to the best of my knowledge.

MEMBER’S฀SIGNATURE฀________________________________________ DATE฀(M/D/Y)฀____________________________

PART฀D:฀฀TO฀BE฀COMPLETED฀BY฀A฀NOTARY฀(NOTE:฀Attestation฀made฀outside฀the฀U.S.฀must฀be฀executed฀before฀an฀American฀consul.)

State฀of฀฀

)

฀

)฀s.s.:

County฀of฀฀ __________________________ )

฀On฀the฀_______________฀day฀of฀__________________________,฀__________,฀before฀me฀personally฀appeared฀the฀person

฀known฀to฀me฀to฀be฀______________________________________________________________________________,฀

the฀individual฀who฀executed฀the฀foregoing฀instrument฀and฀acknowledged฀to฀me฀that฀(s)he฀executed฀the฀same. Signature:฀______________________________________________________________฀

Oficial฀Title:฀________________________________________฀Expiration฀Date฀of฀Commission:฀________________________

RW116 (10/11)

PAGE 4

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