Form Tsp 70 – Fill Out and Use This PDF

REQUEST FOR FULL WITHDRAWAL

I.INFORMATION ABOUT YOU — This section is required.

Street Address Line 2

II.MARRIED FERS AND UNIFORMED SERVICES PARTICIPANTS — If your total TSP account balance is more than $3,500, your spouse is entitled to a joint life annuity with a 50% survivor benefit, level payments, and no cash refund. Check Item 11 be- low to use your entire account balance to purchase that annuity. Otherwise, complete Items 12 – 15, then proceed to Section IV.

If you are not able to obtain your spouse’s signature below, provide your spouse’s name and Social Security number and submit Form TSP-16, Exception to Spousal Requirements (TSP-U-16 for uniformed services), with this request.

Spouse’s waiver: I waive my right to a joint life annuity with a 50% survivor benefit, level payments, and no cash refund.

III.MARRIED CSRS PARTICIPANTS — We must notify your spouse of your withdrawal request.

16.

17.Is your spouse’s address the same as your address?

Form TSP-70, Page 1 (11/2015)

(Last, First, Middle)

IV. WITHDRAWAL ELECTION — This section is required. Choose one or more methods. Indicate percentages in whole numbers. If choosing monthly payments, include the dollar amount of each payment or choose to have the TSP compute your payments based on your life expectancy.

23. I would like to withdraw my entire account balance as follows:

Compute my payments based on my life expectancy.

V.TRANSFER  ELECTION

24.I would like to transfer all or a portion of my single payment and/or eligible monthly payments (indicated in Section IV) to an IRA or eligible employer plan. (See instructions for an explanation of eligible monthly payments. Note: You must include the completed applicable transfer page(s) from this form with your withdrawal request package.)

VI. DIRECT DEPOSIT INFORMATION — Single payments and/or monthly payments that are not being transferred  to a tradi- tional IRA, eligible employer plan, or Roth IRA can be paid by direct deposit to a checking or savings account at a financial insti- tution. Do not complete this section if you want direct deposit for annuity payments. The annuity provider will send you the necessary paperwork for direct deposit of those payments.

VII. CERTIFICATION AND NOTARIZATION — This section is required. I certify that I have read the information in this pack- age, as well as the Withdrawal booklet and the TSP tax notice, and that I understand that my withdrawal election is irrevo- cable. I certify that the information I have provided on all pages of this form is true and complete to the best of my knowledge­. Also, I certify that I am separated from Federal service­ and that I do not expect to be rehired by the Federal Government within 31 days of my separation. Warning: Any intentional false statement in this application or willful misrepresentation concern­ing­ it is a violation of law that is punishable by a fine or imprisonment for as long as 5 years, or both (18 U.S.C. § 1001).

32.Notary: Please complete the following. No other acknowledgement is acceptable (see instructions).

The person who signed Item 30 is known to or was identified by me, and, before me, signed or acknowledged to have

(Last, First, Middle)

VIII. FEDERAL TAX WITHHOLDING — Completing this section is optional. Withholding will not apply to amounts transferred to an IRA or eligible employer plan or which are otherwise nontaxable (see instructions). If you complete this section, you should not complete IRS Form W-4P. If you complete this section incorrectly or choose a withholding option that does not apply to your elected withdrawal, and the rest of your form is completed correctly, your withdrawal will be processed using the standard IRS withholding rules.

Withholding on Single Payments

33.The TSP must withhold 20% of the taxable portion of your single payment for Federal income tax.

Indicate the dollar amount of withholding you want in addition to the mandatory 20% for Federal income tax:

Withholding on Monthly Payments

The type and duration of monthly payments you elect will determine the required Federal tax withholding and which options below are available to you. You can use the monthly payment calculator on the TSP website (www.tsp.gov) to calculate the esti- mated duration of your payments.

34.For monthly payments that will last less than 10 years (less than 120 payments), indicate the dollar amount of with- holding you want on each monthly payment in addition to the mandatory 20% for Federal income tax:

35.For monthly payments that will last 10 years or more (120 payments or more), or are computed based on life expectancy, I want:

Allowances (Enter the total number of allowances. If zero, enter 0.)

(Last, First, Middle)

TRANSFER — TRADITIONAL

This page is optional. You and the IRA trustee or plan administrator must complete this page if you want to transfer (i.e., direct rollover) all or a part of the traditional (non-Roth) portion of your single or eligible monthly payments to a traditional IRA, an eligible employer plan, or a Roth IRA. Your traditional TSP balance consists of traditional contributions, tax-exempt contributions,­ all agency contributions, and the earnings associated with these contributions. Note: If you choose to transfer money from your traditional (non-Roth) balance to a Roth IRA, you will have to pay tax on that portion when you file your tax return for the year.

IX. YOUR TRANSFER ELECTION FOR TRADITIONAL BALANCE — After you complete this section, take or send this page (including the instructions on the back) to your IRA or plan. Your IRA trustee or plan administrator must complete Section X. You must submit the completed package in order for your transfer to be processed.

X.TRANSFER INFORMATION FOR TRADITIONAL BALANCE — This section is to be completed by the IRA trustee or plan administrator. The account described here must be a traditional IRA, eligible employer plan, or Roth IRA. Please return this completed form to the participant. Do not submit transfer forms of financial institutions or plans.

I confirm the accuracy of the information in this section and the identity of the individual named above. As a representative of the fi­nancial institution or plan to which the funds are being transferred, I certify that the financial institution or plan agrees to accept the funds directly from the Thrift Savings Plan and deposit them into the IRA or eligible employer plan identified above.

(Last, First, Middle)

TRANSFER — ROTH

This page is optional. You and the IRA trustee or plan administrator must complete this page if you want to transfer (i.e., direct rollover) all or a part of the Roth portion of your single or eligible monthly payments to a Roth IRA or to a Roth account maintained by an eligible employer plan. Your Roth TSP balance consists of any employee contributions that you designated as Roth when you made your contribution election and the earnings associated with these contributions. Withdrawals of Roth contributions are paid tax-free. The earnings associated with these contributions are paid tax-free only if 5 years have passed since January 1 of the calendar year in which you made your first Roth contribution, and you have reached age 59½ or have a permanent disability. (See instructions.)

XI. YOUR TRANSFER ELECTION FOR ROTH BALANCE — After you complete this section, take or send this page (includ- ing the instructions on the back) to your IRA or plan. Your IRA trustee or plan administrator must complete Section XII. You must submit the completed package in order for your transfer to be processed.

XII. TRANSFER INFORMATION FOR ROTH BALANCE — This section is to be completed by the IRA trustee or plan admin- istrator. The account described here must be a Roth IRA or a Roth account maintained by an eligible employer plan. Please return this completed form to the participant. Do not submit transfer forms of financial institutions or plans.

48.

IRA/Plan Account Number or Other Customer ID

49. Provide the name and mailing address information below exactly as it should appear on the front of the check.

I confirm the accuracy of the information in this section and the identity of the individual named above. As a representative of the fi­nancial institution or plan to which the funds are being transferred, I certify that the financial institution or plan agrees to accept the funds directly from the Thrift Savings Plan and deposit them into the IRA or eligible employer plan identified above.

(Last, First, Middle)

Complete this page if you chose a life annuity in Item 11 or 23b.

XIII. ANNUITY ELECTION — Choose only one annuity. If you choose a joint life annuity, you must complete Section XIV. If the annuity you choose is marked by an asterisk (*), you must also complete Section XV.

54.Indicate your annuity choice by checking one of the options below.

Joint Life With Joint Annuitant Other Than Spouse — Level Payments:

XIV. INFORMATION ABOUT SPOUSE OR OTHER JOINT ANNUITANT  55.

Name (Last, First, Middle)

XV. BENEFICIARY DESIGNATION FOR YOUR TSP ANNUITY — If you chose an annuity with a cash refund or 10-year certain feature (options in Section XIII marked by an asterisk (*)), you must provide the requested information and indicate the share of your annuity intended for each designation. (Contingent beneficiaries are not allowed.) Use whole percent- ages. Percentages must total to 100.