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New York State Department of Civil Service Alfred E. Smith State Office Building Albany, NY 12239 EMPLOYEE BENEFITS DIVISION Dual Annuitant Sick Leave Credit Election PS-405 (5/09) When you retire,
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The PS-405 Dual Annuitant form is a form used for reporting dual annuitant information to the IRS.
Any organization or individual that makes payments to dual annuitants is required to file the PS-405 form.
The PS-405 Dual Annuitant form can be filled out electronically or by hand. All required information about the dual annuitants must be accurately provided.
The purpose of the PS-405 form is to report the income paid to dual annuitants to the IRS.
The PS-405 form requires information such as the name, address, and taxpayer identification number of the dual annuitants, as well as the amount of payments made.
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