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This document is used to request a partial withdrawal or full surrender of a 403(b) annuity with specific instructions on income tax withholding and eligibility for rollover.
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How to fill out TSA/403(b) ANNUITY PARTIAL WITHDRAWAL & SURRENDER FORM

01
Download the TSA/403(b) ANNUITY PARTIAL WITHDRAWAL & SURRENDER FORM from the official website or obtain a physical copy from your financial institution.
02
Read the instructions carefully to understand the requirements for partial withdrawal or surrender.
03
Fill in your personal information, including your name, address, and account number at the top of the form.
04
Select whether you are requesting a partial withdrawal or a full surrender of your annuity.
05
If requesting a partial withdrawal, specify the amount you wish to withdraw.
06
Indicate the reason for the withdrawal, such as medical expenses, retirement, or financial hardship if required.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form to your financial institution, either by mail or electronically, following their submission guidelines.

Who needs TSA/403(b) ANNUITY PARTIAL WITHDRAWAL & SURRENDER FORM?

01
Individuals who hold a TSA or 403(b) annuity account and wish to access funds from their account.
02
People experiencing financial hardship or needing funds for specific expenses, such as medical bills or education costs.
03
Retirees who want to withdraw their savings to support their retirement income.
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People Also Ask about

A tax-sheltered annuity allows employees to invest income before taxes into a retirement plan. TSA plans are offered to employees of public schools and tax-exempt organizations. The IRS taxes the withdrawals, but not the contributions into the tax-sheltered annuity.
A 403(b) plan, also known as a tax-sheltered annuity plan, is a retirement plan for certain employees of public schools, employees of certain Code Section 501(c)(3) tax-exempt organizations and certain ministers.
A 403(b) plan (also called a tax-sheltered annuity or TSA plan) is a retirement plan offered by public schools and certain 501(c)(3) tax-exempt organizations. Employees save for retirement by contributing to individual accounts.
403(b) account holders can withdraw funds at 59 1/2, job severance, disability, or financial hardship. Early 403(b) withdrawals may face a 10% penalty unless taken after 55 or under rule 72(t) conditions. Rollovers from a 403(b) to another retirement account avoid penalties and expand investment options.
403(b) plans and 401(k) plans are very similar but with one key difference: whom they're offered to. While 401(k) plans are primarily offered to employees in for-profit companies, 403(b) plans are offered to not-for-profit organizations and government employees.
Withdrawal Options Employees can take money from their TSA plan after they separate employment or at age 59 1/2. There are many options available such as rollovers, annuities, or you can leave your money in the plan.
TSAs offer tax-deferred growth, while Roth IRAs offer tax-free growth and tax-free qualified withdrawals. Contribution limits for TSAs are generally higher than those for Roth IRAs.
Tax-Sheltered Annuity (TSA) 403b. Home > HR > Benefits > Retirement > Tax-Sheltered Annuity (TSA) 403b. The TSA plan is available to all employees upon their hire date.

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The TSA/403(b) ANNUITY PARTIAL WITHDRAWAL & SURRENDER FORM is a document used by individuals to request a partial withdrawal or surrender of funds from their TSA or 403(b) annuity account, typically offered to employees of non-profit organizations and educational institutions.
Employees or account holders of a TSA or 403(b) annuity who wish to withdraw a portion of their funds are required to file this form.
To fill out the form, individuals must provide personal details such as their name, account number, the amount to be withdrawn, and the reason for the withdrawal, along with their signature and date.
The purpose of the form is to officially request the partial withdrawal or surrender of funds from a TSA or 403(b) annuity account, ensuring compliance with regulations and proper processing of the request.
The form typically requires the account holder's name, social security number, account number, withdrawal amount, payment method preferences, and possibly the reason for the withdrawal.
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