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Separation from Employment Withdrawal Request 401(a) Plan State of Alaska Supplemental Annuity Plan 98214-03 When would I use this form? When I am requesting a withdrawal and I am no longer employed
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Please note: Information collected on this form will only be used to administer your account. You can access and remove all or part of the information you have provided. It will not be used for any other purpose and may not be shared with any other person or entity. ? If you are a participant in this plan and have any questions, please contact your plan administrator. I certify that the information I have provided is accurate, complete, and reliable to the best of my knowledge. ? I have carefully reviewed and understand the information in this form and its scope and applicability to the circumstances concerning my request. ? In accordance with the terms of this Plan, I hereby authorize the use of this information to assist me in making a request to withdraw my required annual participation under this Plan. ? I understand that if my Plan is terminated or altered or discontinued, or if, at any time, I no longer wish to have my Plan assets distributed or participate in a different plan, I may, at any time, withdraw my participation in this Plan. ? I have carefully reviewed this form, its scope and applicability, and the provisions relating to the withdrawal of my annual participation and intend to utilize this form in conjunction with the applicable plan documents and/or the procedures set forth in the Plan documents to ensure consistent and adequate administration of the withdrawal of my participation, and as a reasonable means of ensuring that this Form is used in a manner that will not unnecessarily cause undue financial or administrative burden to me. ? I have carefully reviewed the information regarding my Plan, and I hereby agree that I am entitled to use this form for the purpose for which it has been prepared, in accordance with the terms of this Form. ? I have examined the information provided in this notice as well as the documents set forth herein, and under these circumstances, I am satisfied that my request to terminate my participation in this Plan under Paragraph 4 is based upon a genuine and substantial change in my circumstances affecting my present or future ability to maintain a minimal level of participation. EXECUTIVE SUMMARY A retirement plan provides retirement benefits by providing an annuity, an annuity with a start date that is set at a specific date and a date (usually the next calendar year) when the annuity stops. In most cases, an executive's salary is the primary factor for determining if he or she will receive a retirement annuity on retirement.

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State 98214 03 refers to a specific state form for reporting certain information.
The individuals or entities specified by the state tax authorities are required to file state 98214 03.
To fill out state 98214 03, you need to gather the required information and follow the instructions provided by the state tax authorities. It is recommended to consult the official guidance or a tax professional for accurate completion.
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