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Inprs. in.gov www.irs.gov INPRS/TRF 888 286-3544 Toll-free 317 232-3882 Fax INDIANA DEPARTMENT OF REVENUE 317 233-4018 Indianapolis local 317 232-2240 Tax questions 317 233-4952 TDD hearing impaired 317 233-2329 Fax www. I hereby verify and affirm that the foregoing representations are true and correct. Surviving spouse s signature Date mm/dd/yyyy Printed name of surviving spouse Deceased member s Pension ID PID number IC 5-10. I have elected ASA 1 and request to receive the Annuity Savings...
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How to fill out lump sum distribution election

01
Gather all the necessary documents, including the lump sum distribution form and any supporting tax forms.
02
Carefully review the instructions provided with the lump sum distribution form.
03
Fill out the personal information section of the form, including your name, address, and Social Security number.
04
Specify the account or plan from which you are requesting a lump sum distribution.
05
Indicate the amount you would like to receive as a lump sum distribution.
06
Fill out any additional sections required by your specific account or plan, such as beneficiary information or tax withholding preferences.
07
Double-check all the information provided on the form for accuracy and completeness.
08
Sign and date the form.
09
Submit the completed form to the appropriate party, such as your retirement account administrator or plan custodian.
10
Keep a copy of the form and any related documentation for your records.

Who needs lump sum distribution election?

01
Individuals who have a retirement account or plan with a lump sum distribution option
02
Individuals who are at least 59½ years old and wish to access their retirement funds in a single payment instead of ongoing periodic payments
03
Individuals who want to explore different withdrawal options available to them
04
Individuals who have specific financial needs or goals that align with taking a lump sum distribution
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