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Pentagram Retirement Services Pentagram Defined Contribution Plan for Financial Institutions (formerly known as Financial Institutions Thrift Plan) REQUEST FOR HARDSHIP WITHDRAWAL IMPORTANT NOTICE:
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How to fill out request for hardship withdrawal

How to fill out a request for hardship withdrawal:
01
Obtain the necessary forms: Contact your employer or financial institution to request the specific paperwork required for a hardship withdrawal. They may provide you with a physical or digital copy of the application form.
02
Provide personal information: Fill in your personal details accurately on the form, including your full name, address, contact number, and social security number. Ensure that the provided information matches your official records.
03
State the reason for the hardship withdrawal: Clearly explain the reason you are requesting a hardship withdrawal. Common reasons include medical expenses, funeral costs, educational expenses, or foreclosure prevention. Be honest and provide any supporting documentation required to substantiate your claim.
04
Specify the amount requested: Indicate the specific amount you are seeking to withdraw as a hardship distribution. Be aware of any limitations or restrictions set by your employer or financial institution, as they may have a maximum limit or specific guidelines for withdrawal amounts.
05
Understand the tax implications: Hardship withdrawals are typically subject to income taxes and may incur early withdrawal penalties. Familiarize yourself with the tax implications and consult a tax professional if necessary to fully understand the potential consequences.
06
Attach supporting documentation: Depending on the nature of your hardship, you may need to include supporting documentation along with your request. These may include medical bills, death certificates, tuition invoices, loan repayment notices, or any other relevant paperwork that supports your need for the withdrawal.
Who needs a request for hardship withdrawal?
01
Employees facing financial hardship: Individuals with pressing financial needs, such as unexpected medical expenses or imminent foreclosure, may need to submit a request for a hardship withdrawal from their employer-sponsored retirement plan.
02
Account holders of certain retirement plans: Some retirement plans, such as 401(k) or 403(b) plans, allow for hardship withdrawals in specific circumstances. If you are a participant in such a plan and encounter severe financial difficulties, you may need to submit a hardship withdrawal request.
03
Students burdened by educational expenses: In some cases, individuals may need to request a hardship withdrawal from their educational savings account, such as a 529 plan, to cover educational expenses that cannot be met by other means.
04
Individuals facing unexpected medical expenses: Medical emergencies or ongoing health issues can lead individuals to seek a hardship withdrawal from their retirement plan or health savings account (HSA) to cover the associated costs.
Note: The eligibility criteria, limitations, and procedures for hardship withdrawals can vary depending on the specific retirement plan, financial institution, or educational savings account. It is crucial to consult the plan's guidelines or speak with a representative to ensure compliance and to determine if a hardship withdrawal is the most suitable option for your individual circumstances.
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What is request for hardship withdrawal?
Request for hardship withdrawal is a formal application submitted by an individual seeking to withdraw funds from a retirement account due to financial hardship.
Who is required to file request for hardship withdrawal?
Individuals facing financial hardship and requiring access to funds from their retirement account are required to file a request for hardship withdrawal.
How to fill out request for hardship withdrawal?
The request for hardship withdrawal form can typically be obtained from the retirement account provider and must be filled out with accurate and detailed information regarding the individual's financial situation.
What is the purpose of request for hardship withdrawal?
The purpose of requesting a hardship withdrawal is to provide individuals with access to funds from their retirement account in case of financial emergencies or hardships.
What information must be reported on request for hardship withdrawal?
Information such as the reason for the hardship withdrawal, the amount requested to be withdrawn, and supporting documentation of the financial hardship must be reported on the request for hardship withdrawal.
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