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Carpenters Health and Security Plan of Western Washington PO Box 1929 Seattle, WA 98111 SelfContribution Coverage Extension Please complete this application in its entirety. Enclose a check or money

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How to fill out self-contribution extension application

01

Obtain the self-contribution extension application form from the appropriate department or website.

02

Fill out your personal information such as name, address, contact information, and Social Security number.

03

Provide details of the contribution you wish to extend, including the reason for the request and the amount you are contributing.

04

Attach any supporting documentation, such as payment receipts or proof of income.

05

Submit the completed application form and supporting documentation to the designated department or office.

Who needs self-contribution extension application?

01

Individuals who have missed the deadline for making a contribution and need extra time to submit their contribution.

02

Individuals who have experienced unforeseen circumstances that have prevented them from making a timely contribution.

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What is self-contribution extension application?

A self-contribution extension application is a formal request to extend the deadline for making contributions to a retirement account or similar financial arrangement.

Who is required to file self-contribution extension application?

Individuals or entities that wish to extend the deadline for their contributions to retirement accounts, such as IRAs or 401(k)s, are required to file this application.

How to fill out self-contribution extension application?

To fill out the application, you need to provide personal identification information, specify the type of retirement account, detail the amount of contribution and the desired extension period, and sign the document.

What is the purpose of self-contribution extension application?

The purpose of this application is to allow individuals to postpone making contributions to their retirement accounts while ensuring compliance with tax regulations.

What information must be reported on self-contribution extension application?

Required information typically includes the applicant's name, contact details, type of retirement account, contribution amount, and reason for requesting an extension.

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