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CA PR450001ROLLCPN 2012-2025 free printable template

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2. Mail the following to 1. Completed Rollover Request Form 2. Completed CERTIFICATION FORM Plan-to-Plan Transfers and Direct Rollovers PERS-MSD-354B. SIGNATURES REQUIRED Participant s Signature Date Separation Date As the employer I certify that the employee named above has terminated employment and is eligible to receive a distribution from the CalPERS Supplemental Income 457 Plan. Employer s Signature REV1012 PR450001ROLLCPN Page 1 of 2 Instructions for Rollover Request Process to Purchase...
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Who needs CA PR450001ROLLCPN?

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Individuals who are required to report certain tax-related information.
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CA PR450001ROLLCPN is a California state form used for reporting certain tax information related to the roll-over of pension plan distributions.
Individuals or entities that have received a roll-over distribution from a pension plan and are required to report this information for tax purposes must file CA PR450001ROLLCPN.
To fill out CA PR450001ROLLCPN, taxpayers should provide the required personal information, details about the pension distribution, and indicate the specific roll-over amounts. It is advisable to follow the instructions provided with the form carefully.
The purpose of CA PR450001ROLLCPN is to document and report the roll-over of pension distributions to ensure proper tax treatment and compliance with state tax regulations.
The information that must be reported on CA PR450001ROLLCPN includes the recipient's identification details, the amount of distribution, the date of the roll-over, and any related tax implications.
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