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Completes and files necessary tax reporting forms for distributions processed with the irs or other governmental authority, as applicable, and sends. Complete all pages of the withdrawal form. Use this form if you are no longer employed with county employees' retirement fund to request a payment to yourself or a rollover. The empower separation from employment withdrawal request form is a.
1 Withdrawals Are Subject To Ordinary Income Tax.
A 10% early withdrawal penalty may apply to withdrawals made prior to age 59½. Make sure all nine digits of your u.s.






