REASON FOR WITHDRAWAL Sample Clauses

REASON FOR WITHDRAWAL. □ Withdrawal from a TRADITIONAL or SEP IRA □ Early Distribution (Account holder must be under age 59 1/2 - IRS penalty applies unless rollover occurs within 60 days) □ Normal Distribution (Account holder age 59 1/2 or over; includes Required Minimum Distributions) □ Permanent Disability (Account holder meets disability qualifications under Section 72(m)(7) of IRS Code, documentary proof may be required.) □ Death (If not already in a Beneficiary IRA: Must provide a certified copy of the account holder's Death Certificate; W-9 required) □ Return of Excess Contribution: For what year was the contribution made? □ Current Year □ Prior Year* Excess Contribution Amount $ □ Recharacterization: For what year was the contribution made? □ Current Year □ Prior Year* Recharacterization Amount $ □ Direct Xxxx XXX Conversion Amount $ □ Withdrawal from a XXXX XXX □ Early Distribution (Account holder must be under age 59 1/2 - IRS penalty applies unless rollover occurs within 60 days) □ Normal Distribution (Account holder age 59 1/2 or over) □ Permanent Disability (Account holder meets disability qualifications under Section 72(m)(7) of IRS Code, documentary proof may be required.) □ Death (If not already in a Beneficiary IRA: Must provide a certified copy of the account holder's Death Certificate; W-9 required) □ Return of Excess Contribution: For what year was the contribution made? □ Current Year □ Prior Year* Excess Contribution Amount $ □ Recharacterization: For what year was the contribution made? □ Current Year □ Prior Year* Recharacterization Amount $ *Deadline to recharacterize a contribution or remove an excess contribution is the IRA Owner's tax filing deadline (for the tax year of the contribution), plus any extensions including an automatic 6-month extension for those who file by the tax deadline. Please note that if requesting an IRA Trustee-to-Trustee Transfer, this form may NOT be used. Please contact the accepting institution and complete their transfer paperwork. A Medallion Signature Guarantee stamp may be required on their transfer form. 4/2015 Step 5: PAYMENT METHOD □ Mail check to the address currently on file. (Signature Guarantee required if address changed within 30 days.) □ Electronically transfer funds by ACH to my bank. (Voided check is required. Signature Guarantee required if adding bank within 30 days.) □ Deposit cash into my Xxxxxxx & Xxxxx Bank and Trust NOW Account. (This is not a taxable distribution.) □ Transfer in Kind my shares to my n...

REASON FOR WITHDRAWAL. Check One New Xxxxxx Home: Graduated: Ran Away/AWOL: Reunified: Other Reason: State Reason Within 48 Hours of Notice (per EC§ 48853), the following must be completed: To Be Completed by School Designee:  INSTRUCTIONS: This form should be completed by the date of student withdrawal. When complete, fax form and attachments to (1) NEW SCHOOL registrar/attendance personnel/designee AND (2) Child Welfare Services. Forward official records to the new school upon request. When completed, FAX a copy of records A-G, where applicable.

REASON FOR WITHDRAWAL. Each Party can withdraw from the Agreement in total if the First Payment Date in accordance with Clause 5.3(a) was not complied with by no later than 31 May 2015, and this was not due to the withdrawing Party.

REASON FOR WITHDRAWAL. Check One New Xxxxxx Home: Graduated: Ran Away/AWOL: Reunified: Other Reason: State Reason Within 48 Hours of Notice (per EC§ 48853), the following must be completed: To Be Completed by School Designee: