Tax Withholding Election. (Note: Tax withholding does not apply to distributions from an Education Savings Account, Xxxx qualified distributions, or to direct rollovers from an IRA to an eligible employer-sponsored plan.) (Form W-4P/OMB No. 1545-0074) Dept. of Treasury, Internal Revenue Service) Notice: Generally the distributions you receive from your IRA are subject to Federal income tax withholding unless you elect not to have Federal income tax withheld. You may elect not to have Federal income tax withheld on your IRA distribution by returning a signed and dated substitute Form W-4P (contained in Step 4 of this distribution request form) to Pershing LLC or financial institution with the appropriate box checked. Unless a previous withholding election is in place, you elect not to have Federal income tax withheld, or if you elect an alternative withholding amount, 10% will be withheld from your nonperiodic IRA distribution. Your election is valid (on this distribution and all future distributions from this IRA) until you change or revoke it. You may change your withholding election by completing another substitute Form W-4P included in this distribution form. If you elect not to have Federal income tax withheld on your IRA distribution, or if you do not have enough Federal income tax withheld from your IRA distribution, you may be responsible for payment of estimated tax. You may incur penalties under the estimated tax rules if your withholding and estimated tax payments are not sufficient. You are responsible for determining and paying all Federal, and if applicable, state and local taxes on distributions from all IRAs you own. If you are a U.S. citizen or resident alien receiving an IRA distribution that is delivered outside the United States or its possessions, withholding is required. That is, you may not waive withholding. Nonresident aliens and foreign estates are generally subject to 30% federal tax withholding on nonperiodic IRA distributions if there is not a tax treaty exemption. If you are a nonresident alien you may not use Form W-4P to withhold income tax or to waive withholding. Instead, if you are a nonresident alien you must provide Pershing LLC with Form W-8BEN, Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding and Reporting (Individual), to establish foreign status and to claim a treaty rate (when applicable). A foreign person should refer to IRS Publication 515 and to Form W-8BEN for further information. We may be required to ...
Tax Withholding Election. At Participant’s discretion, he may direct the Company to withhold shares of Stock otherwise deliverable upon the lapse of restrictions on the Award to satisfy any withholding tax liability that may arise upon such lapse of restrictions, provided that such Stock withholding complies with Section 16(b) of the Securities Exchange Act of 1934, as amended, and the rules promulgated thereunder.
Tax Withholding Election. Federal Income Tax Withholding (Form W-4P/OMB No. 1545-0074) Dept. of Treasury, Internal Revenue Service). Please see form instructions for withholding notice information. Unless a previous withholding election is in place, or you indicate a different withholding amount below, or you elect not to withhold Federal income tax by indicating your election below, 10% will be withheld from your IRA distribution. Do NOT withhold federal income tax from the gross distribution amount. (Not applicable to distributions subject to mandatory withholding.) Withhold federal income tax from the gross distribution amount at the rate of 10% . Withhold % or $ of federal income tax from the gross distribution amount. Selection of a dollar amount to be withheld is available only if electing a periodic distribution of principal. If dollar amount is entered for periodic RMD, it will be converted to an equal percentage for subsequent year’s payments. Specific dollar or percentage must equal a minimum of 10%. If standing instructions are selected, the percentage withholding election is the only option available.
Tax Withholding Election. I understand that you will reduce the number of Shares I will receive through this exercise by the amount necessary to satisfy my withholding tax obligation. Shares to be Registered to: Name: Address: Share Delivery Instructions (check one):
Tax Withholding Election. I hereby elect to satisfy any tax withholding obligation associated with my receipt of Stock pursuant to my Performance Share Award in the following form (place an “X” in the “Check” column or in the “Stock” column): Check Stock
Tax Withholding Election. Note: If a withholding option is not selected, a 10% federal income tax will be automatically withheld. Certain states require the Company to withhold state income taxes. If you live in one of those states, state income tax will be withheld from your distribution in addition to any federal tax withholding. Do not withhold Federal or State Taxes Federal Income Tax - withhold a flat amount of $ or a specific percentage % State Income Tax - withhold a flat amount of $ or a specific percentage %. If you do not elect withholding, or if you do not have enough tax withheld, you are liable for payment of federal income tax on the taxable portion of your distribution. You may also be subject to tax penalties if your payments of estimated tax and withholding are inadequate. Subject to specific exceptions under the Internal Revenue Code, any taxable distributions from an annuity contract prior to age 59 ½ may be subject to a 10% excise tax. ET-2500 (12-17)
Tax Withholding Election. If I elected above to receive payment in the form of Stock for any vested Restricted Stock Units, I hereby elect to satisfy any tax withholding obligation associated with my receipt of Stock in exchange for my Restricted Stock Units in the following form (place an “X” in the “Cash” column or in the “Stock” column):
Tax Withholding Election. Within 10 business days of the Agreement Date, the Grantee shall notify the Company, by checking the appropriate line below, as to the Grantee’s method of satisfying his or her tax withholding obligation: The Grantee shall provide Xxxxxx Xxxxxxx with instructions in accordance with SEC Rule 10b5-1 directing Xxxxxx Xxxxxxx to, on the date of Xxxxxx Xxxxxxx’x receipt of any vested shares in accordance with Section 3, sell in accordance with ordinary principles of best execution that number of such shares as is necessary to yield net proceeds to the Grantee equal to the amount of withholding taxes with respect to the income recognized by the Grantee as a result of the vesting of such shares (based on the minimum statutory withholding rates for all tax purposes, including payroll and social security taxes, that are applicable to such income) and remit such proceeds to the Company in satisfaction of such tax withholding obligations of the Company. In accordance with SEC Rule 10b5-1, the Grantee may later modify his/her instructions to Xxxxxx Xxxxxxx and deposit into his/her Xxxxxx Xxxxxxx account on a day prior to each vesting date an amount in cash sufficient to satisfy the applicable withholding taxes. The Grantee will deposit into his/her Xxxxxx Xxxxxxx account on the day prior to each vesting date an amount in cash sufficient to satisfy the applicable withholding taxes.
Tax Withholding Election. I hereby elect to satisfy any tax withholding obligation associated with my receipt of Stock or Stock and cash in exchange for my Restricted Stock Units and Dividend Equivalents in the following form (place an “X” in the “Check” column or in the “Stock/Cash” column): Check (I will write a check for my taxes that are due and deliver it to the Company within one (1) day of the release date of my Stock or cash payment) o Withholding (The Company should withhold shares of my Stock or cash payment to cover my taxes) o To the extent permitted by law, I hereby elect Federal tax withholding of percent (minimum may not be less than 25% and maximum may not exceed 35%) PARTICIPANT NAME (PLEASE PRINT) PARTICIPANT SIGNATURE DATE IMPORTANT NOTE: Please complete and return this Election Form to Xxxxxxxx Xxxxxxxxx at Mail Station 9996 by , .
Tax Withholding Election. Within 10 business days of the Grant Date, the Participant shall notify the Company, by checking the appropriate line below, as to the Participant’s method of satisfying his or her tax withholding obligation: The Participant shall provide Xxxxxx Xxxxxxx with instructions in accordance with SEC Rule 10b5-1 directing Xxxxxx Xxxxxxx to, on the date of Xxxxxx Xxxxxxx’x receipt of any Shares represented by vested PSUs in accordance with Section 3, sell in accordance with ordinary principles of best execution that number of such Shares as is necessary to yield net proceeds to the Participant equal to the amount of withholding taxes with respect to the income recognized by the Participant as a result of the vesting of such PSUs (based on the minimum statutory withholding rates for all tax purposes, including payroll and social security taxes, that are applicable to such income) and remit such proceeds to the Company in satisfaction of such tax withholding obligations of the Company. In accordance with SEC Rule 10b5-1, the Participant may later modify his/her instructions to Xxxxxx Xxxxxxx and deposit into his/her Xxxxxx Xxxxxxx account on a day prior to each Vesting Date an amount in cash sufficient to satisfy the applicable withholding taxes. The Participant will deposit into his/her Xxxxxx Xxxxxxx account on the day prior to each Vesting Date an amount in cash sufficient to satisfy the applicable withholding taxes. Not applicable. (The Participant is not subject to withholding.) COMPANY CONFIDENTIAL SCHEDULE 1 VESTING CRITERIA FOR PSUs
