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. (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.) 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 withhold state income tax from your IRA distribution depending on your resi...
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. Federal Income Tax Withholding (Form W-4P/OMB No. 1545-0074) Dept. of Treasury, Internal Revenue Service). 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%.
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. Name: Address:
TAX WITHHOLDING ELECTION. Please complete this section only if you are transferring from another type of IRA to a Xxxx XXX. Under IRA rules, a transfer of a Traditional IRA, SEP IRA or SIMPLE IRA to a Xxxx XXX is treated for income tax purposes as a distribution of taxable amounts in the other IRA. IRS rules also require the custodian to withhold 10% of the conversion amount for federal income taxes unless no withholding has been elected. See IRS Publication 505, “Tax Withholding and Estimated Tax” for more information. State tax withholding may also apply if federal income tax is withheld. No income tax withholding Withhold 10% for income tax Withhold for income tax: Important: Withholding income taxes from the amount transferred (instead of paying applicable income taxes from another source) may adversely impact the expected financial benefits of transferring from another IRA to a Xxxx XXX (consult your financial advisor if you have a question). Because of this impact, by electing to convert a Traditional IRA to a Xxxx XXX, you are deemed to elect no withholding unless you check the box above. In so doing, by signing this form, you acknowledge that you may be required to pay estimated tax and that insufficient payments of estimated tax may result in penalties.
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 XXX 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. State Income Tax Withholding If an election is not made, we will withhold from your distribution according to your state of residence requirement as noted in Step 1. The minimum state of residence requirement must be withheld if a specific percentage or dollar amount is provided. For states with voluntary withholding, no withholding will apply if a percentage or dollar amount is not specified. State income tax withholding may be required when you elect federal income tax withholding. Do NOT withhold state income tax from the distribution. (Not applicable to all states.) Withhold state income tax from the distribution according to the requirements as outlined in Xxxxxxxx’x XXX Federal and State Income Tax Withholding Instructions. Withhold % or $ of state income tax. If standing instructions are selected, the percentage withholding election is the only option available. Nonresident Alien Tax Withholding If you are a nonresident alien, mandatory withholding may apply. A minimum of 30% NRA tax will be withheld unless you live in a country eligible for a reduced treaty rate, have submitted a W-8BEN form, have a Tax Identification Number, and are claiming a reduced treaty rate. You may elect a higher rate of 30% withholding below. Please see form instructions for details. Do NOT withhold nonresident alien tax from the distribution. I have submitted a W-8BEN claiming a zero trea...
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):
(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) (The Company should withhold shares of my Stock or cash payment to cover my taxes)
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):
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 REGISTERED TO: Name: Address: SHARE DELIVERY INSTRUCTIONS (CHECK ONE): [ ] E*Trade Financial [ ] Other (please include name & mailing address) 1095 White Rock Road Rancho Cordova, CA 95670 ----------------------------- --------------------------- Print Name Social Security # ----------------------------- --------------------------- Signature Phone # ----------------------------- Date FAX COMPLETED FORM TO:
