Nationwide Participant Distribution Request Form

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Nationwide Participant Distribution Request Form - Provide Federal Tax Withholding direction for all withdrawal requests except systematic distributions lasting more than 10 years 401 a 403 b 401 k Plan Distribution Request Form PDF Use this form s to Select your payout options when you end your employment or retire Request a payout Stop current payouts Change a current payout

Cash Payment Method Send check by first class mail Send check overnight by UPS I understand that standard processing time still applies and there is an additional 25 fee for the UPS overnight shipping charges that will be deducted from my account Direct Deposit by ACH Type of Account Checking OR

Nationwide Participant Distribution Request Form

Nationwide Participant Distribution Request Form

Nationwide Participant Distribution Request Form

You may be able to submit and track the status of your distribution request online! Log in to your account at nrsforu.com and click "Manage Account" to locate "Withdraw Money" or "Track withdrawal status". Personal Information Name: Account Number or SSN: Email: Preferred Phone: Phone Type: F Home F Work F Cell

Use this form when requesting a distribution from traditional or Roth sources of money for participant accounting or investment only plans when Nationwide is designated the payor and responsible for tax reporting the distribution Use the Participant Withdrawal 457 for 457 plans 2 Case information

Span Class Result Type

Participant Withdrawal Direct Rollover Request Private Sector Operations Page 1 of 4 Phone 1 800 548 6436 Fax 1 877 634 0157 nationwide NOTE Do NOT use this form for distributions from 457 b Tax Exempt or Non Qualified Non Governmental Deferred Compensation Plans

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Participant Distribution Request Nationwide Retirement Solutions PLAN ADMINISTRATION Page 1 of 3 Phone 800 462 8328 ext 4116 option 1 Fax 714 258 4051 SchoolsFirstRP P O Box 11547 Attn Retirement Planning RH3 Santa Ana CA 92711

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Nationwide Retirement Plans

Nationwide Use this withdrawal form to submit 457 plan distributions and use the Participant Withdrawal Direct Rollover Request Form PNN 1240AO for death benefits 2 Case Information Case Number Case Name NOTE If this is a participant accounting case and multiple participants are involved please complete Attachment A

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Completion of Distribution Forms When your employer or IRA provider supplies you with a distribution form use the following information to complete it Elect a direct rollover into this qualified plan Prepare a check that is payable to Nationwide Financial FBO your name

Outgoing Rollover Request Page 1 of 2 Overview Nationwide Retirement Solutions (Nationwide) adheres to the USA Patriot Act's Anti-Money Laundering program requirements. Nationwide actively monitors and prohibits illegal money laundering of concealed funds generated from a criminal enterprise. Please complete all sections of this form.

Nationwide Retirement Solutions Distribution Request For 401 A 401 K

Participant requests distribution Nationwide approves enters into recordkeeping system and processes withdrawal Nationwide Please enter the following names and email addresses as appropriate to the routing option you selected Plan Sponsor approver s Full Name Email

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Nationwide Participant Distribution Request Form

Completion of Distribution Forms When your employer or IRA provider supplies you with a distribution form use the following information to complete it Elect a direct rollover into this qualified plan Prepare a check that is payable to Nationwide Financial FBO your name

Cash Payment Method Send check by first class mail Send check overnight by UPS I understand that standard processing time still applies and there is an additional 25 fee for the UPS overnight shipping charges that will be deducted from my account Direct Deposit by ACH Type of Account Checking OR

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