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request for a payment from your investment solutions ... - TIAA-CREF

request for a payment from your investment solutions ... - TIAA-CREF

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REQUEST FOR A PAYMENT<br />

FROM YOUR INVESTMENT SOLUTIONS<br />

TRADITIONAL, ROTH OR SEP IRA<br />

Page 1 of 5<br />

If you claim residence AND<br />

citizenship outside the U.S.,<br />

you must complete Form<br />

W-8BEN in addition to this<br />

<strong>for</strong>m to certify <strong>your</strong> <strong>for</strong>eign<br />

tax status. To print the<br />

W-8BEN <strong>for</strong>m, go to<br />

www.tiaa-cref.org/<strong>for</strong>ms,<br />

and see General Tax <strong>for</strong>ms.<br />

1. PROVIDE YOUR INFORMATION<br />

First Name<br />

Last Name<br />

Social Security Number/<br />

Taxpayer Identification Number Contact Telephone Number Extension<br />

X X X X X<br />

Middle Initial<br />

Suffix<br />

State of Residence (if outside the U.S., write in Country of Residence)<br />

Citizenship (if not U.S.)<br />

Your account will be valued<br />

as of market close on the<br />

date we receive this <strong>for</strong>m in<br />

good order. If <strong>your</strong> <strong>request</strong> is<br />

received after market close<br />

on a business day, <strong>your</strong><br />

account will be valued at the<br />

close of the next business<br />

day.<br />

2. TELL US WHICH IRA CONTRACT YOU WANT TO RECEIVE YOUR DISTRIBUTION FROM<br />

The following contract:<br />

<strong>TIAA</strong> Number<br />

<strong>CREF</strong> Number<br />

<strong>TIAA</strong> Number*<br />

*This field only applies to those with both an “open” and “closed” <strong>TIAA</strong> contract in their IRA plan.<br />

IMPORTANT<br />

If you have an IRA with a “closed” <strong>TIAA</strong> contract please keep in mind that once you withdraw funds <strong>from</strong><br />

<strong>TIAA</strong> Traditional and/or <strong>TIAA</strong> Real Estate in <strong>your</strong> “closed” contract, you can’t move funds back into those same<br />

accounts later, and funds distributed <strong>from</strong> <strong>TIAA</strong> Traditional will no longer receive the 3% guaranteed minimum<br />

rate and any applicable additional amounts. New funds added to <strong>TIAA</strong> Traditional will go to the account in<br />

<strong>your</strong> “open” <strong>TIAA</strong> contract, which has a guaranteed minimum rate between 1% and 3% (plus any applicable<br />

amounts). If <strong>your</strong> withdrawal <strong>request</strong> is unclear as to which IRA contract (open/closed) funds are to be withdrawn<br />

<strong>from</strong> they will be distributed proportionately across all <strong>investment</strong>s within that IRA plan (Traditional, Roth, or SEP).<br />

TAXCCM<br />

F10881 (12/13)

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