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This form is designed for new retirees, current retirees, and surviving spouses. At the top, indicate the request and payment type. Start with Part A by filling in your personal information: name, Social Security number, address, and email. In Part B, choose your federal tax withholding preference. Select option one if you do not want taxes withheld. Option two allows you to select your marital status and exemptions for calculating withholding, with the option to add an extra amount. Option three permits you to specify a flat dollar amount or percentage for withholding. Only one option should be selected. Part C requires a decision regarding your Virginia Retirement System (VRS) benefits.