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This form is for new retirees, current retirees, and surviving spouses. Begin by completing Part A with your personal information, including name, Social Security number, address, and email. In Part B, indicate your federal tax withholding preference. If you choose not to have Fairfax County Retirement Systems withhold federal taxes, select option one. If you wish to have taxes withheld, select option two to specify marital status and exemptions, or option three to indicate a flat dollar amount or percentage. Only one option should be selected. In Part C, you will need to make a decision regarding your Virginia retirement benefit details.