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please be aware that this form is used by new retirees current retirees and surviving spouses you can easily indicate the type of request and type of payment at the top of this form begin with part a by filling out your personal information including your name social security number address and email address in part b you will indicate your preference for federal tax withholding if you decide not to have fairfax county retirement systems withhold federal taxes select option one if you would like taxes withheld from your monthly benefit you may do so in several ways selecting option two will allow you to choose your marital status and exemptions so that the irs publication 15 tax formula may be used to calculate your withholding with this option you may also elect to have an additional amount withheld finally you may elect option 3 which allows you to indicate a flat dollar amount or percentage please only select one of these three options in part c you must make a decision on your virg