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This form is for new and current retirees, as well as surviving spouses. Start by completing Part A with your personal information: name, Social Security number, address, and email. In Part B, specify your federal tax withholding preference. If you choose not to have taxes withheld by Fairfax County Retirement Systems, select Option 1. If you want taxes withheld, select Option 2 to choose your marital status and exemptions for IRS Publication 15 calculations, and you can also opt for an additional amount to be withheld. Alternatively, with Option 3, you can specify a flat dollar amount or percentage. Only one option should be selected. Part C requires a decision regarding your retirement benefits.