NON-ERISA - 403(b) Withdrawal Request Form 2025

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If you withdraw money from your 403(b) plan before age 59, you will need to pay a 10% early withdrawal penalty in addition to the income tax youll pay on the withdrawal.
You generally have to start taking withdrawals from your IRA, SIMPLE IRA, SEP IRA, or retirement plan account when you reach age 73. Youre not required to take withdrawals from Roth IRAs, or from Designated Roth accounts in a 401(k) or 403(b) plan while the account owner is alive.
1099-R IRA/403(b) distributions If you received distributions from your retirement accounts, you will receive Form 1099-R.
You understand you will receive only 80% of the payment since the Custodian is required to withhold 20% of the distribution and send it to the IRS as federal income tax withholding to be credited against your taxes.
Non-ERISA 403(b) plans do not involve employer contributions, involve voluntary plan participation only, and do not need to follow the stipulations of the Act.
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