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Click ‘Get Form’ to open the pa W-4P PDF in our editor.
Begin by entering your Member Name and Address. If you have a new address, check the box provided.
Fill in your Social Security Number, Date of Birth, and contact information including Daytime Phone and Email Address (optional).
Indicate which monthly pension account(s) this form affects by checking the appropriate box(es).
In the Federal Income Tax Withholding Information section, choose either Section 1 or Section 2. If selecting Section 2, complete both items A (Marital Status) and B (Total number of allowances claimed).
If desired, specify an additional amount to withhold in the Optional box.
Finally, sign and date the form to certify that all information is accurate before submitting it back to PSERS.
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