Bonuses, Vacation Pay, Commissions, Sick Pay, Insurance Commissions, 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information in the designated fields. This typically includes your name, address, and Social Security number.
  3. In the Bonuses section, specify any bonuses received post-retirement. Ensure you indicate the amount and date received.
  4. For Vacation Pay, list any accumulated vacation pay that you are entitled to. Include details such as the total hours and payment amount.
  5. In the Commissions field, document any sales commissions earned before retirement. Clearly state the source of these commissions.
  6. Fill out Sick Pay by detailing any sick leave payments received after retirement. Provide relevant dates and amounts.
  7. Lastly, for Insurance Commissions, note any ongoing commissions from policies sold prior to retirement. Include amounts and policy details.

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