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The document is an IRA Distribution Form from PlanMember Services Corporation, detailing the process for individuals to request distributions from their Individual Retirement Accounts (IRAs). It includes sections for personal information, distribution types, income tax withholding elections, methods of distribution, and payment instructions. The form outlines various distribution options such as normal distributions, rollovers, and required minimum distributions, along with tax implications and requirements for each type. Additionally, it provides guidelines for systematic withdrawals and necessary documentation for specific situations like divorce or death.

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Click ‘Get Form’ to open the IRA Distribution Form in the editor.
Begin with Section One, Personal Information. Fill in your name, address, Social Security Number, birthdate, and account number. Ensure all fields are completed accurately.
Move to Section Two, Distribution Type. Select the type of IRA you have and check the appropriate distribution option that applies to your situation.
In Section Three, make your Income Tax Withholding Election. Choose whether you want federal and state taxes withheld from your distribution.
Proceed to Section Four for Amount and Method of Distribution. Select how much you wish to withdraw and specify if it’s a net or gross amount.
Complete Sections Five through Nine as applicable, ensuring you provide any necessary documentation such as divorce decrees or death certificates if required.
Finally, review all sections for accuracy before signing in Section Nine where a Medallion Signature Guarantee may be needed based on your selections.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (116 Votes)

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