Dd Form 2656 Instructions - Data For Payment Of Retired Personnel - April 2009

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DATA FOR PAYMENT OF RETIRED PERSONNEL
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. Chapter 73, subchapters II and III; DoD Instruction 1332.42, Survivor Annuity Program Administration, DoD Financial
Management Regulation, Volume 7B, Chapter 42; and E.O. 9397 (SSN).
PRINCIPAL PURPOSE(S): To collect information needed to establish a retired/retainer pay account, including designation of beneficiaries for
unpaid retired pay, state tax withholding election, information on dependents, and to establish a Survivor Benefit Plan election.
ROUTINE USE(S): Disclosures are made to the Department of Veterans Affairs (DVA) regarding establishments, changes and discontinuing of DVA
compensation to retirees and annuitants.
To former spouses for purposes of providing information, consistent with the requirements of 10 U.S.C. Section 1450(f)(3), regarding Survivor
Benefit Plan coverage.
To spouses for purposes of providing information, consistent with the requirements of 10 U.S.C. Section 1448(a), regarding Survivor Benefit Plan
coverage.
DISCLOSURE: Voluntary; however, failure to provide requested information will result in delays in initiating retired/retainer pay.
INSTRUCTIONS
proper completion and submission of this form. You should maintain
GENERAL.
these instructions along with a copy of the form as a permanent
record of pay data. Please complete the form by typing or printing
1. Read these instructions and Privacy Act Statement carefully before
in ink.
completing the data form.
3. Ensure that you promptly advise DFAS - Cleveland of changes to
2. The Defense Finance and Accounting Service (DFAS) - Cleveland will
your marital/family status and any changes to your correspondence
establish your retired/retainer pay account based on the data provided on
address and direct deposit information (or your Reserve Component if a
the form and your retirement/transfer orders. Your personnel office,
gray area retiree).
disbursing/finance office, and SBP Counselor will assist you in the
SECTION I - PAY IDENTIFICATION.
SECTION V - DESIGNATION OF BENEFICIARIES FOR UNPAID
RETIRED PAY.
ITEMS 1 and 2. Self-explanatory.
ITEM 13. Upon your death, 10 U.S. Code Section 2771 provides that
ITEM 3. If you are retiring from active duty, enter the date you transfer to
any pay due and unpaid will be paid to the surviving person highest on
the Fleet Reserve or date of retirement. If you are a Reserve member
the following list: (1) beneficiary(ies) designated in writing; (2) your
qualified to retire under 10 U.S. Code, Chapter 1223, enter either the date
spouse; (3) your children and their descendants, by representation; (4)
of your 60th birthday or, a later date on which you desire to begin
receiving retired pay.
your parents in equal parts, or if either is dead, the survivor; (5) the legal
representative of your estate, and (6) person(s) entitled under the law of
ITEMS 4 and 5. Self-explanatory.
your domicile. Therefore, if you choose to designate a beneficiary or
beneficiaries, you must complete Items 13.a. through 13.e. If you
ITEM 6. Enter the address and telephone number (include area code)
designate multiple beneficiaries, you can either provide a SHARE
where you can be contacted.
percentage to be paid to each person or leave the SHARE percentage
blank. If you leave the SHARE percentage blank, any retired pay you are
SECTION II - DIRECT DEPOSIT/ELECTRONIC FUND TRANSFER
owed when you die will be divided equally among your designated
INFORMATION.
beneficiaries. If you list more than one person with a 100% SHARE, the
This section must be completed. Your net retired/retainer pay must be
beneficiaries will be paid in the order as you list them on the form. If, for
sent to your financial institution by direct deposit/electronic fund transfer
example, you designate two beneficiaries, then the SHARE percentage
(DD/EFT).
must either be 100% for each beneficiary, or the SHARE percentages
when added together must equal 100%. If you designate more than one
ITEMS 7 through 10. If you are directing your retired pay to the same
person, and the total percentage designated is greater than 100%, the
account number and financial institution to which you directed your active
person listed first is considered the primary beneficiary. Use the
duty pay, annotate Items 7 through 10 "SAME AS ACTIVE DUTY". If you
Remarks section for additional beneficiary information.
have a copy of the Direct Deposit Authorization form used to establish
your DD/EFT for your active duty pay, attach a copy to this form.
If you do not designate a beneficiary or beneficiaries in Item 13, or all
designated beneficiaries have died before the date of your death, any
If you are not currently on DD/EFT or are a Reservist, you must
unpaid retired pay will be paid to the living person or persons in the
complete Items 7 through 10. Provide the nine digit Routing Transit
highest category of beneficiary listed above, as required by law.
Number (RTN) of your financial institution in Item 7. The RTN is the nine
digit number located in the lower left-hand corner of either your checks or
SECTION VI - FEDERAL INCOME TAX WITHHOLDING
check deposit tickets. If you still are unable to obtain the RTN, you will
INFORMATION.
have to contact your financial institution to which you want your
retired/retainer pay directed and request the RTN. Also, indicate whether
your account is (S) for Savings or (C) for Checking account in Item 8,
Complete this section after determining your allowed exemptions with
your account number in Item 9, and your financial institution name and
the aid of your disbursing/finance office, or from the instruc- tions
address in Item 10.
available on IRS Form W-4, or other available IRS publications. Leave
Items 14 through 16 blank if completing Item 17.
SECTION III - SEPARATION PAYMENT INFORMATION.
ITEM 14. Mark the status you desire to claim.
ITEM 11. Complete if you are retiring from active duty or a
member/former member of the Reserve Component not on active duty
retiring at age 60.
ITEM 15. Enter the number of exemptions claimed.
11.a. through 11.c. Complete if you received any type of separation
ITEM 16. Enter the dollar amount of additional Federal income tax you
bonus. In Item11.a, enter an X in the YES block. In Item 11.b., enter
desire withheld from each month's pay. Leave blank if you do not desire
"SE" for Severance Pay, "SP" for Separation Pay, "VSI" for Voluntary
additional withholding.
Separation Incentive, and "SSB" for Special Separation Bonus. In Item
11.c., enter the lump-sum gross amount for Severance, Separation and
ITEM 17. Enter the word "EXEMPT" in this item only if you meet all the
Special Separation Bonus payments and the annual installment gross
following criteria: (1) you had no Federal income tax liability in the prior
amount for Voluntary Separation Incentive payments. Be sure to attach a
copy of the orders that authorized the payment and a copy of your DD
year; (2) you anticipate no Federal income tax liability this year; and (3)
Form 214.
you therefore desire no Federal income tax to be withheld from your
retired/retainer pay.
SECTION IV - MEMBER OF THE RESERVE COMPONENT.
NOTE: You must file a new exemption claim form with DFAS - Cleveland
ITEM 12. Complete if you are a member/former member of a Reserve
by February 15th of each year for which you claim exemption from
Component, not on active duty, retiring at age 60.
withholding.
PREVIOUS EDITION IS OBSOLETE
DD FORM 2656 INSTRUCTIONS, APR 2009
Adobe Professional 8.0

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