Tax Withholding Election Form Page 3

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P.O. Box 942716 Sacramento, CA 94229-2716
888 CalPERS (or 888-225-7377)
California Public Employees’ Retirement System
Tax Withholding Election—Instructions
IMPORTANT INFORMATION
QUESTIONS
PAYMENTS TO FOREIGN PERSONS AND PAYMENTS
For information about federal tax withholding, contact the IRS
DELIVERED OUTSIDE THE U.S.
at 800-829-1040 or visit irs.gov. For information about state
For U.S. citizens and residents, federal tax withholding is
tax withholding, visit the California Franchise Tax Board
required on monthly or lump-sum payments delivered to you
website at ftb.ca.gov.
outside the U.S. or its possessions. You cannot waive federal
income tax withholding in this situation. See IRS Publication
Also read IRS Publication 575, Pension and Annuity
505 at irs.gov for details.
Income, IRS Publication 919, How Do I Adjust My Tax
Withholding, and FTB Publication 1005, Pension and
For nonresident aliens, nonresident alien beneficiaries, and
Annuity Guidelines, or contact a qualified tax professional.
foreign estates, in the absence of a tax treaty exemption,
monthly or lump-sum payments generally are subject to a 30
Find a tax withholding calculator at irs.gov/individuals to help
percent federal withholding tax on the taxable portion of
determine your withholding allowances. Also see the
payments from U.S. sources. See IRS Publication 515,
allowance worksheets at irs.gov/pub/irs-pdf/fw4p.pdf and
Withholding of Tax on Nonresident Aliens and Foreign Entities,
edd.ca.gov/pdf_pub_ctr/de4p.pdf.
and IRS Publication 519, U.S. Tax Guide for Aliens, at irs.gov.
If you are a foreign person, you should submit Form re,
Certificate of Foreign Status of Beneficial Owner for United
States Tax Withholding, to CalPERS before receiving any
payments.
ANNUAL STATEMENT OF FEDERAL INCOME TAX
WITHHELD
By January 31 of next year (and each following year),
CalPERS will furnish a statement to you on Form
1099-R showing the total amount of benefit payments and the
total federal income tax withheld during the preceding year. If
you are a foreign person who has provided CalPERS with Form
W-8BEN, CalPERS instead will furnish a statement to you on
Form 1042-S, Foreign Person’s U.S. Source Income Subject to
Withholding, by March 15 of the following year.
My|CalPERS 1289 (10/16)

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