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Federal administrative form issued by the Pension Benefit Guaranty Corporation establishing the procedure and options for electing federal income tax withholding from periodic pension payments.
Organization: Pension Benefit Guaranty Corporation
Form Number: 719
OMB Approval Number: 1212-0055
Date Printed: 12/14/2015
Type of Document: Federal tax withholding election form
Subject: Federal income tax withholding from pension payments
Applicable Year Reference: 2015
Issuing Authority: Pension Benefit Guaranty Corporation
Contact Information: PBGC Customer Contact Center 1-800-400-7242
Related Form: IRS Form W-4P
Place of Issue: Alexandria, Virginia
Price: 8 / 10 USD
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Thesis Withhold Request Form
Year: 2025
Region / City: Maynooth
Subject: Postgraduate Research, Thesis Submission, Embargo Request
Document Type: Form
Institution: Maynooth University
Author: Not specified
Target Audience: Postgraduate Students, Supervisors, Graduate Research Staff
Period of Validity: Not specified
Approval Date: Not specified
Modification Date: Not specified
Consent Agreement for Reprimand - CVS # 719
Year: 2020
Region / City: Massachusetts
Subject: Pharmacy Disciplinary Action
Document Type: Agreement
Institution: Massachusetts Board of Registration in Pharmacy
Author: Massachusetts Board of Registration in Pharmacy
Target Audience: Pharmacy Licensee
Period of Action: Effective Date: 8/13/2020
Approval Date: 8/13/2020
Date of Changes: None
Description: Agreement regarding the reprimand of CVS # 719 due to violations of pharmacy regulations during an inspection in 2019.
Beneficiary Application for Pension Benefits (PBGC Form 705)
Year: 2020
Country: United States
Organization: Pension Benefit Guaranty Corporation
Form Number: 705
OMB Control Number: 1212-0055
OMB Expiration Date: 10/31/2021
Document Type: Government benefits application form
Subject: Pension benefit payments to beneficiaries or alternate payees
Intended Applicants: Beneficiaries of deceased plan participants and alternate payees under a Qualified Domestic Relations Order
Payment Methods: Electronic Direct Deposit (EDD), Electronic Transfer Account (ETA), paper check by mail
Taxation Section: Federal income tax withholding election
Legal Reference: Title 18, Section 1001, United States Code
Contact Address: P.O. Box 151750, Alexandria, Virginia 22315-1750
Contact Phone: 1-800-400-7242
General Information Form PBGC Form 702 – Pension Plan Participant Details as of 12/14/2015
Year: 2015
Organization: Pension Benefit Guaranty Corporation
Document Type: Form / Information Collection
Region: United States
Plan Name: FX.PrismCase.CaseTitle.XF
Plan Number: FX.PrismCase.CaseIdNmbr.XF
Date Printed: 12/14/2015
Date of Plan Termination: FX.PrismCase.DOPT.XF
Target Audience: Plan participants, beneficiaries, alternate payees
Required Proof: Birth certificate, passport, marriage certificate, death certificate, QDRO
OMB Approval Number: 1212-0055
Expiration Date: xx/xx/xx
Topics: Withhold 719 PBGC