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Service Retirement Application

Customer Name: JOHN DOE

Review & Comfirm

Outlined below is your Service Retirement application summary. Review this summary of your selections and select the Edit link on any section of the summary to make changes. Select the Confirm button once the summary is accurate and complete for submission to CalSTRS.

Your Application Summary

Your Retirement Profile

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  Retirement Date: 10/17/2011  
  Last Date of Work: 08/01/2009  
  Reduced Benefit Election: Yes/No  
  Other CA Public Retirement Systems: XXXXXX  
  Other CA Public Retirement Systems
Retirement Date:
02/15/2002  
 

Your Option Beneficiary Information
Compound – Member-Only XXX.XX%

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  Beneficiary Option: 100% Option  
  Name: John A Doe  
  Current Relationship: Spouse  
  Date of Birth: 10/17/1956  
  Social Security Number: xxx-xx-9104  
  Allocation: 50.00 %  
 
  Beneficiary Option: 75% Option  
  Name: Jane A Doe  
  Current Relationship: Other  
  Date of Birth: 10/17/1956  
  Social Security Number: xxx-xx-9104  
  Allocation: 50.00 %  
 

DB Tax Withholding Preferences

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  Federal Income Tax Withholding:  
  Filing Status: Married  
  Number of Allowances: XX  
  Additional Withholdings: $additional amount  
 
  State Income Tax Withholding:  
  Filing Status: Married  
  Number of Allowances: XX  
  Additional Withholdings: $ additional amount  
  Withhold Only (Per Month): $ amount  
 

DBS Election

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  Combined Lump-Sum & Annuity Payment:  
  Lump-Sum Payment: $ amount  
  Annuity Payment Type: Annuity Type  
 

DBS Payment Instructions

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      Tax-Deferred   After Tax  
  Rollover Election:   IRA   Roth IRA  
  Rollover Amount or %:   68%   $4,800  
  Financial Institution Selected:   UBS Financial   AFLAC  
  Financial Institution Address:   3001 Douglas Blvd
Sacramento, CA 95691
  888 Broadway Ave
Sacramento, CA 95882
 
  Financial Institution Phone Number:        
  Account Number to Receive Rollover:        
 

DBS Tax Withholding Preferences

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  Federal Income Tax Withholding:  
  Filing Status: Married  
  Number of Allowances: XX  
  Additional Withholdings: $additional amount  
 
  State Income Tax Withholding:  
  Filing Status: Married  
  Number of Allowances: XX  
  Additional Withholdings: $ additional amount  
  Withhold Only (Per Month): $ amount  
 

Marital / Registered Domestic Partner (RDP) Status

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  Current Marital or RDP Status: Married  
  Spouse or RDP's First Name: Mannheim  
  Spouse or RDP's Last Name: Eisenschmidt-Doe  
  Date of Birth: 02/29/1908  
  Social Security Number: xxx-xx-9104  
 

Allowance / Distribution Impact

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  Member-Only Benefit  
  The Member-Only Benefit is the highest monthly benefit possible, and it will continue throughout your lifetime. However, it does not provide for a monthly income to your survivors.  
  100% Beneficiary Option  
  The 100% Beneficiary Option provides your option beneficiary with 100 percent of the amount you were receiving upon your death. If your option beneficiary predeceases you, your benefit will rise to the Member-Only benefit.  
  75% Beneficiary Option  
  The 75% Beneficiary Option provides your option beneficiary with 75 percent of the amount you were receiving upon your death. If your option beneficiary predeceases you, your benefit will rise to the Member-Only benefit.  
  50% Beneficiary Option  
  The 50% Beneficiary Option provides your option beneficiary with 50 percent of the amount your were receiving upon your death. If your option beneficiary predeceases you, your benefit will rise to the Member-Only benefit.  
  Compound Option  
  The Compound Option allows three options. In each case, if your option beneficiary predeceases you, your benefit will rise to the Member-Only benefit.

You may:
  • Name one option beneficiary and keep a portion of your benefit as a Member-Only Benefit.
  • Name two or more option beneficiaries, with an option choice for each and keep a portion of your benefit as a Member-Only Benefit.
  • Name two or more option beneficiaries, with and option choice for each and not keep any of your benefit as a Member-Only Benefit.
 
  Midyear Retirement with the Reduced Workload Program  
  If you retire before the end of the school year and not fulfill your contract under the Reduced Workload Program, your Reduced Workload Program will be revoked, and you will receive credit only for the part-time service you actually performed.  
  Midyear Retirement without the Reduced Workload Program  
  If you retire before the school year is over, CalSTRS must use the current school year and the last school year to calculate your final year’s earnings, unless you have higher compensation in an earlier period. The process of averaging for mid-year retirees often results in a final compensation that is lower than expected.  
  Required Minimum Distribution (RMD) for a person over 70.5 yrs old  
  Due to the fact that you are older than 70 years and half, you are required to take a minimum distribution (RMD) and cannot roll over 100% of your Defined Benefit Supplemental lump-sum monies.  
  Reduced Benefit Election  
  By making this election you agree to receive a reduced benefit equal to one-half of your monthly retirement benefit calculated as if you were age 60. The reduced benefit will continue for the same number of months after age 60 that you received benefits before age 60. After that, you will receive your normal retirement benefit.  
 


       

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