Anne C. Snyder - Page 5

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                    annuitization, please see the enclosed annuitization              
                    kit.                                                              
               (4) Re-register the contract.                                          
                    In order to proceed, we ask that Anne Snyder send a               
                    letter of instruction that includes the following                 
                    information:                                                      
                    •    chosen Death Benefit Option (listed above)                   
                         Note: If the Re-registration option is chosen                
                         please have her [Anne Snyder] include her date of            
                         birth and new beneficiary designation.                       
                    •    an original signature                                        
                    •    mailing address                                              
                    •    Social Security number                                       
                    •    Signature Guarantee - needed only if the re-regis-           
                         tration option is chosen or if the payout is                 
                         $250,000.00 or greater.                                      
                  *       *       *       *       *       *       *                   
               Please forward the following documents in addition to the              
               letter of instruction:                                                 
               •    certified copy of the annuitant’s [decedent’s] death              
                    certificate.                                                      
               On July 9, 2001, petitioner signed and dated Form W-4P,                
          Withholding Certificate for Pension or Annuity Payments (Form W-            
          4P), for her taxable year 2001 with respect to decedent’s fixed             
          annuity contract (petitioner’s 2001 Form W-4P for decedent’s                
          fixed annuity contract).  In that form, petitioner directed that            
          no tax was to be withheld from any distribution with respect to             
          decedent’s fixed annuity contract.  The instructions for peti-              
          tioner’s 2001 Form W-4P for decedent’s fixed annuity contract               
          stated in pertinent part:                                                   








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Last modified: May 25, 2011