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Wisconsin Department Substitute W-4P Tax …

Wisconsin Department of Employee Trust Funds Substitute W-4P Tax Withholding Certificate 801 W Badger Road for Pension or Annuity Payments PO Box 7931. Madison WI 53707-7931. Wis. Stat. (1). 1-877-533-5020 (toll free). Fax 608-267-4549. Member Information Name (first, middle, last, former/maiden) SSN. If you have multiple accounts at ETF, please check one below: (For Beneficiaries Only). Apply to all accounts. Original member's SSN. Apply only to benefit account ID(s): _____. Mailing address (Street address, including apartment or Box). City, state, ZIP code Email (optional). Federal Income Tax Withholding Election See attached W-4P worksheet to help you calculate your federal withholding.

If you have multiple accounts at ETF, please check one below: Apply to all accounts. Apply only to benefit account ID(s): _____ (For Beneficiaries Only)

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Benefit Information Request - WI ETF

etf.wi.gov

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etf.wi.gov

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Fact Sheet - WI ETF

etf.wi.gov

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etf.wi.gov

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etf.wi.gov

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etf.wi.gov

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