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Form TSP-78 10/2012 Name Last First Middle V. Federal Tax Withholding This section is optional. Compete this section instead of IRS Form W 4P if you want to change the standard Federal tax withholding for your monthly payments. THRIFT SAVINGS PLAN TSP-78 MONTHLY PAYMENTS MAINTENANCE Use this form only to make immediate changes in the way your monthly payments are handled direct deposit Federal tax withholding and transfers to IRAs or eligible employer plans. Stop the transfer of the following portions of my monthly payments check all that apply Traditional Roth Go to Pages 3 and/or 4 if you want to begin transferring your payments or change your transfer information. Do Not Write Below This Line FORM TSP-78 Page 1 10/2012 P I I S 0 0 2 3 4 2 0 0 2 0 0 0 0 0 0 0 0 P I I S TSP-78 INFORMATION AND INSTRUCTIONS FOR PAGE 1 You must complete Sections I and VI on Pages 1 and 2. To close your account Use Form TSP-79 Change From Monthly Payments to Final Payment available on the TSP website www. tsp.gov. Be sure to complete Pages 1 and 2 because Sections I and VI are required in addition to the other sections you need to complete your requests. Withholding based on my marital status and withholding exemptions Single c. Married Married but withhold at higher single rate Allowances Enter the total number. If zero enter 0. Withhold this additional dollar amount. 00 Note You must also complete Item 9b. 10. current monthly payment amount results in payments expected to last less than 10 years less than 120 payments If your Indicate any additional dollar amount you want the TSP to withhold from each monthly payment VI. You can use the Monthly Payment Calculator on the TSP website www. tsp.gov to calculate the duration of your payments. Note Withholding does not apply to any amounts transferred to an IRA or eligible employer plan. If you have chosen monthly payments that will last 10 years or more the TSP will withhold taxes as if you are a married person with 3 dependents. However you have other withholding options You may choose to have no withholding by checking the box in Item 9a. You may change your withholding marital status and allowances by completing Item 9b. In order to complete this section you will need to know whether your payments are expected to last 10 years or more or less than 10 years. You can use the Monthly Payment Calculator on the TSP website www. tsp.gov to calculate the duration of your payments. Note Withholding does not apply to any amounts transferred to an IRA or eligible employer plan. If you have chosen monthly payments that will last 10 years or more the TSP will withhold taxes as if you are a married person with 3 dependents. Complete the following. No other acknowledgement is acceptable see instructions. Notary Please The person who signed Item 11 is known to or was identified by me and before me signed or acknowledged to have signed this form. In witness thereof I have signed below on this day of. Month Year My commission expires Date mm/dd/yyyy seal Notary s Signature Notary s Printed Name Notary s Phone Number Jurisdiction Do not write in this section. SECTION V. Federal Tax Withholding. Complete this section if you want to change the standard Federal tax withholding for the taxable portion of your monthly payments.

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