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  • Ms Pers Form 5 2018

Get Ms Pers Form 5 2018-2025

Page 1 of 4Member Refund Application Form 5 Revised 06/01/2018 Please print or type in black ink. Completed form should be mailed or faxed to PERS. See bottom of form for contact information. Refunds.

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How to fill out the MS PERS Form 5 online

The MS PERS Form 5 is essential for individuals seeking a refund from their retirement contributions with the Public Employees' Retirement System of Mississippi. This guide will provide detailed, step-by-step instructions to help users fill out the form accurately and efficiently.

Follow the steps to complete the MS PERS Form 5 online

  1. Click the ‘Get Form’ button to access the form and open it for editing. Ensure that you have the correct tools to complete the form electronically.
  2. Fill out the member information section. Provide your first name, middle initial, last name, gender, social security number, birth date, email address, and mailing address where your refund check should be sent.
  3. Indicate your phone number and select the applicable type, such as cellular, home, or work. This information ensures the retirement system can reach you if necessary.
  4. Choose a lump sum distribution election. You can select either 'Refund to Member' or 'Rollover Distribution.' If opting for a refund, acknowledge the tax implications and specify any additional federal tax withholding.
  5. Consent to the applicant authorization by acknowledging the Special Tax Notice Regarding Plan Payments. Your signature here indicates you understand the consequences of accepting the refund.
  6. Complete the employer certification section if applicable. This part must be filled out by an authorized employer representative and includes information about your job title, termination dates, and employer details.
  7. Review the entire form for accuracy. Ensure all fields are filled out correctly and that any necessary attachments are included. This is crucial for preventing delays in processing your application.
  8. Once you have filled out the form, you can save your changes, download a copy for your records, print it, or share it as needed. Make sure to follow the submission instructions provided on the form.

Complete your MS PERS Form 5 online today to ensure a smooth refund process.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232