LECTION FOR UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP) INCOME UBEN 106 (R9/15) University of California Human Resources Send to: UC RASC Retirement Administration P.O. Box 24570 Oakland CA 94623-1570 1. PERSONAL INFORMATION NAME (Last, First, Middle Initial) SOCIAL SECURITY NUMBER MAILING ADDRESS (Number, Street, City, State, ZIP, Country) DAYTIME PHONE ( Status: (check one) ) UCRP Member Survivor or Contingent Annuitant Former Spouse PERS Plus 5 Member PERS Plus 5 Surv.
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How to fill out the CA UBEN 106 online
Filling out the CA UBEN 106 form online can facilitate your tax withholding election for your University of California Retirement Plan income. This guide provides a step-by-step approach to ensure completion is straightforward and understandable, even for those with limited experience in tax forms.
Follow the steps to complete your CA UBEN 106 form online.
- Click ‘Get Form’ button to access the CA UBEN 106 and open it in your document editor.
- Complete Section 1—Personal Information by entering your name, Social Security number, mailing address, daytime phone number, and select your status from the available options.
- Move to Section 2—Tax Withholding Election. For Federal Income Tax, indicate your preferred withholding option by filling in the number of allowances for married or single status. If applicable, specify additional dollar amounts or percentages to be withheld.
- For California State Income Tax, if you are a resident, complete the same type of information as in Federal Income Tax selection, indicating allowances and any additional amounts or percentages. If you are a non-resident, remember that California does not withhold state income tax for you.
- In Section 3, provide your signature and date to certify the information you have supplied.
- Once satisfied with your completed form, you can save changes, download the form, print it for your records, or share it as necessary.
Complete your CA UBEN 106 form online today to ensure your tax withholding preferences are correctly set.
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To download your tax form from Covered California, begin by logging into your Covered California account. Navigate to your account documents section to find your tax forms, including the 1095-A for tax purposes. With these forms in hand, you can efficiently complete your CA UBEN 106.
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