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IRA Distribution Request Form - DWS Investments

IRA Distribution Request Form - DWS Investments

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Step 6<br />

Tax withholding information<br />

Before selecting a withholding option, please consult your legal or tax counsel for advice and information concerning your<br />

particular situation. Neither Deutsche Asset & Wealth Management nor any of its representatives may give tax or legal<br />

advice. Withholding requirements, exclusions and withholding tax rates are subject to change at any time. For the most<br />

up-to-date information on your state’s tax withholding requirements, visit your state’s website.<br />

For states and the District of Columbia that mandate state withholding on distributions, Deutsche Asset & Wealth<br />

Management will automatically withhold the minimum required amount and forward it to the appropriate revenue service<br />

unless you instruct us to withhold a greater amount in the state withholding section below.<br />

Federal withholding<br />

If your distribution is being taken from a Traditional <strong>IRA</strong> or a SEP <strong>IRA</strong>, 10% of your distribution will be withheld and<br />

forwarded to the IRS if you do not select a box related to federal withholding. Since a distribution from a Roth <strong>IRA</strong> is not<br />

subject to withholding, no withholding will be assessed if you do not provide a federal withholding option.<br />

Do not withhold any federal income taxes from my distribution. I understand that state withholding may be required.<br />

Withhold 10% of the distribution amount and forward it to the IRS. I understand that state withholding may be required.<br />

Withhold<br />

% of the distribution amount and forward to the IRS. (Not to be less than 10%) I understand<br />

that state withholding may be required.<br />

State withholding<br />

If you would like voluntary state withholding taken, please indicate below. If the state withholding option is selected and<br />

your state does not accept withholding, Deutsche Asset & Wealth Management will not take state withholding from your<br />

distribution(s).<br />

Withhold a total of $<br />

and forward to my state revenue service. (Please note if the dollar amount<br />

provided is less than the state minimum, Deutsche Asset & Wealth Management will withhold the minimum amount<br />

required by your state. In addition, if there are multiple funds and/or accounts, the total withholding amount will be<br />

divided equally).<br />

I am a resident of the state of California and am aware that 10% of the federal withholding amount will automatically<br />

be taken as state withholding. I would like an additional % or $ withheld from the total<br />

distribution amount.<br />

Step 7<br />

Account owner authorization and signature guarantee<br />

I am aware that I am liable for the payment of federal income tax and possibly state and local taxes on the taxable portion<br />

of my distribution and that I may be subject to tax penalties under estimated tax payment rules if my tax payments and<br />

withholding amounts are not sufficient.<br />

I request the above distribution(s) and am aware of the possible tax consequences of taking this distribution. I certify that<br />

I have the authority and legal capacity to request a distribution.<br />

continued on next page<br />

Page 4 of 7

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