#486 QRP Application for Distribution


#486 QRP Application for Distribution Participants use this form to request plan distributions, to waive the qualified joint and survivor annuity, and to specify federal income tax withholding (taking the place of Form W-4P). This form is used in conjunction with form #482.


Product Pricing

Quantity Nonimprint Imprinted
1-49 $1.91 N/A
50-99 $1.32 N/A
100-249 $1.11 N/A
250-499 $0.90 N/A
500-999 $0.71 N/A
1,000+ $0.57 N/A
Additional quantities are available at a reduced fee.