OMB control number
Certifications for Exceptions to the 10% Additional Tax
OMB 1545-2317 ยท TREAS/IRS.
Section 72(t)(1) generally imposes a 10 percent additional tax on any distribution from a qualified retirement plan within the meaning of section 4974(c), unless the distribution qualifies for one of the exceptions listed in section 72(t)(2). Section 72(t)(2)(L)(iii) provides that, in order to be considered a terminally ill individual, an employee must furnish sufficient evidence to the plan administrator. This information will be used by a plan administrator to determine whether an individual is eligible for a terminal illness distribution and thus eligible for the exception to the 10 percent additional tax under section 72(t)(2)(L). Section 72(t)(2)(I)(iv) provides that an emergency personal expense distribution is any distribution made from an applicable eligible retirement plan to an individual for purposes of meeting unforeseeable or immediate financial needs relating to necessary personal or family emergency expenses. Section 72(t)(2)(K)(iii)(I) generally provides that a domestic abuse victim distribution is any distribution from an applicable eligible retirement plan to a domestic abuse victim if made during the 1-year period beginning on any date on which the individual is a victim of domestic abuse by a spouse or domestic partner.
The latest form for Certifications for Exceptions to the 10% Additional Tax expires 2027-08-31 and can be found here.
Document Name |
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Supporting Statement A |
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Approved without change |
Revision of a currently approved collection | 2024-06-26 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 2023-12-18 |
IRS Notice 2024-2
Federal Enterprise Architecture: General Government - Taxation Management