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State taxes will be withheld where applicable. State taxes will be withheld where applicable. [1] some plans may have restrictions. Web participant withdrawal/direct rollover request private sector operations page 1 of 3phone: Web download and print nationwide forms for commercial agribusiness policies, personal property and auto policies, life insurance policies, mutual funds and more 402 (f) special tax notice (pdf) review this form for information regarding special tax information for plan payments. Web because 401 (k)s are retirement savings plans designed to help you save for retirement, any money you take out early will be subject to an additional 10% early withdrawal tax unless an exception applies. Web rapidly create a nationwide 401k hardship withdrawal without having to involve experts. This form is to be used for participants of plans where nationwide serves as third party administrator. Join us today and get access to. _ case number case name _ participant name social securitynumber(### ‐## ####) dateofbirth(mm/dd/yyyy) date ofhire(mm/dd/yyyy) home address city state zipcode