All templates
Form W-4R: Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions - Page 1
Personal

Form W-4R: Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions

Tells your plan or IRA custodian how much federal tax to withhold from one-time or irregular retirement payments, such as IRA withdrawals and lump-sum distributions.

2026 version
Source: Internal Revenue Service (IRS)

Easy PDF filling and editing

  • Fill out forms in your browser without installing software
  • Files are processed on our own server and not shared with third parties
  • Instant export of the completed document in PDF format

Instructions for filling out Form W-4R: Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions

This template is used for official filing and documentation. Below are detailed instructions for completing, requirement details, and submission rules.

Who needs to fill out this document?

This form is designed for use by legal entities, individuals, or authorized representatives in the following cases:

  • People taking IRA withdrawals.
  • Employees cashing out a 401(k).
  • Retirees receiving lump-sum distributions.

What you will need before starting

Before filling out the interactive form, prepare the following details and documents:

1. Personal detailsName, address and SSN.
2. Payment typeNonperiodic payment or eligible rollover distribution.
3. Withholding ratePercentage you choose to withhold.
4. Expected incomeTo pick a rate using the marginal rate tables.

Step-by-step filling process

  1. Enter personal information: Name, address and SSN.
  2. Choose your rate: Use the tables on page 2 to estimate your marginal rate.
  3. Enter the percentage: Line 2: any whole percentage within the allowed range.
  4. Give to the payer: Submit to your plan administrator or custodian.

Frequently Asked Questions (FAQ)

What is the default withholding?

10% for nonperiodic payments and 20% for eligible rollover distributions if you don't submit a form.

Can I choose zero withholding?

Yes for nonperiodic payments (U.S. addresses), but not for eligible rollover distributions, which require at least 20% unless rolled over directly.

How is this different from W-4P?

W-4P is for periodic pension and annuity payments.

Ready to fill out Form W-4R: Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions?

Open the editor, enter the required details, and download your document in a couple of minutes.

Proceed to fill out →