Failure to disclose the information requested may affect the determination of the accuracy of the amount withheld. The form is also used to determine the service members state of legal residence for the purpose of taxation, voting, and eligibility for state benefits. The DOD is responsible for a variety of important tasks, including the following: -Organizing and leading the nations military forces, -Planning and executing military operations, -Maintaining and modernizing the nations military arsenal, -Providing support to members of the military and their families. Home of Record or State of Legal Residence Change - U.S. Army Garrisons Special liberty can be requested even to attend the funeral of a family member. What is OPNAV 5239/14? The DOD was established in 1947, following the end of World War II. 01. ROUTINE USES: This form collects information in order to determine the correct State of legal residence for purposes of withholding State income taxes from military pay. It is issued by the Department of Defense and can be used in a variety of situations, such as when filing taxes, applying for certain benefits or proving eligibility in other areas. How do I change my state of legal residence in the army? (2) within the political boundaries of which 500 or more persons are regularly employed by all agencies of the Federal Government. Information herein will be furnished State authorities and to . Statea state, territory, possession, or commonwealth of the United States or the District of Columbia. This template should only be used if there is a real need to replace something. How is a debt displayed on my LES? Commander cant grant any leave or satisfy the request if it was not accompanied by an official form. For military personnel, the DD Form 2058 - State of Legal Residence Certificate is a document that can be used to prove legal residence in a certain state. Organizations that work with NAVPERS 1336-3 Once you complete it you can save the original on your computer or phone, and send the form to the commander. As an active duty service member, completing the DD Form 2058 on PDFliner was a breeze. registering vehicles in the new state, paying taxes in the new state, and changing your will to reflect your intention to reside in the new state. Course Hero is not sponsored or endorsed by any college or university. The DD 2058 is a document that provides detailed information on the military and defense-related capabilities of the United States. This form is used to provide information on a persons military service, including their name, rank, service number, and dates of service. Countyany unit of local general Government which is classified as a county by the Bureau of the Census and within the political boundaries of which 500 or more persons are regularly employed by all agencies of the Federal Government. Type text, add images, blackout confidential details, add comments, highlights and more. Information is required for determining the correct State of legal residence for purposes of withholding. The form is only one page long. Important fields include the individual's name, rank, and military service number, as well as information about the individual's current and previous states of residence. You will quickly learn how to fill it. Information is required for determining the correct State of legal residence for purposes of withholding. Dd Form 2058 State Of Legal Residence Certificate - isalegal Military personnel (and spouse/dependent children) not stationed in Florida whose home of record or state of legal residence certificate is Florida (as noted on an approved DD Form 2058, State of Legal Residence Certificate, or a Leave and Earning Statement, also called an LES or the Defense Finance and Accounting Service (DFAS) Form 702). DD Form 2058, State of Legal Residence Certificate, February 1977 Created Date: Once a military member has taken the steps to establish a new domicile, he or she can change their pay withholding by using DD form 2058, State of Legal Residence Certificate. Agencies should consult directly with tax authorities for obtaining forms and instructions. DD Form 2058, Jan 2018 State of Legal Residence. Describe the reason for the request; DD Form 2058, State of Legal Residence Certificate - PDFLiner Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content. Once you have gathered the required documentation, you can submit it through the myPay website. OPNAV Form 5239 14 is a two-page document used by the US Navy. Step 4: The approving authority completes the fourth part. You will find NAVPERS 1336 3 PDF on PDFLiner. It can also contain the request for authorization of the actions described in the list. PDF Frequently Asked Questions Military Service & Residency If you can't find an answer to your question, please contact us. the simultaneous intent of making it your permanent home and abandonment of the old State of legal residence/domicile. Information is required for determining the correct State of legal residence for purposes of withholding State income taxes from military pay. The form can also be obtained from the Internal Revenue Service (IRS). Information is required . Agencies may use FS Form 7311 if a local taxing authority does not furnish an appropriate certificate. However, you need to be specific in your request or you will not receive approval. DD Form 2058. US Army, Fillable online DD Form 2058, State of Legal Residence Certificate, February. 5040.40FS Form 7311: Employee's Withholding Certificate for Local Taxes. The form DD 2058 is a one-page document that must be filled out in full and signed. Your account will be updated in three to seven business days. The armys home of record is typically the state where a soldier is born. by calculating the fixed amount deducted each pay period from the compensation of the employee or member of the armed forces. Whether the tax is described as an income, wage, payroll, earnings, occupational license, or otherwise is immaterial. Included in Appendix 1 is a list of states that entered into agreements, the effective date of the agreement, and the designated state tax offices to receive inquiries. Active-duty service members file state income taxes in their state of legal residence. You must simultaneously intend to remain in the new state. Agencies may furnish copies of completed withholding certificates when requested by the taxing authority withholding the tax. 5065.30Accounting for Voluntary Withholding. Tax Reform Act of 1976, Public Law 94-455. City or county tax withholding is required for agency employees who are subject to the tax and (1) whose regular place of federal employment is within the city or county that has entered into an agreement or (2) is a resident of the city or county. Open the file in any PDF-viewing software. STATE OF LEGAL RESIDENCE CERTIFICATE DATA REQUIRED BY THE PRIVACY ACT OF 1974 AUTHORITY: PURPOSE: ROUTINE USES: MANDATORY OR VOLUNTARY DISCLOSURE: Tax Reform Act of 1976, Public Law 94-455. . STATE OF LEGAL RESIDENCE CERTIFICATE DATA REQUIRED BY THE PRIVACY ACT OF 1974 Tax Reform Act of 1976, Public Law 94-455. . 1 STATE OF LEGAL RESIDENCE CERTIFICATE DATA REQUIRED BY THE PRIVACY ACT OF 1974 AUTHORITY: Tax Reform Act of 1976, Public Law 94-455. Agencies may use a withholding or exemption certificate furnished by a state, city, or county, if that document provides all the required information. It prescribes requirements for making agreements and contains the text of a standard agreement. Organizations that work with DA Award Form Next, they should select the type of nomination and specify the cash prize amount. AUTHORITY: 50 U.S.C 571, Residence for tax purposes and 37 U.S.C., Pay and Allowances of the Uniformed Services. Disclosure is voluntary. Change or Update Your Personal Information - Navy Medicine Annual wage and tax information furnished to taxing authorities must comply with the Privacy Act of 1974 (Public Law 93-579 codified as 5 U.S.C. DD Form 2058, State of Legal Residence Certificate, is used for determining and declaring legal residency for purposes of withholding state income taxes from the military pay. Using this file, you can also remove or add positions. This latter provision does not apply to an employee who may opt for voluntary withholding; in this case, failure to submit a withholding certificate is a refusal of the withholding option available to the employee (Section 5065). This certificate is used to collect important information about an individual's state of domicile and other taxes that may be due. Dd form 2058 1 fillable: Fill out & sign online | DocHub the applicable State based on your home of record. The website is easy to navigate and the editing tools are user-friendly. Part A of the form must be completed by the person requesting the payment, while Part B must be completed by the person receiving the payment. When using a state, city, or county form, each agency must provide the employee from whom the information is solicited a Privacy Act Notice, either on the applicable form or on a separate sheet of paper. DD Form 2058, Residence Certificate - OSU Army ROTC The NAVPERS 1336 3 special request authorization form is known as Navy Special Request Chit. Finally, you must comply with the applicable tax laws of the State which is your new legal residence/domicile. The main differences between these forms are the specific information that is required to be reported and the purposes for which they are used. PDF State of Legal Residence Certificate - Wruv You can also download it, export it or print it out. If you have trouble accessing any forms, contact us at: [email protected]. Managed Care Referral Form PO BOX 1407 Church Street Station New York New York 10008- 1407 Fax no. To request a change of Home of Record: Individuals requesting a home of record change must submit a written request with their full name, SSN and the place they want their home of record changed. 105 and 102, respectively) and the United States Postal Service; and in addition, for city or county withholding purposes only, all elements of the judicial branch. You can find contact information for your states Adjutant General on your states Department of Military and Veterans Affairs website. STATE OF LEGAL RESIDENCE ADDRESS OF PLACE OF ABODE OUTSIDE YOUR STATE OF LEGAL RESIDENCE (Street Address, City, State, ZIP Code) . Step 1: Specify the functional areas title, unit identification code, MTOE number, and Command Control Number. Employees for purposes of District of Columbia income tax withholdingemployees as defined in 47 District of Columbia Code 1551c(z). This form has been designed to be used exclusively within the armed forces under the Total Army Awards Program. General Navy Medical Inquiries (to Bureau of Medicine and Surgery):[email protected], An official website of the United States government, med.navy.afpims.mil/Nurse-Corps/#skip-target, Transfer Your Medical and Dental Records, Navy and Marine Corps Force Health Protection Command, Naval Medical Leader and Professional Development Command, Navy Medicine Operational Training Command, State of Legal Residence Certificate Form (DD 2058), How to Create an NSIPS Self-Service Account, RED and DA Sailor Self-Service User Manual, W-4 Form - Employee Withholding Certificate, NAVMEDAD HPLRP SERVICE AGREEMENT PRIVACY ACT, DD Form 2870: Authorization of Request for Medical/Dental Records or Information, DD13512c TRAVEL VOUCHER CONTINUATION SHEET, REIMBURSEMENT FOR EXPENDITURES ON OFFICIAL BUSINESS - OF1164-17C, NAVY MILPERSMAN 1070-270 DEPENDENCY APPLICATION RECORD OF EMERGENCY DATA, Navy HPSP - Academic Year Statement (AYS), Navy HPSP - Academic Year Statement (AYS) - Clinical Psychology, Active Duty Benefits while on HPSP Annual Training, NADDS FAP Performance Assessment JAN TO JUNE, NADDS FAP Performance Assessment JULY TO DEC, NADDS FAP Annual Personal and Program Verification, [email protected], Hosted by Defense Media Activity - WEB.mil. DocHub v5.1.1 Released! The parties involved in the compilation of this form include military personnel who are required to establish their state of legal residence for various purposes, as well as military authorities and government agencies who require this information for administrative and legal purposes. What day do Active Duty members get paid? 03. By using this site you agree to our use of cookies as described in our. Use the tools in the top toolbar to edit the file, and the edits will be . Tax Reform Act of 1976, Public Law 94-455. The form is also known as the Payment Authorization Voucher (PAV).