To apply for a waiver, you must file a private letter ruling request with the IRS. The Exemption Claim Form Kit is an attorneycrafted solution that simplifies the reclaiming of control over frozen funds.State the source of your exempt income. Common examples of exempt income are: Social Security, SSD, SSI,. Intheblanks form required for any matter originating and electronically filed in Supreme or Surrogate's Courts in Richmond County. The completed typewritten form must be filled out correctly prior to emailing your request. Incorrectly filled forms will be rejected. When you are ready to take money from your pre-tax account, your withdrawal will be subject to federal income taxes. THE PAPERS NEEDED TO OBTAIN AN UNCONTESTED DIVORCE IN NEW YORK STATE: Notice of Automatic Orders. State the source of your exempt income.