Withdrawing Nondeductible contributions under Rev Proc 90-49

[Dennis Povloski]

We have a client that we are helping withdraw a nondeductible contribution from her DB Plan. Under Rev Proc 90-49, it says that we must attach to the Schedule B an actuarial certification, copy of the plan language or corporate resolutions condintioning the contribution on deductibility, and a certification from the employer that the contributions were not deducted on their tax return.

Does anyone know if there is a standard format for the last item? Is it just a generic statement saying something to the effect that "I hereby certify that this amount has not been deducted on my taxes"?? Or are they looking for something specific?

Thanks!

Dennis