Instructions and Forms to Rollover Qualified Retirement Funds, IRA or Roth 401(k) Funds into the BB&T Corporation 401(k) Savings Plan

Size: px
Start display at page:

Download "Instructions and Forms to Rollover Qualified Retirement Funds, IRA or Roth 401(k) Funds into the BB&T Corporation 401(k) Savings Plan"

Transcription

1 Instructions and Forms to Rollover Qualified Retirement Funds, IRA or Roth 401(k) Funds into the BB&T Corporation 401(k) Savings Plan Thank you for your interest in rolling over your retirement funds into the BB&T Corporation 401(k) Savings Plan (the Plan). The following documents are contained in this packet: BB&T Corporation 401(k) Savings Plan Rollover Forms Certification of Qualified Status Form BB&T Benefits Phone and Online Access Information Instructions to access the BB&T Corporation 401(k) Savings Plan Participant Guide through BBTBenefits.com and instructions to designate 401(k) Beneficiaries through the Workday system Note: Only active associates are allowed to roll funds into the Plan. Please read these materials carefully before you complete any forms or request a distribution from your qualified retirement plan or IRA. If you are rolling over retirement funds from a Roth 401(k), you will need to complete the BB&T Corporation 401(k) Savings Plan Rollover Forms for Roth Contributions. IMPORTANT NOTICE PLEASE READ: ONLY A COMPLETE ROLLOVER PACKAGE CONTAINING THE ROLLOVER CHECK(S) AND REQUIRED FORM(S)/DOCUMENT(S) WILL BE ACCEPTED. INCOMPLETE PACKAGES WILL BE RETURNED IMMEDIATELY TO YOUR INTEROFFICE MAILCODE. Please request your rollover check from your previous Employer s Qualified Retirement Plan or IRA Administrator. Please do not request your rollover check to be mailed directly to BB&T. Your rollover check MUST be accompanied with the documents listed below. Rollovers from a Previous Employer s Qualified Retirement Plan Items listed below are required to be provided with your distribution check: Completed BB&T 401(k) Savings Plan Rollover Forms Distribution check made payable to BB&T Corporation 401(k) Savings Plan FBO (your name) Designate your 401(k) Savings Plan Beneficiaries through the Workday system (instructions enclosed) A copy of your last participant statement prior to distribution (for a pension plan rollover, if no statement is available, please provide documentation that your rollover is from your qualified pension plan) One of the following: An IRS Letter of Determination certifying the Plan s tax-qualified status (obtain this from the prior plan s administrator) or Certification of Qualified Status Form- If an IRS Letter of Determination is not readily available, your previous employer s benefits representative or plan administrator may complete this form

2 Roth 401(k) Rollover (we do not accept Roth IRA s into the BB&T 401(k) Savings Plan) Items listed below are required to be provided with your distribution check: Completed BB&T 401(k) Savings Plan Rollover Forms for Roth Contributions Distribution check made payable to BB&T Corporation 401(k) Savings Plan FBO (your name) Designate your 401(k) Savings Plan Beneficiaries through the Workday system Copy of 1099R (preferable) OR letter from prior Plan Administrator detailing initial year Roth contributions began and total of Roth contributions made (no earnings) prior to rollover One of the following: An IRS Letter of Determination certifying the Plan s tax-qualified status (obtain this from the prior plan s administrator) or Certification of Qualified Status Form- If an IRS Letter of Determination is not readily available, your previous employer s benefits representative or plan administrator may complete this form Rollovers from an IRA Items listed below are required to be provided with your distribution check: Completed BB&T 401(k) Savings Plan Rollover Forms Distribution check made payable to BB&T Corporation 401(k) Savings Plan FBO (your name) Designate your 401(k) Savings Plan Beneficiaries through the Workday system IRA statement which reflects your balance prior to distribution Submitting your documentation Send rollover check and ALL required documents as one complete package to the address below. Do not return the Rollover Forms without the rollover check and documentation attached. An incomplete package will be returned immediately. BB&T Benefits Administration P.O. Box 1215 Winston-Salem, NC or Interoffice: Mail Code Confirmation of Your Rollover A confirmation letter will be mailed to you shortly after your rollover is deposited. Questions Please contact the Human Systems Service Center at , option 1. IMPORTANT NOTICE PLEASE READ: ONLY A COMPLETE ROLLOVER PACKAGE CONTAINING THE ROLLOVER CHECK(S) AND REQUIRED FORM(S)/DOCUMENT(S) WILL BE ACCEPTED. INCOMPLETE PACKAGES WILL BE RETURNED IMMEDIATELY TO YOUR INTEROFFICE MAILCODE.

3 BB&T CORPORATION 401(k) SAVINGS PLAN ROLLOVER FORM SECTION 1: PARTICIPANT INFORMATION: Name: Social Security Number: Daytime Telephone #: Date of Birth: SECTION 2: CERTIFICATION: I certify that the amount I wish to rollover is all or part of the taxable portion of a lump sum distribution from a qualified plan of a prior employer or IRA as indicated below. (If you were a participant in more than one qualified plan of the same type special aggregation rules may apply. You should consult your tax advisor to see if these rules apply to you). I have been advised to see a tax advisor due to important tax consequences relating to rolling over funds into the BB&T CORPORATION 401(k) SAVINGS PLAN. I expressly assume the responsibility for tax consequences relating to this rollover and agree that the BB&T CORPORATION 401(k) SAVINGS PLAN will not be responsible for those tax consequences. Name of prior employer s Plan or IRA: SECTION 3: ROLLOVER ELECTIONS: I elect to invest my rollover contribution in the manner shown below (whole percentages only): Fund Name Percentage Fund Name Percentage Federated Treasury Obligations Fund (XF) % BB&T Common Stock Fund (51) % BB&T Associate Insured Deposit Acct (IH) % T. Rowe Price Retirement Income Fund (G1) % Morley Stable Value Fund (PH) % T. Rowe Price Retirement 2005 Fund (G2) % Sterling Capital Total Return Bond Fund (29) % T. Rowe Price Retirement 2010 Fund (G3) % Sterling Capital Equity Income Fund (L2) % T. Rowe Price Retirement 2015 Fund (G4) % Sterling Capital Select Equity Fund (60) % T. Rowe Price Retirement 2020 Fund (G5) % Fidelity Contrafund (GB) % T. Rowe Price Retirement 2025 Fund (G6) % Vanguard Institutional Index Fund (NR) % T. Rowe Price Retirement 2030 Fund (G7) % Sterling Capital Special Opportunities Fund (J1) % T. Rowe Price Retirement 2035 Fund (G8) % Sterling Capital Mid Cap Value Fund (B2) % T. Rowe Price Retirement 2040 Fund (G9) % T. Rowe Price Mid Cap Growth Fund (DR) % T. Rowe Price Retirement 2045 Fund (P2) % Sterling Capital Small Value Fund (H7) % T. Rowe Price Retirement 2050 Fund (EX) % Harbor International Equity Fund (GW) % T. Rowe Price Retirement 2055 Fund (P4) % Vanguard Total International Stock Index (WE) % Election Percentages Must Total 100% Page 1 of 2 (Both pages must be completed) Revised

4 BB&T CORPORATION 401(k) SAVINGS PLAN ROLLOVER FORM Name: Social Security Number: SECTION 4: STOCK DIVIDEND ELECTION The portion of the BB&T Corporation 401(k) Savings Plan that is invested in the BB&T Common Stock Fund is considered an ESOP (Employee Stock Ownership Plan). If dividends are declared for BB&T stock, dividends on the BB&T stock will be paid March 1 st, June 1 st, September 1 st, and December 1 st. As an investor in the Common Stock Fund, you have the option of reinvesting your quarterly dividends in the Plan or receiving them in cash. You may change your dividend payment election at any time. Please make your election below. If an election is not made, your election will default to having the dividend reinvested. Dividend reinvestment in the Common Stock Fund OR Dividend Paid in Cash directly to you SECTION 5: SIGNATURE AND AUTHORIZATION I have read and understand the summary describing the BB&T CORPORATION 401(k) SAVINGS PLAN and agree to be bound by the provisions of the Plan. I hereby authorize the Company to invest my rollover contribution as indicated above. Signature of Associate/Participant Date Return both pages of this signed form and your rollover check to Benefits Administration Interoffice Mailcode: or U.S. Mail: P.O. Box 1215 Winston-Salem, NC or 200 West Second St., Winston-Salem, NC PLAN ADMINISTRATOR USE ONLY: Reviewed by (Signature) (Date) Page 2 of 2 (Both pages must be completed) Revised

5 BB&T CORPORATION 401(k) SAVINGS PLAN ROLLOVER FORM FOR ROTH CONTRIBUTIONS SECTION 1: PARTICIPANT INFORMATION: Name: Social Security Number: Daytime Telephone #: Date of Birth: SECTION 2: CERTIFICATION: I certify that the amount I wish to rollover is from a designated Roth deferral account in a prior employer s 401(k) plan and NOT from a Roth IRA. I assume the responsibility for any tax consequences that may be related to this rollover and agree that the BB&T CORPORATION 401(k) SAVINGS PLAN will not be responsible for those tax consequences. My rollover is either qualified or not qualified as indicated below (check one). I have attached a copy of the Form 1099-R issued as the result of the withdrawal from my prior employer s plan, which will validate my election. [ ] This is a qualified Roth distribution and has satisfied the 5-year rule and is being distributed after my attainment of age 59 ½ or due to death or disability. [ ] This is not a qualified Roth distribution. My 5-year period began (enter year). The portion of this distribution that consists of my Roth contributions is $. Name of prior employer s Plan: SECTION 3: ROLLOVER ELECTIONS: I elect to invest my rollover contribution in the manner shown below (whole percentages only): Fund Name Percentage Fund Name Percentage Federated Treasury Obligations Fund (XF) % BB&T Common Stock Fund (51) % BB&T Associate Insured Deposit Acct (IH) % T. Rowe Price Retirement Income Fund (G1) % Morley Stable Value Fund (PH) % T. Rowe Price Retirement 2005 Fund (G2) % Sterling Capital Total Return Bond Fund (29) % T. Rowe Price Retirement 2010 Fund (G3) % Sterling Capital Equity Income Fund (L2) % T. Rowe Price Retirement 2015 Fund (G4) % Sterling Capital Select Equity Fund (60) % T. Rowe Price Retirement 2020 Fund (G5) % Fidelity Contrafund (GB) % T. Rowe Price Retirement 2025 Fund (G6) % Vanguard Institutional Index Fund (NR) % T. Rowe Price Retirement 2030 Fund (G7) % Sterling Capital Special Opportunities Fund (J1) % T. Rowe Price Retirement 2035 Fund (G8) % Sterling Capital Mid Cap Value Fund (B2) % T. Rowe Price Retirement 2040 Fund (G9) % T. Rowe Price Mid Cap Growth Fund (DR) % T. Rowe Price Retirement 2045 Fund (P2) % Sterling Capital Small Value Fund (H7) % T. Rowe Price Retirement 2050 Fund (EX) % Harbor International Equity Fund (GW) % T. Rowe Price Retirement 2055 Fund (P4) % Vanguard Total International Stock Index (WE) % Election Percentages Must Total 100% Page 1 of 2 (Both pages must be completed) Revised

6 BB&T CORPORATION 401(k) SAVINGS PLAN ROLLOVER FORM FOR ROTH CONTRIBUTIONS Name: Social Security Number: SECTION 4: STOCK DIVIDEND ELECTION The portion of the BB&T Corporation 401(k) Savings Plan that is invested in the BB&T Common Stock Fund is considered an ESOP (Employee Stock Ownership Plan). If dividends are declared for BB&T stock, dividends on the BB&T stock will be paid March 1 st, June 1 st, September 1 st, and December 1 st. As an investor in the Common Stock Fund, you have the option of reinvesting your quarterly dividends in the Plan or receiving them in cash. You may change your dividend payment election at any time. Please make your election below. If an election is not made, your election will default to having the dividend reinvested. Dividend reinvestment in the Common Stock Fund OR Dividend Paid in Cash directly to you SECTION 5: SIGNATURE AND AUTHORIZATION I have read and understand the summary describing the BB&T CORPORATION 401(k) SAVINGS PLAN and agree to be bound by the provisions of the Plan. I hereby authorize the Company to invest my Roth rollover contribution as indicated above. Signature of Associate/Participant Date Return both pages of this signed form and required documentation to Benefits Administration Interoffice Mailcode: or U.S. Mail: P.O. Box 1215 Winston-Salem, NC or 200 West Second St., Winston-Salem, NC PLAN ADMINISTRATOR USE ONLY: Reviewed by (Signature) (Date) Page 2 of 2 (Both pages must be completed) Revised

7 Certification of Qualified Status Rollover Distribution for Participant s Name To be completed by Former Employer s Benefits Representative or Plan Administrator. Please answer the following questions regarding your Qualified Plan. 1. Name of Employer: 2. Official Plan Name: 3. Is this Plan Qualified under section 401(a), 403(a), 403(b), or 457(b) of the Internal Revenue Code? Yes No 4. Does this distribution consist only of money qualified for Rollover to another Qualified Plan? Yes No 5. Has this account already been paid out? Yes No If yes, indicate the amount and date distributed: Amount Date Please note that BB&T cannot accept rollover of after-tax contributions or distributions from Non-Qualified Plans. I hereby certify that the information provided above is complete and accurate to the best of my knowledge. Plan Administrator Signature Date Name (please print) Title Telephone Number (Rev. 4/11/2013)

8 Retirement and Institutional Services 24/7 RETIREMENT PLAN ACCESS PlanTrac BBT.com/PlanTrac BenefitsPhone ONLINE PLANNING TOOLS Online retirement plan education is available before you log on to your account, including details on: Enrolling Staying on Track Transition & Rollovers Tools and Calculators PLANTRAC WEB ACCESS Access your secure retirement plan account at BBT.com/PlanTrac. Account Detail Review details about your retirement plan account Account Management Manage your retirement plan account, through: Manage Investments direct the investments in your plan View pending Transactions Investment Advice through ProNvest Access to investment advice and a retirement planner Loans Model, initiate or track a loan Withdrawals View available withdrawals and access forms Help Center Access to tutorials and calculators My Profile Review profile information and update BenefitsPhone PIN First time users: Click Create User ID & Password at the logon page. Your temporary PIN is the last four digits of your Social Security number followed by your birth month and day (format: MMDD). Your temporary PIN expires after 30 days. If your PIN has expired, contact the BB&T Human Systems Service Center at and press 6 immediately upon hearing the automated voice.

9 BENEFITSPHONE ACCESS Call to stay connected to your retirement plan account Select language Press 1 to access your account in English, press 2 for Spanish Enter your Social Security number Enter your PIN Menu Options 1. Account Information 2. Account Changes 3. Document Request 4. Change your PIN 5. Investment Price Information 6. Help First time callers: Your initial PIN is the last four digits of your Social Security number followed by your birth month and day (format: MMDD). Need to speak with a representative? Call us at , and press 1 immediately upon hearing the automated voice. Specialists are available Monday through Friday from 9 a.m. to 5 p.m. ET. PICK YOUR METHOD PLANTRAC OR BENEFITSPHONE Options PlanTrac BenefitsPhone Check account balance Account activity history Investment performance and price information Change contribution rate must complete in Workday Change how future contributions are invested Set up automatic fund balancing Fund-to-fund transfers Rebalance account Request withdrawal forms Model, initiate or track a loan Review fund fact sheets and prospectuses Calculate your personal rate of returns Access your estatement Explore education content Review online investment advice through ProNvest Speak with an account representative BB&T understands the importance of privacy and security when transmitting financial data over the Internet. Among the steps taken to protect our customers financial information is data encryption via a paired-key process. Please note: your transaction is not complete until you receive a confirmation number, which you should always print out for your records. A copy of your confirmation will be mailed to your address of record on file with your employer. BB&T and its representatives do not offer tax or legal advice. Consult your individual tax or legal professional concerning your personal situation. Investment products offered through BB&T Retirement and Institutional Services, a division of Branch Banking and Trust Company, are: not a deposit, not FDIC insured, not guaranteed by the bank, not insured by any state or government agency and may lose value. 2013, Branch Banking and Trust Company. All rights reserved. Rv_5/13/2013

10 Instructions to Access the BB&T Corporation 401(k) Savings Plan Participant Guide The BB&T Corporation 401(k) Savings Plan Participant Guide includes: Plan information Investment Fund Options Investment Fund Performance 1) Open your Internet browser. From the InSite homepage, click the BBTBenefits.com link on the left side of the screen. Alternatively, type BBTBenefits.com into the address bar and press Enter. 2) On the right side of the screen under Featured Documents, click on the 401(k) Savings Plan Participant Guide.

11 Instructions to Change BB&T Corporation 401(k) Savings Plan Beneficiary(ies) through Workday 1) Open your Internet browser. From the InSite homepage, click the Workday button on the left side of the screen. Alternatively, type BBTBenefits.com into the address bar and press Enter, click on the Workday button on the top right of the screen. 2) Click the All About Me link at the top of the screen. 3) Click the Benefits Worklet. 4) Under the Change header, click the Benefits link. 5) Click the arrow next to the Benefit Event Type box, and scroll down the list and select Beneficiary Change. 6) Enter the Benefit Event Date (today s date). 7) Click the Submit button. 8) Click the Open button. 9) Click the Continue button through the steps until you see step labeled Beneficiary Designations. 10) At this point, you may add or remove beneficiaries. If you do not want to add or remove beneficiaries, you may skip to step 12 to edit the percentages of existing beneficiaries. To remove beneficiaries: 1) Click the x symbol on the left of the beneficiary s name in the Beneficiary column. To add beneficiaries: 1) Click the + symbol in the Beneficiary column. 2) Click the Prompt symbol on the right of the new open text field. 3) Click the Create link, and then click the Add Beneficiary link. 4) Complete all of the beneficiary information fields, including contact information (under the Contact Information tab) and social security number (under the National IDs tab). 5) Click the OK button. Repeat the process for each new beneficiary you want to add. 11) After adding or removing beneficiaries, you will need to fill in the appropriate percentages for each beneficiary. If you did not add or remove beneficiaries, you may also change the percentages of existing beneficiaries. Primary Percentage In the event of your death, your primary beneficiary(ies) receive the benefit. Primary beneficiary percentages must total 100%. Contingent Percentage In the event you and your primary beneficiary(ies) pass away at the same time, your contingent beneficiary(ies) receive the benefit. Contingent beneficiary percentages must total 100%. Select the radio button next to the Primary Percentage field, and type the appropriate percentage. Select the radio button next to the Contingent Percentage, and type the appropriate percentage. 12) Click the Continue button until you reach the last step. 13) After reading the disclaimers, scroll down on the page and check the I Agree box in order to continue. 14) Click the Submit button. Rev. 5/1/2013

Instructions and Forms to Rollover Qualified Retirement Funds, IRA or Roth 401(k) Funds into the AmRisc LP, 401(k) Plan

Instructions and Forms to Rollover Qualified Retirement Funds, IRA or Roth 401(k) Funds into the AmRisc LP, 401(k) Plan Instructions and Forms to Rollover Qualified Retirement Funds, IRA or Roth 401(k) Funds into the AmRisc LP, 401(k) Plan Thank you for your interest in rolling over your retirement funds into the AmRisc

More information

JPMorgan Chase 401(k) Savings Plan Important Information About Rollovers

JPMorgan Chase 401(k) Savings Plan Important Information About Rollovers JPMorgan Chase 401(k) Savings Plan Important Information About Rollovers This flyer is designed to help you better understand rollover contributions to your JPMorgan Chase 401(k) Savings Plan account.

More information

How to Roll Your Money into the JPMorgan Chase 401(k) Savings Plan. Rollover Checklist

How to Roll Your Money into the JPMorgan Chase 401(k) Savings Plan. Rollover Checklist How to Roll Your Money into the JPMorgan Chase 401(k) Savings Plan In this packet, you will find information to help you roll over your individual retirement account (IRA) or qualified retirement savings

More information

TRUSTED SYSTEMS, INC. 401(K) PS PLAN & TRUST Rollover Contribution

TRUSTED SYSTEMS, INC. 401(K) PS PLAN & TRUST Rollover Contribution This form may be used to move retirement plan assets from a retirement plan or traditional or SIMPLE IRA into your employer s plan. This form may NOT be used to request a rollover from this plan to another

More information

Dear Plan Participant:

Dear Plan Participant: Dear Plan Participant: Enclosed are materials to help you understand your Marsh & McLennan Companies 401(k) Savings & Investment Plan (Plan) distribution options as a terminated employee. The kit contains

More information

Howard 457 Deemed IRA Participation Agreement for Deferred Compensation Plan

Howard 457 Deemed IRA Participation Agreement for Deferred Compensation Plan Howard 457 Deemed IRA Participation Agreement for Deferred Compensation Plan DC-4803 (09/2015) For help, please call 1-877-677-3678 www.howard457.com 1 2 DC-4803 (09/2015) For help, please call 1-877-677-3678

More information

Suffolk County Public Employees Deferred Compensation Plan Rollover Contribution Instructions

Suffolk County Public Employees Deferred Compensation Plan Rollover Contribution Instructions T. Rowe Price Retirement Plan Services, Inc. P.O. Box 17215 Baltimore, Maryland 21297-1215 4515 Painters Mill Road Owings Mills, Maryland 21117-4903 Suffolk County Public Employees Deferred Compensation

More information

P. O. Box 2069 Woburn, MA 01801-1721 (781) 938-6559 NOTICE TO PARTICIPANTS SEPARATED FROM SERVICE

P. O. Box 2069 Woburn, MA 01801-1721 (781) 938-6559 NOTICE TO PARTICIPANTS SEPARATED FROM SERVICE P. O. Box 2069 Woburn, MA 01801-1721 (781) 938-6559 NOTICE TO PARTICIPANTS SEPARATED FROM SERVICE Under the terms of the SBERA 401 (k) Plan, you may now elect to withdraw your total account balance. Your

More information

PPD Retirement Savings Plan Rollover Contribution Form Plan ID 990500107

PPD Retirement Savings Plan Rollover Contribution Form Plan ID 990500107 Enclosed are the items needed to make a rollover contribution to the PPD Retirement Savings Plan. Please carefully review and complete each of the items as described in the procedures below. Representatives

More information

For example: Trustee of the CarMax, Inc. Retirement Savings Plan For the benefit of (FBO): [your name]

For example: Trustee of the CarMax, Inc. Retirement Savings Plan For the benefit of (FBO): [your name] T. Rowe Price Retirement Plan Services, Inc. P.O. Box 17215 Baltimore, Maryland 21297-1215 4515 Painters Mill Road Owings Mills, Maryland 21117-4903 CarMax, Inc. Retirement Savings Plan Rollover Contribution

More information

Baltimore 457 Deemed IRA Participant Agreement

Baltimore 457 Deemed IRA Participant Agreement Baltimore 457 Deemed IRA Participant Agreement NRM-8296MD-BA.2-0314 1 2 Employer Plan IRA Type Personal Information Baltimore Deemed IRA Participation Agreement Payroll Deduction Authorization & Service

More information

PLAN FOR YOUR FUTURE. 71% say retirement WHY ENROLL? GET STARTED TODAY ONE TWO THREE

PLAN FOR YOUR FUTURE. 71% say retirement WHY ENROLL? GET STARTED TODAY ONE TWO THREE Regions Financial Corporation 401(k) Plan PLAN FOR YOUR FUTURE You may spend 20 years or more in retirement that s a long time to go without a paycheck! Of course, there will still be bills to pay, so

More information

o NOTICE OF TERMINATION AND/OR o CURRENT DISTRIBUTION CHANGE o ALTERNATE PAYEE DISTRIBUTION PER QUALIFIED

o NOTICE OF TERMINATION AND/OR o CURRENT DISTRIBUTION CHANGE o ALTERNATE PAYEE DISTRIBUTION PER QUALIFIED CalPERS Supplemental Income 457 Plan DISTRIBUTION REQUEST FORM o NOTICE OF TERMINATION AND/OR o CURRENT DISTRIBUTION CHANGE o ALTERNATE PAYEE DISTRIBUTION PER QUALIFIED INITIAL DISTRIBUTION DOMESTIC RELATIONS

More information

Wells Fargo & Company 401(k) Plan

Wells Fargo & Company 401(k) Plan Summary Plan Description Wells Fargo & Company 401(k) Plan October 1, 2013 This Summary Plan Description ( SPD ) summarizes the major features of the Wells Fargo & Company 401(k) Plan ( 401(k) Plan ).

More information

Participant Request for Distribution

Participant Request for Distribution For Faster Service Use: Distribution Fax Number: (620) 793-5051 (If faxing these forms please do not mail the originals.) Participant Request for Distribution Please print legibly and use blue or black

More information

2012 House Officer November Lump Sum Payments And Retirement Savings

2012 House Officer November Lump Sum Payments And Retirement Savings UNIVERSITY OF MICHIGAN BENEFITS OFFICE RETIREMENT PLAN ADMINISTRATION WOLVERINE TOWER LOW RISE G405 3003 SOUTH STATE STREET ANN ARBOR, MI 48109-1278 benefits.umich.edu/plans/retire 2012 House Officer November

More information

Southern California Pipe Trades

Southern California Pipe Trades Southern California Pipe Trades LO56050514 (Retired) Defined Contribution Fund Retirement/Disability/Termination Distribution LO56050517 (Disabled) Application Complete all applicable sections and return

More information

IRA ADOPTION AGREEMENT

IRA ADOPTION AGREEMENT IRA ADOPTION AGREEMENT Please complete and sign this IRA Adoption Agreement after you have read the prospectus carefully. You may invest in as many of the UMB Scout Funds as you wish using just this application.

More information

Participant Name (First) (Middle Initial) (Last) Social Security Number I.D. Number. Participant Address (Street) City State ZIP Code + 4

Participant Name (First) (Middle Initial) (Last) Social Security Number I.D. Number. Participant Address (Street) City State ZIP Code + 4 Mailing Address: Des Moines, IA 50392-0001 Principal Life Insurance Company Early Withdrawal of Benefits Without Guaranteed Accounts No Spousal Consent Needed CTD00603 Complete this form to withdraw part

More information

TERMINATION FORM - 206

TERMINATION FORM - 206 TERMINATION FORM - 206 Participant must be provided with the Special Tax Notice Regarding Plan Payments. I INSTRUCTIONS The Termination Form is used to process all types of plan distributions due to termination

More information

Distribution Request Form

Distribution Request Form Distribution Request Form READ THE ATTACHED IRS SPECIAL TAX NOTICE: IF YOUR PLAN ALLOWS FOR AN ANNUITY OPTION, READ THE WRITTEN EXPLANATION OF QUALIFIED JOINT AND 50% CONTINGENT SURVIVOR ANNUITY FORM OF

More information

Distribution Request Form

Distribution Request Form Distribution Request Form READ THE ATTACHED IRS SPECIAL TAX NOTICE: IF YOUR PLAN ALLOWS FOR AN ANNUITY OPTION, READ THE WRITTEN EXPLANATION OF QUALIFIED JOINT AND 50% CONTINGENT SURVIVOR ANNUITY FORM OF

More information

Frequently Asked Questions (Last revised on 12/1/2006)

Frequently Asked Questions (Last revised on 12/1/2006) Frequently Asked Questions (Last revised on 12/1/2006) Q. Are the new 401k and the ESOP the same plan or separate plans? A. The JELD-WEN ESOP and the new JELD-WEN 401k Retirement Savings Plan are two separate,

More information

Welcome to your new 401(k) home

Welcome to your new 401(k) home Welcome to your new 401(k) home Introducing Vanguard... your new 401(k) partner We are excited to welcome Vanguard to the Anheuser-Busch 401(k) Savings and Retirement Plan as our new investment manager,

More information

STEP 1 PARTICIPANT INFORMATION STEP 2 REASON FOR DISTRIBUTION. A. Your Information

STEP 1 PARTICIPANT INFORMATION STEP 2 REASON FOR DISTRIBUTION. A. Your Information Instructions Fidelity Investments Distribution Form Before you complete the Fidelity Investments Distribution Form, please read the following instructions. Each item listed below corresponds with the steps

More information

TAX SHELTERED ANNUITY ROLLOVER / PARTIAL WITHDRAWAL / FULL SURRENDER REQUEST

TAX SHELTERED ANNUITY ROLLOVER / PARTIAL WITHDRAWAL / FULL SURRENDER REQUEST General American Retirement & Investment Services PO Box 19098 Greenville, SC 29602 Customer Service: 800-449-6447 Fax: 866-214-0926 TAX SHELTERED ANNUITY ROLLOVER / PARTIAL WITHDRAWAL / FULL SURRENDER

More information

Distribution Form Subject to Joint & Survivor Annuity

Distribution Form Subject to Joint & Survivor Annuity Distribution Form Subject to Joint & Survivor Annuity Please refer to the Plan s Summary Plan Description (SPD) for reasons distributions that are allowed in your plan. You may review the SPD, your account

More information

Important changes to the Regions Financial Corporation 401(k) Plan DETAILS INSIDE

Important changes to the Regions Financial Corporation 401(k) Plan DETAILS INSIDE TA K E C O N T R O L Important changes to the Regions Financial Corporation 401(k) Plan DETAILS INSIDE Introducing your new Plan tools and services. Regions is pleased to announce that, as of July 1, 2013,

More information

Depending on your vested account balance, one of the following situations will apply:

Depending on your vested account balance, one of the following situations will apply: To: Re: 401(k) Plan Participant Eligibility for 401(k) Plan Benefits This letter is to inform you that you currently have a balance in your former Employer s 401(k) Plan. As a former plan participant,

More information

DISTRIBUTION FROM A PLAN NOT SUBJECT TO QJSA

DISTRIBUTION FROM A PLAN NOT SUBJECT TO QJSA DISTRIBUTION FROM A PLAN NOT SUBJECT TO QJSA This form must be preceded by or accompanied by the Special Tax Notice Regarding Plan Payments [Code (402(f)) Notice] PLAN INFORMATION Name of Plan: PARTICIPANT

More information

For example: Trustee of the BT US Retirement Savings Plan 401(k) For the benefit of (FBO): [your name]

For example: Trustee of the BT US Retirement Savings Plan 401(k) For the benefit of (FBO): [your name] T. Rowe Price Retirement Plan Services, Inc. P.O. Box 17215 Baltimore, Maryland 21297-1215 4515 Painters Mill Road Owings Mills, Maryland 21117-4903 BT US Retirement Savings Plan 401(k) Rollover Contribution

More information

SCOTT & WHITE RETIREMENT/401(K) PLAN Plan Number 090337 Plan Information as of 05/16/2015

SCOTT & WHITE RETIREMENT/401(K) PLAN Plan Number 090337 Plan Information as of 05/16/2015 SCOTT & WHITE RETIREMENT/401(K) PLAN Plan Number 090337 Plan Information as of 05/16/2015 This legally required notice includes important information to help you compare the investment options under your

More information

DISTRIBUTION REQUEST FORM

DISTRIBUTION REQUEST FORM DISTRIBUTION REQUEST FORM Previously, there was little oversight regarding the withdrawal of money from 403(b) plans. The recent law changes now apply sanctions on Plans that do not carefully monitor and

More information

Progress Energy 401(k) Savings & Stock Ownership Plan Prospectus Supplement

Progress Energy 401(k) Savings & Stock Ownership Plan Prospectus Supplement Document title: AUTHORIZED COPY Progress Energy 401(k) Savings & Stock Ownership Plan Summary Plan Description Document number: HRI-SUBS-00017 Applies to: Keywords: Eligible employees of Progress Energy

More information

How To Pay Out Of Plan Money

How To Pay Out Of Plan Money Marsh & McLennan Companies 401(k) Savings & Investment Plan BENEFICIARY DISTRIBUTION FORM Use this form to request a distribution as a beneficiary following the death of a participant. IMPORTANT If you

More information

Small Amounts Benefit Election

Small Amounts Benefit Election Mailing Address: P.O. Box 9394 Des Moines, IA 50306-9394 Principal Life Insurance Company Small Amounts Benefit Election You are entitled to a distribution according to the Small Amounts provision of the

More information

SCP POFF ROLLOVER SOURCE DISTRIBUTION REQUEST FORM

SCP POFF ROLLOVER SOURCE DISTRIBUTION REQUEST FORM CalPERS Supplemental Contributions Plan 452001 SCP POFF ROLLOVER SOURCE DISTRIBUTION REQUEST FORM q INITIAL DISTRIBUTION q CURRENT DISTRIBUTION CHANGE q ALTERNATE PAYEE DISTRIBUTION PER QUALIFIED DOMESTIC

More information

Mailing Address: Des Moines, IA 50392-0001

Mailing Address: Des Moines, IA 50392-0001 Mailing Address: Des Moines, IA 50392-0001 Principal Life Insurance Company Complete this form to withdraw part of the retirement account in cash while still employed. Participant/Spouse complete Sections

More information

CITY OF CHATTANOOGA GENERAL PENSION PLAN LUMP SUM DISTRIBUTION OF PARTICIPANT CONTRIBUTIONS

CITY OF CHATTANOOGA GENERAL PENSION PLAN LUMP SUM DISTRIBUTION OF PARTICIPANT CONTRIBUTIONS LUMP SUM DISTRIBUTION OF PARTICIPANT CONTRIBUTIONS The following are procedures for processing pension refund applications: 1. The City of Chattanooga Personnel Department must receive a completed termination

More information

403(b) Program Highlights

403(b) Program Highlights 403(b) Program Highlights As part of Henry Ford Health System s (HFHS) commitment to helping employees plan for their future financial wellness, HFHS offers a 403(b) program whereby employees can save

More information

Celarity 401(k) Retirement Plan

Celarity 401(k) Retirement Plan Celarity 401(k) Retirement Plan There are many great benefits to being a participant in the Celarity 401(k) Retirement Plan. Among those benefits is exceptional customer service online or by phone. In

More information

Eagle Systems, Inc. Tax Deferred Savings Plan & Trust (EAG) DISTRIBUTION REQUEST FORM

Eagle Systems, Inc. Tax Deferred Savings Plan & Trust (EAG) DISTRIBUTION REQUEST FORM Participant Information Eagle Systems, Inc. Tax Deferred Savings Plan & Trust (EAG) DISTRIBUTION REQUEST FORM Name: SSN: Address: City: State: Zip: *Phone Number: *Email: Hours Worked YTD: Date of Birth:

More information

AMERICAN MARITIME OFFICERS PENSION PLAN MONEY PURCHASE BENEFIT (MPB) DISTRIBUTION ELECTION FORM

AMERICAN MARITIME OFFICERS PENSION PLAN MONEY PURCHASE BENEFIT (MPB) DISTRIBUTION ELECTION FORM For AMO Plans Use Only LDCE: AMERICAN MARITIME OFFICERS PENSION PLAN MONEY PURCHASE BENEFIT (MPB) DISTRIBUTION ELECTION FORM IMPORTANT NOTE: Please return pages 1-4 of this form for the processing of your

More information

For example: Trustee of the The Hearst Corporation Employee Savings Plan For the benefit of (FBO): [your name]

For example: Trustee of the The Hearst Corporation Employee Savings Plan For the benefit of (FBO): [your name] T. Rowe Price Retirement Plan Services, Inc. P.O. Box 17215 Baltimore, Maryland 21297-1215 4515 Painters Mill Road Owings Mills, Maryland 21117-4903 The Hearst Corporation Employee Savings Plan Rollover

More information

Statement Date: Month Day, Year Savings Plus savingsplusnow.com

Statement Date: Month Day, Year Savings Plus savingsplusnow.com : Statement Date: Month Day, Year Savings Plus savingsplusnow.com Savings Plus Service Center 1-855-616-4776 7:00 a.m. to 7:00 p.m., PT, Monday through Friday Employment Status : ACTIVE Rollover-In Form

More information

APPLICATION INSTRUCTIONS

APPLICATION INSTRUCTIONS VANTAGEPOINT TRADITIONAL & ROTH IRA ACCOUNT APPLICATION INSTRUCTIONS Carefully read the instructions before completing the attached application. You may find it helpful to detach the application and refer

More information

SUMMARY OF FEDERAL INCOME TAX RULES RELATING TO DISTRIBUTIONS FROM QUALIFIED RETIREMENT PLANS

SUMMARY OF FEDERAL INCOME TAX RULES RELATING TO DISTRIBUTIONS FROM QUALIFIED RETIREMENT PLANS SUMMARY OF FEDERAL INCOME TAX RULES RELATING TO DISTRIBUTIONS FROM QUALIFIED RETIREMENT PLANS BASED ON SAFE HARBOR NOTICE PER IRS NOTICE 2014-74 (Rev. November 2014) SPECIAL TAX NOTICE REGARDING PLAN PAYMENTS

More information

APPLICATION INSTRUCTIONS

APPLICATION INSTRUCTIONS VANTAGEPOINT PAYROLL DEDUCTION IRA ACCOUNT APPLICATION INSTRUCTIONS Carefully read the instructions before completing the attached application. You may find it helpful to detach the application and refer

More information

salesforce.com, Inc. and Salesforce.com Foundation 401(k) Plan

salesforce.com, Inc. and Salesforce.com Foundation 401(k) Plan salesforce.com, Inc. and Salesforce.com Foundation 401(k) Plan There are many great benefits to being a participant in the salesforce.com, Inc. and Salesforce.com Foundation 401(k) Plan. Among those benefits

More information

403(b)(7) Retirement Plan. Account Registration. Distribution Information. Employer Authorization. 403(b) Owner. Designated Beneficiary

403(b)(7) Retirement Plan. Account Registration. Distribution Information. Employer Authorization. 403(b) Owner. Designated Beneficiary 403(b)(7) Retirement Plan D I S T R I B U T I O N R E Q U E S T F 1 Account Registration 403(b) Owner FOR ASSISTANCE with this form, call Shareholder Services at (800) 662-0201, or the Timothy Plan at

More information

TRADITIONAL AND ROTH IRA APPLICATION AND ADOPTION AGREEMENT INSTRUCTIONS Do not use this Application to establish a SIMPLE IRA.

TRADITIONAL AND ROTH IRA APPLICATION AND ADOPTION AGREEMENT INSTRUCTIONS Do not use this Application to establish a SIMPLE IRA. TRADITIONAL AND ROTH IRA APPLICATION AND ADOPTION AGREEMENT INSTRUCTIONS Do not use this Application to establish a SIMPLE IRA. Please complete the Traditional and Roth Individual Retirement Account (IRA)

More information

EASY INSTRUCTIONS FOR THE ROLLOVER REQUEST FORM

EASY INSTRUCTIONS FOR THE ROLLOVER REQUEST FORM EASY INSTRUCTIONS FOR THE ROLLOVER REQUEST FORM 1. Print and complete the Rollover Request form. You will need to include your payment from your IRA within 60 days of your receiving it. 2. Mail the completed

More information

Owner s name (First, M.I., Last) Required. Street (P.O. Box not acceptable except for APO/FPO) Required. Other Information (Suite, Attention, etc.

Owner s name (First, M.I., Last) Required. Street (P.O. Box not acceptable except for APO/FPO) Required. Other Information (Suite, Attention, etc. IRA Application (ADOPTION AGREEMENT) Baron Asset Fund Baron Fifth Avenue Growth Fund Baron Growth Fund Baron Partners Fund Baron Discovery Fund Baron Focused Growth Fund Baron International Growth Fund

More information

Distribution Request Form

Distribution Request Form The 3121 Premier Plan Eligible Full-Time, Part-Time, Seasonal, and Temporary Employees Social Security Alternative Retirement Plan Employer (please print or type): Distribution Request Form Name of Participant:

More information

PARTICIPANT DISTRIBUTION FORM Please read the Frequently Asked Questions (FAQ) attached to this form. Submit the completed form to the Plan Sponsor.

PARTICIPANT DISTRIBUTION FORM Please read the Frequently Asked Questions (FAQ) attached to this form. Submit the completed form to the Plan Sponsor. PARTICIPANT DISTRIBUTION FORM Please read the Frequently Asked Questions (FAQ) attached to this form. Submit the completed form to the Plan Sponsor. Send a copy of your completed distribution form to the

More information

Withdrawal Request Form

Withdrawal Request Form Without Spousal Consent Section I: Plan Information Plan Name: Plan Sponsor Name: Section II: Participant Information **If you have a P.O. Box, U.S. tax laws require a street address to be indicated, or

More information

Protect your plan savings for retirement. New York University 457(b) Deferred Compensation Plan

Protect your plan savings for retirement. New York University 457(b) Deferred Compensation Plan Protect your plan savings for retirement New York University 457(b) Deferred Compensation Plan Whether you have left the workforce or have simply changed employers, it is important to protect the money

More information

Information About Your Hardship Withdrawal Request. Types of Requests

Information About Your Hardship Withdrawal Request. Types of Requests Information About Your Hardship Withdrawal Request A Hardship Withdrawal from a 401(k) Plan is subject to IRS Regulations. Please review the following information before completing the Request form. Types

More information

LOCAL 348 ANNUITY FUND 9235 4 TH AVENUE, BROOKLYN, NY 11209

LOCAL 348 ANNUITY FUND 9235 4 TH AVENUE, BROOKLYN, NY 11209 TEL. # 718-745-3487 FAX # 718-745-2976 CLAIM FOR DEATH BENEFIT INSTRUCTIONS: - Please print in ink or type. - Complete all applicable items. - Sign and have this form notarized - Attach a certified copy

More information

How To Get A Pension From Artisan Funds

How To Get A Pension From Artisan Funds Artisan Funds IRA Account Application use this application to establish an artisan Funds ira account. there is an acceptance fee of $5.00 and an annual maintenance fee of $15.00. to transfer your ira directly

More information

Frequently Asked Questions (FAQs) Regarding 401k Vendor Change: Dow Corning Employees Capital Accumulation Plan (CAP)

Frequently Asked Questions (FAQs) Regarding 401k Vendor Change: Dow Corning Employees Capital Accumulation Plan (CAP) Frequently Asked Questions (FAQs) Regarding 401k Vendor Change: Dow Corning Employees Capital Accumulation Plan (CAP) Section 1: Introduction... 1 Section 2: What Happens When... 2 Section 3: Brokerage

More information

Mailing Address: Des Moines, IA 50392-0001

Mailing Address: Des Moines, IA 50392-0001 Mailing Address: Des Moines, IA 50392-0001 Principal Life Insurance Company Complete this form to withdraw part of the retirement account in cash while still employed. Participant/Spouse complete Sections

More information

QUALIFIED PLAN DISTRIBUTION NOTICE

QUALIFIED PLAN DISTRIBUTION NOTICE QUALIFIED PLAN DISTRIBUTION NOTICE Introduction As a participant in your employer s Qualified Retirement Plan, you have accumulated a vested account balance. You may receive your vested account balance

More information

Refund Checklist. 203 North LaSalle Street, suite 2600 Chicago, Illinois 60601-1231 Phone: 312 641 4464 Fax: 312 641 7185

Refund Checklist. 203 North LaSalle Street, suite 2600 Chicago, Illinois 60601-1231 Phone: 312 641 4464 Fax: 312 641 7185 Refund Checklist FORM 804 Checklist for Submitting the Application for CTPF Refund CTPF must have your completed application with all required forms and documents to process your application. Required

More information

Incoming Rollover Request

Incoming Rollover Request Incoming Rollover Request Instructions Use this form to initiate a direct rollover of your existing retirement account to your plan retirement account being serviced by Diversified. Complete Sections A,

More information

Loan Application Form

Loan Application Form Loan Application Form READ THE ATTACHED IRS SPECIAL TAX NOTICE AND WRITTEN EXPLANATION OF QUALIFIED J OINT AND 50% CONTINGENT SUVIVIOR ANNUITY FORM OF BENEFIT BEFORE COMPLETING THIS FORM Please Note: Do

More information

This booklet contains information and an application for your use.

This booklet contains information and an application for your use. State of California Savings Plus Program Part-time, Seasonal, and Temporary Employees Retirement Program Benefit Payment BOOKLET All information contained in this booklet was current as of the printing

More information

HDR, Inc. BEST Plan and ESOP - Frequently Asked Questions

HDR, Inc. BEST Plan and ESOP - Frequently Asked Questions The HDR, Inc. BEST Plan and ESOP was designed to provide you an avenue to save for retirement. HDR recognizes that this is an important benefit at all stages of your life. Effective January 1, 2010, the

More information

HCS RETIREMENT SERVICES

HCS RETIREMENT SERVICES Distribution Form HCS RETIREMENT SERVICES 1095 South 800 East Orem, UT 84097 Phone 801-224-1900 Fax 801-224-1930 www.hcsretirement.com EMPLOYER: PERSONAL INFORMATION Last Name: S.S. #: First Name: Date

More information

2009 Benefits Flexible Accessible Consistent Tailored Simple

2009 Benefits Flexible Accessible Consistent Tailored Simple 2009 Benefits Flexible Accessible Consistent Tailored Simple 2009 Benefits S u m m a r y P l a n D e s c r i p t i o n for: BB&T Corporation 401(k) Savings Plan TABLE OF CONTENTS Page Facts About the Plan

More information

Investing in Your Future with the New York State Deferred Compensation Plan Answers to commonly asked questions Table of Contents All about your Deferred Compensation Plan...4 Contributions, investment

More information

PERSI. It s Your Choice to Go Now, Go BIG! Plan Highlights. Learn about your PERSI Choice 401(k) Plan. Ready, Set, Go: the PERSI Base Plan.

PERSI. It s Your Choice to Go Now, Go BIG! Plan Highlights. Learn about your PERSI Choice 401(k) Plan. Ready, Set, Go: the PERSI Base Plan. PERSI PERSI Choice 401(k) Plan It s Your Choice to Go Now, Go BIG! Plan Highlights Learn about your PERSI Choice 401(k) Plan Ready, Set, Go: the PERSI Base Plan The PERSI Base Plan gets you into the game,

More information

Elevator Constructors Annuity and 401(k) Retirement Plan Distribution Form

Elevator Constructors Annuity and 401(k) Retirement Plan Distribution Form Elevator Constructors Annuity and 401(k) Retirement Plan Distribution Form Account Number 60041-1 Name: Social Security No. Address: Date: Legal State of Residence:. If the Legal State of Residence is

More information

Special Tax Notice Regarding Plan Payments (IRS Safe Harbor Notice)

Special Tax Notice Regarding Plan Payments (IRS Safe Harbor Notice) Your Rollover Options Special Tax Notice Regarding Plan Payments (IRS Safe Harbor Notice) You are receiving this notice because all or a portion of a payment you are receiving from Seattle Employees Retirement

More information

Annuitant Mailing Address Street Address City State ZIP Code. Annuitant Social Security Number/Tax I.D. Number Annuitant Date of Birth (mm/dd/yyyy)

Annuitant Mailing Address Street Address City State ZIP Code. Annuitant Social Security Number/Tax I.D. Number Annuitant Date of Birth (mm/dd/yyyy) Annuitization Questions? Call our National Service Center at 1-800-888-2461. Instructions Please type or print. Use this form to begin annuity payments. Complete each section of the form. If you select

More information

Death Benefit Distribution Claim Form Non-Spousal Beneficiary

Death Benefit Distribution Claim Form Non-Spousal Beneficiary Death Benefit Distribution Claim Form Non-Spousal Beneficiary READ THE ATTACHED IRS SPECIAL TAX NOTICE: IF THE PLAN ALLOWS FOR AN ANNUITY OPTION, READ THE WRITTEN EXPLANATION OF QUALIFIED JOINT AND 50%

More information

Traditional, Roth, SEP-IRA, or SIMPLE IRA Application

Traditional, Roth, SEP-IRA, or SIMPLE IRA Application Traditional, Roth, SEP-IRA, or SIMPLE IRA Application A fund family of Everence Please call if you have any questions about filling out this application. (800) 977-2947 Send this application, and if applicable,

More information

WEAC IRA Account Application (Select account type[s].)

WEAC IRA Account Application (Select account type[s].) P.O. Box 7893 Madison, WI 53707-7893 1-800-279-4030 Producer Code: Fax: (608) 237-2529 WEAC IRA Account Application (Select account type[s].) Traditional Inherited IRA: Name of Deceased: Roth SEP Deceased

More information

CBS & YOU PREPARE. DECIDE. ACT.

CBS & YOU PREPARE. DECIDE. ACT. YOUR HR/BENEFITS PROGRAM PREPARE. DECIDE. ACT. YOUR HR PORTAL Dear YOUR CBS CBS Employee: 401(K) PLAN Congratulations, you re now eligible to participate in the CBS 401(k) Plan. As you ll see, your CBS

More information

Attorneys' Title Guaranty Fund, Inc. Savings Plan

Attorneys' Title Guaranty Fund, Inc. Savings Plan Attorneys' Title Guaranty Fund, Inc. Savings Plan There are many great benefits to being a participant in the Attorneys' Title Guaranty Fund, Inc. Savings Plan. Among those benefits is exceptional customer

More information

Mailing Address: PO Box 9394 Des Moines, IA 50306-9394 Fax 1-866-704-3481

Mailing Address: PO Box 9394 Des Moines, IA 50306-9394 Fax 1-866-704-3481 Mailing Address: PO Box 9394 Des Moines, IA 50306-9394 Fax 1-866-704-3481 Principal Life Insurance Company Death Benefit Claim This form is to be completed by the beneficiary who is claiming benefits under

More information

GSEPS PLAN HIGHLIGHTS

GSEPS PLAN HIGHLIGHTS GSEPS PLAN HIGHLIGHTS The Georgia State Employees Pension and Savings Plan (GSEPS) is a retirement benefit plan that offers you both the security of a traditional pension plan and the opportunity to invest

More information

401(k) AND 457 PLANS HANDBOOK

401(k) AND 457 PLANS HANDBOOK 401(k) AND 457 PLANS HANDBOOK Peach State Reserves (PSR) gives you an easy and effective way to save for retirement. It provides a way for you to save a portion of your income before state and federal

More information

Janus Qualified Retirement Accounts Distribution Form

Janus Qualified Retirement Accounts Distribution Form Janus Qualified Retirement Accounts Distribution Janus Qualified PO Box 55932 Form Retirement Accounts Distribution Form Boston, MA 02205-5932 800-525-1093 PO Box 55932 Boston, MA 02205-5932 800-525-1093

More information

Age 59 1/2 (This withdrawal can be taken from your entire account.)

Age 59 1/2 (This withdrawal can be taken from your entire account.) IN-SERVICE WITHDRAWAL REQUEST FORM Plan Name: Patriot Rail 401(k) Plan Plan Number: 79775 Participant s Social Security Number - - Participant Information Participant Name: Participant Address: Last First

More information

Annuity Contract Proof of Death

Annuity Contract Proof of Death Annuity Contract Proof of Death Questions? Call our National Service Center at 1-800-888-2461. Instructions This form is to be completed in order to claim proceeds payable upon death. A separate Proof

More information

SPECIAL TAX NOTICE YOUR ROLLOVER OPTIONS

SPECIAL TAX NOTICE YOUR ROLLOVER OPTIONS SPECIAL TAX NOTICE YOUR ROLLOVER OPTIONS You are receiving this notice because all or a portion of a payment you are receiving from the Plan is eligible to be rolled over to either an IRA or an employer

More information

Rollovers. Begin or Continue Minimum Required Distributions (MRDs) Complete Sections:

Rollovers. Begin or Continue Minimum Required Distributions (MRDs) Complete Sections: Establish a Beneficiary Account in the Decedent s Fidelity Plan 2A. Establish a Beneficiary Account and Move Funds to This Account Only Fidelity Investments Beneficiary Distribution Form General Instructions:

More information

FMPTF 401(a) Defined Contribution and 457(b) Deferred Compensation BENEFICIARY DISTRIBUTION REQUEST

FMPTF 401(a) Defined Contribution and 457(b) Deferred Compensation BENEFICIARY DISTRIBUTION REQUEST FMPTF 401(a) Defined Contribution and 457(b) Deferred Compensation BENEFICIARY DISTRIBUTION REQUEST If you have any questions, please contact the Florida Municipal Pension Trust Fund (FMPTF) by calling

More information

BENEFICIARY PAYMENT OPTIONS

BENEFICIARY PAYMENT OPTIONS BENEFICIARY PAYMENT OPTIONS FOR ROTH IRAS TABLE OF CONTENTS INTRODUCTION................... Page 2 QUESTIONS AND ANSWERS........ Page 3 PAYMENT OPTIONS............... Page 6 Lump Sum........................

More information

Important Information For Participants Age 70 ½ or Older

Important Information For Participants Age 70 ½ or Older Important Information For Participants Age 70 ½ or Older The Worker, Retiree, and Employer Recovery Act (the Act ) signed in 2008, temporarily suspends required minimum distributions (RMD) for tax year

More information

Distribution Request Form

Distribution Request Form Distribution Request Form READ THE ATTACHED IRS SPECIAL TAX NOTICE: IF YOUR PLAN ALLOWS FOR AN ANNUITY OPTION, READ THE WRITTEN EXPLANATION OF QUALIFIED JOINT AND 50% CONTINGENT SURVIVOR ANNUITY FORM OF

More information

403(b)(7) or Texas Optional Retirement Program (ORP) distribution request

403(b)(7) or Texas Optional Retirement Program (ORP) distribution request 403(b)(7) or Texas Optional Retirement Program (ORP) distribution request Introduction Instructions Please use this form for John Hancock custodial 403(b)(7) or Texas ORP accounts. This form allows you

More information

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new Traditional IRA or Roth IRA. This application must be preceded or accompanied by a current

More information

Distribution Election Form

Distribution Election Form IMPORTANT INFORMATION Distribution Election Form Please complete the form in its entirety. Missing pages and/or incomplete forms will delay processing. After completion, please return form to Pension Inc.

More information

If you are 55 years or older and are retiring or separating from the County of San Diego, your

If you are 55 years or older and are retiring or separating from the County of San Diego, your UTerminal Pay Plan Frequently Asked Questions If you are 55 years or older and are retiring or separating from the County of San Diego, your accrued sick and vacation leave will be paid out through the

More information

General Information About Rollovers. Where may I roll over the payment? Payments from a Designated Roth Account.

General Information About Rollovers. Where may I roll over the payment? Payments from a Designated Roth Account. SPECIAL TAX NOTICE REGARDING PLAN PAYMENTS You are receiving this notice because all or a portion of a payment you are receiving from your employer s retirement plan (the Plan ) is eligible to be rolled

More information

Your Thrift Plan Handbook... THRIFT PLAN. Thrift Plan for Retirees Table of Contents. Keys to having made the most of your savings:

Your Thrift Plan Handbook... THRIFT PLAN. Thrift Plan for Retirees Table of Contents. Keys to having made the most of your savings: Preset Mixes Table Your Thrift Plan Handbook... Keys to having made the most of your savings: THRIFT PLAN Be sure to choose a payment option To make the most of your benefits, meet with a Deseret Mutual

More information

How To Rollover From A Pension Plan

How To Rollover From A Pension Plan Hardship Withdrawal Form READ THE ATTACHED IRS SPECIAL TAX NOTICE: IF YOUR PLAN ALLOWS FOR AN ANNUITY OPTION, READ THE WRITTEN EXPLANATION OF QUALIFIED JOINT AND 50% CONTINGENT SURVIVIOR ANNUITY FORM OF

More information

403(b) ROLLOVER OPTIONS

403(b) ROLLOVER OPTIONS You are receiving this notice because all or a portion of the non-systematic distribution you are to receive from your Trust Company account (the Plan ) is eligible to be rolled over to an IRA or an employer

More information