When you name someone as a beneficiary on an IRA, you want them to be able to inherit the money tax-free. However, there are rules that must be followed in order for this to happen. One of these rules is that the beneficiary must disclaim the inheritance within 9 months of your death. The Ira Beneficiary Disclaimer Form can help ensure that this process goes smoothly. By filling out and submitting this form, the beneficiary can legally disclaim their right to the inheritance, allowing it to go to another designated individual. If you are considering naming someone as a beneficiary on your IRA, be sure to familiarize yourself with these rules and use the disclaimer form if necessary.
The listing includes information about the ira beneficiary disclaimer form. You'll have the approximate time it could take you to complete the form and a few extra details.
Question | Answer |
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Form Name | Ira Beneficiary Disclaimer Form |
Form Length | 4 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min |
Other names | michigan disclaim inheritance form, disclaim inheritance letter, ira beneficiary disclaimer form, sample form to disclaim inherited ira |
Distribution Request - |
DRD |
IRA Beneficiary Claim/Disclaim Form |
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Instructions: Use this form if you are a beneficiary and would like to claim or disclaim your benefit from a LPL Financial LLC (“LPL”) sponsored IRA account with a deceased owner. If you choose to claim your benefit as beneficiary, you can treat assets as your own IRA (spouse only), or transfer to a beneficiary IRA. Do not use this form for a Qualified Retirement Plan (QRP) or 403(b) 7 account.
Please mail completed form to LPL Financial Attn: Trade Direct, P.O. Box 509049 San Diego, CA
Documents to submit with this form:
·Each beneficiary must complete and sign a separate Distribution Request - Beneficiary Claim/Disclaim Form. ·A certified copy of the Death Certificate is required for all claim/disclaim transactions.
·Additional requirements will be necessary for specific beneficiary types:
·Estate:
·Trust: A complete copy of the Trust will be required. Note: if the Tax ID Number for a grantor trust is the same as the deceased grantor's Social Security Number, a new Tax ID Number/EIN must be obtained for the trust (with the exception of
·Minor or Conservatorship: Letters of Guardianship or Conservatorship will be required. The Guardian or Conservatorship will sign this form.
·Beneficiary No Longer Living: attach a copy of the beneficiary's death certificate.
NOTE: We reserve the right to request additional information we may deem necessary to settle the claim or disclaimer.
Information and Request
1. Deceased IRA Owner Information |
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Account Number |
Social Security Number |
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Date of Birth |
Date of Death |
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2.Beneficiary Information (Required by Section 326 of the USA PATRIOT Act)
Complete A (if you are an individual person) or B (if you are acting on behalf of a trust, estate, or other entity) and C (for all claims/disclaimer).
A) If you, as beneficiary, are a natural person, please complete below.
Name |
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Relationship to Decedent |
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Social Security Number* |
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Date of Birth |
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B) If you are acting on behalf of a trust, estate, or other entity as beneficiary please complete below.
Name of Trust, Estate, or other Entity |
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Tax Identification Number |
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Trust Date (if applicable) |
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Name of Trustee(s), Executor, Administrator, Custodian, etc.
Social Security Number of Trustee(s) , |
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Date of Birth of Trustee(s) , |
Executor, Administrator, Custodian, etc. |
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Executor, Administrator, Custodian, etc. |
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C) Complete below for ALL claims/disclaimers
Mailing Address
If the above address is a P.O. Box, please provide a street physical address of records
Member FINRA/SIPC |
Page 1 of 3 |
Account Number
DRD
3. Beneficiary Options (Choose and Complete one - A, B, or C)
Option A: Beneficiary Disclaimer - Qualified disclaimers are governed by Internal Revenue Code and the applicable state probate code. The model qualified language below satisfies the Internal Revenue Code, but may not meet all the requirements of state law. Therefore, LPL recommends the disclaimant seek competent legal advice to ensure that all of the state's requirements have been met.
General Requirements: The disclaimant is a beneficiary who was specifically designated by the deceased, or a beneficiary determined under the custodial agreement's default beneficiary provisions. The disclaimant must have not expressly or implicitly accepted the benefit before making the disclaimer. The disclaimer is irrevocable once made. The disclaimer must be made and delivered to the custodian within nine (9) months of the deceased date of death.
As a designated beneficiary, in accordance with the provisions of Section 2518 of the Internal Revenue Code, hereby irrevocably disclaim my interest of the above listed descendent account (listed in Section 1) in the following manner:
Scenario 1: Any and all Property.
If you are selecting Scenario 1 of Option A, please go directly to and complete, the following section: 5. Your Signature(s)
Scenario 2: Partial percentage of Property _____% (list percentage to disclaim).
If you are selecting Scenario 2 of Option A, please go directly to and complete Option B, C, or D of this section for your remaining designated share.
Option B: Spousal Transfer
I certify that I was the sole beneficiary of the deceased IRA or if the deceased IRA has multiple beneficiaries as of September 30 of the year following the IRA owner's death, the beneficiaries have been separated into separate accounts by December 31 of the year following the year of the IRA owner's death in order for me to treat the IRA as my own. Please select the scenario that best applies to your situation:
Scenario 1: As spouse beneficiary, I elect to treat the decedent IRA as my own. Please transfer all assets to my own LPL IRA account
__________________________ (enter account number). Note: the current investments held in the decedent's IRA will be carried over to the new
IRA account.
Scenario 2: As spouse beneficiary of a
must comply with the IRS Minimum Required Distribution rules. For more information please see page 865, Q&A5, at http://www.irs.gov/pub/
If selecting Option B, please go directly to and complete, the following sections: 4. Your Signature(s)
Option C: Direct Transfer to a Beneficiary IRA
Scenario 1:
As designated beneficiary under the above listed descendent account, I wish my portion to be transferred to a Beneficiary IRA under the name of the descendent, for the benefit of me and my social security number. Please transfer the following assets to LPL beneficiary IRA account
__________________________ (enter account number). Note: the current investment allocation on the decedent's IRA will be carried over to the
new inherited IRA for the beneficiary.
Scenario 2:
As trustee/executor of the trust/estate, I direct LPL to affect a transfer, in the name of the trust/estate. Please transfer ________% of the
deceased account to the LPL Beneficiary IRA account __________________________ (enter account number). Note: the current investment
allocation on the decedent's IRA will be carried over to the new inherited IRA for the trust/estate.
Scenario 3:
As Trustee/Executor of a
__________________________ (enter account number). Note: the current investment allocation on the decedent's IRA will be carried over to the
new inherited IRA for the beneficiary.
Note: to transfer your benefit of a Beneficiary IRA at another company, please contact the receiving company to determine the paperwork they require to perform the request. It is your responsibility to confirm that the receiving firm accepts these types of requests.
If selecting Option C, please go directly to and complete the following sections:
4. Your Signature(s)
Member FINRA/SIPC |
Page 2 of 3 |
Account Number
DRD
4. Signature
Your signature below indicates that you have received and read the Beneficiary Information Guide for beneficiaries. I understand the tax implications of disclaimers, transfers, rollovers, and distributions. I further certify that no tax advice has been given to me by LPL. All decisions regarding any authorization herein are my own. I expressly assume responsibility for tax implications and adverse consequences, which may arise, and I agree that LPL shall in no way be held responsible.
•I certify that I am a US person (including US resident Alien) unless I have attached an Internal Revenue Service (IRS) Form
•I certify that if the beneficiary is for an Estate, Charity, Corporation, LLC, or Trust, that I have the authorization to complete and sign this form.
•If the beneficiary is a “look through trust or estate” as checked in Section 3, I certify the trust or estate is a look though trust or estate as described in Treasury Regulation 1.401(a)(9) and take full responsibility for my direction. Should any negative tax or other consequences arise from this direction, I will not hold Private Trust Company N.A. ("PTC") or LPL responsible in any way.
•If a distribution is selected above, I certify that I am the proper party to receive payment(s) form this account and the information is true and accurate. I understand the tax implications of distributions and understand that it is my responsibility to determine the taxable amount of any distribution made under this authorization.
•I have reviewed and accept the below statement:
(A)All parties to this agreement are giving up the right to sue each other in court, including the right to a trial by jury, except as provided by the rules of the arbitration forum in which a claim is filed.
(B)Arbitration awards are generally final and binding; a party's ability to have a court reverse or modify an arbitration award is very limited.
(C)The ability of the parties to obtain documents, witness statements and other discovery is generally more limited in arbitration than in court proceedings.
(D)The arbitrators do not have to explain the reason(s) for their award, unless, in an eligible case, a joint request for an explained decision has been submitted by all parties to the panel at least 20 days prior to the first hearing date.
(E)The Panel of Arbitrators will typically include a minority of arbitrators who were or are affiliated with the securities industry.
(F)The rules of some arbitration forums may impose time limits for bringing a claim in arbitration. In some cases, a claim that is ineligible for arbitration may be brought in court.
(G)The rules of the arbitration forum in which the claim is filed, and any amendments thereto, shall be incorporated into this agreement.
Account Holder Signature |
Account Holder Name (print) |
DATE |
Member FINRA/SIPC |
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Beneficiary Information Guide
Introduction
The Beneficiary Information Guide outlines the options available to beneficiaries of an Individual Retirement Account (IRA). LPL presents this information based on our understanding of the applicable tax laws as a guide to you, but we suggest that you consult with your tax advisor to discuss your individual tax circumstance.
Review of Your Options As Beneficiary
Option A. Disclaimer
If you find that you do not need or want your inherited assets, you may choose to disclaim or refuse to inherit all or part of your inherited assets. A qualified disclaimer allows you as the beneficiary to refuse all or a portion of the inherited IRA, avoiding additional income and taxes on that income.
A beneficiary who disclaims an IRA cannot dictate to whom the benefit will be paid. Once disclaimed, the payout will go to the next designated beneficiary, whether that beneficiary is primary or contingent. Once made, an effective disclaimer is irrevocable.
Note: A disclaimer must be filed within nine months of the account owner's death and before any benefits of the disclaimed assets are accepted. LPL recommends the disclaimant seek legal advice to ensure that the Internal Revenue Code and the applicable state probate codes have been met before any decision is made.
Option B. Spousal Transfer
If you are a spouse beneficiary, you can transfer the inherited IRA into your own existing IRA or establish a new one in your own name. The monies in the account are available to you at any time and will be subject to the normal distribution rules for all IRA owners.
Option C. Direct Transfer to a Beneficiary IRA You can open an account called a Beneficiary IRA and transfer the inherited IRA to this new account. The assets will keep growing tax- deferred, and the required minimum distributions generally depend upon whether the original IRA holder died before or after his/ her required beginning date (generally April 1 of the year following the year when the original IRA owner reaches at 70 ½ years old) and whether you are a spouse beneficiary, non- spouse beneficiary, trust, charity or estate.
Member FINRA/SIPC |