Iradist Form PDF Details

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QuestionAnswer
Form NameIradist Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesira_dist 800 690 0531 form

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IRA Distribution Request

Complete this form to request a distribution from your Wells Fargo Funds IRA. If you have questions, call 1-800-222-8222.

Overnight address: Wells Fargo Funds, c/o DST Asset Manager Solutions, 430 W. 7th Street, STE 219967,

P. O. Box 219967 | Kansas City, MO 64121

Kansas City, MO 64105

 

 

 

 

WFAM.com

 

 

 

 

 

 

 

1

R E G I S T R AT I O N ( P L E A S E P R I N T )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of account owner (frst, middle initial, last)

 

Social Security number

 

 

Date of birth (mm/dd/yyyy)

2C H A N G E A D D R E S S A N D C O N TA C T I N F O R M AT I O N

Complete this section only if your address or contact information has changed.

We will update all accounts under the Social Security number listed in Section 1 of this form. All future correspondence will be sent to the new address until you advise us otherwise. Distributions to a new address will require your signature to be Medallion

Guaranteed in Section 10 of this form if requested within 15 days of the address change.

U.S. residential street address (cannot be a PO Box or mail drop)

 

City

 

State

ZIP code

 

 

 

 

 

Email address

 

Daytime phone

 

Evening phone

If your mailing address is not the same as the residential address listed above, please provide your mailing address.

U.S. mailing address (if diferent than U.S. residential street address)

City

State

ZIP code

3 R E A S O N F O R D I S T R I B U T I O N

IRA distributions may have possible tax consequences and rollover limitations. Consult your tax advisor for information about possible taxes, penalties and the IRA One-Rollover-Per- Year Rule.

Choose one:

Premature distribution (if you are the shareholder, under age 59½, and not disabled; may be subject to an early withdrawal penalty).

Note: If this is a SIMPLE IRA and the distribution is within the two-year period in which you frst participated in your employer’s SIMPLE IRA plan, you may be subject to a 25% premature distribution penalty.

Normal distribution (if you are the shareholder and age 59½ or older).

Permanent disability (if you are the shareholder and disabled under Section 72(m)(7) of the Internal Revenue Code).

Excess contribution. Year of excess contribution:

 

Amount of excess contribution: $

 

 

 

 

 

Is the excess contribution being removed prior to your tax return due date (including extensions)?

Yes

No

Note: Withholding, if elected in Section 6 of this form, is not an available option on excess contribution removals.

Distribution from a benefciary IRA.

If the decedent’s IRA has not already been reregistered to you as the benefciary, complete the IRA Benefciary Claim Request form.

4 A C C O U N T S A N D D I S T R I B U T I O N A M O U N T

To request distributions from additional accounts, include all information on a separate sheet.

I would like a distribution (list account and amount):

 

 

 

 

The entire account balance

 

Partial distribution: $

Fund and account number

 

 

 

 

 

 

The entire account balance

 

Partial distribution: $

 

 

 

 

 

 

 

 

 

 

 

 

Fund and account number

 

 

 

 

 

 

The entire account balance

 

Partial distribution: $

 

 

 

 

 

Fund and account number

 

 

IRADIST 402787 (592552 Rev 06- 09/19)

Page 1 of 3

4 A C C O U N T S A N D D I S T R I B U T I O N A M O U N T ( C O N T I N U E D )

If you have more than one IRA, call us at 1-800-222- 8222 to discuss your options for required minimum distributions.

Pay dividends and capital gains in cash (list accounts):

Fund and account number

 

Fund and account number

 

 

 

Fund and account number

 

Fund and account number

Note: This option is only available if you are 59½ or older. If you choose this option to have future dividends and capital gains paid out in cash, do not select a payment frequency in Section 5 of this form.

Life expectancy RMD (calculate my required minimum distribution based on the IRS life expectancy tables).

Note: Your RMD amount will be taken pro rata from each eligible IRA under your Social Security number unless you provide separate instructions.

5PAY M E N T F R E Q U E N C Y

If a payment frequency is not selected, your distribution will be processed as a one- time request.

Choose one:

One-time distribution processed upon receipt.

Monthly, beginning (specify month and date):

Quarterly, to be paid in March, June, September, and December (specify date of month):

Annually, on (specify month and date):

Note: Unless specifed above, periodic distributions will be made on the 25th day of the month. If the date falls on a weekend or holiday, your distribution will occur on the next business day. If the next business day falls in the next month, the distribution will occur on the previous business day. If payment frequency of annually is selected and no month is listed, redemptions will be made in December.

6 TA X W I T H H O L D I N G

If no box is checked, we will withhold 10%. (not applicable for a Roth IRA).

The amount indicated for federal tax withholding will be sent to the IRS.

Choose one:

Do not withhold federal income tax from my distribution.

I elect to have

 

% federal income tax withheld from my distribution (must be 10% or greater).

 

In addition to the above percentage, I elect to have $

 

federal income tax withheld from my distribution.

 

(Additional specifc dollar withholding is only available on one-time distributions.)

Important state tax withholding information: Certain states require us to withhold state income tax from your distribution. If you reside in a state that requires withholding, we will withhold state income tax in accordance with the respective state’s rules. Contact your tax advisor or your state tax authority for questions specifc to your situation.

Note: If no withholding election is indicated above, IRS regulations require that 10% federal tax withholding be taken from your distributions. We encourage you to consult your accountant or tax advisor regarding your IRA distributions. Even if you elect not to have federal income tax withheld, you are liable for payment of federal income tax on the taxable portion of your distribution. You may be subject to tax penalties under the estimated tax payment rules if your payments of estimated tax and withholding are not adequate.

7PAY M E N T M E T H O D

A Medallion Guarantee may be required to process your request. Refer to Section 10 of this form to determine if a Medallion Guarantee is required. If no box is selected, the distribution will be sent by check to the address of record.

 

 

 

 

 

 

 

 

Choose one:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I would like this distribution to be paid to me by check and sent to the mailing address on fle or the new address listed in Section 2 of

 

Include a preprinted,

 

 

 

 

 

this form.

 

 

 

 

 

 

 

voided check for

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the electronic funds

 

 

I would like this distribution to be paid to me by check and mailed to the temporary address listed below.

 

 

 

 

 

 

 

 

 

 

 

 

transfer (EFT) or wire

 

 

 

 

 

 

 

 

 

 

payment method to

 

 

 

 

 

 

 

 

 

 

ensure accurate bank

 

 

 

 

 

 

 

 

 

 

 

 

Mailing address

 

City

 

State

 

ZIP code

 

account information.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I would like this distribution to be sent via EFT to the bank account indicated on the attached preprinted, voided check. I understand

 

 

 

 

 

 

 

 

 

 

 

Note: Checks must be

 

 

that this service is governed by the terms and conditions explained in Section 8 of this form and that the proceeds will normally arrive at

 

preprinted with your

 

 

my bank within two banking days. The bank information included will be retained on fle as long as the box in Section 9 is not checked.

 

name and address.

 

 

 

 

 

 

 

 

 

 

 

 

 

We cannot accept starter

 

 

I would like a one-time distribution to be paid by wire transfer. Wire the proceeds of this distribution request to the bank account

 

or counter checks.

 

 

indicated on the attached preprinted, voided check. The bank information included will be retained on fle as long as the box in

 

 

 

 

 

 

 

 

 

 

Section 9 is not checked.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IRADIST 402787 (592552 Rev 06- 09/19)

Page 2 of 3
402787 (592552 Rev 06- 09/19)

7PAY M E N T M E T H O D ( C O N T I N U E D )

I would like this distribution invested in another Wells Fargo Funds account.

Fund and account number (or list the fund name if new*)

Account owner(s)

*If you are opening a new account, complete and submit a Wells Fargo Funds New Account Application with this form.

8B A N K I N F O R M AT I O N

To establish the redemption option by EFT at any time, all Wells Fargo Funds account owners must be listed in the bank account registration or a Medallion Guarantee may be required (see Section 10 of this form for details).

Wells Fargo Funds, Wells Fargo Funds Management, LLC, afliates, and subcontractors—as well as the ofcers, directors, employees, and agents of these entities (collectively, “Wells Fargo”)—will not be responsible for banking system delays beyond their control.

I understand that by executing this document, I hereby authorize my bank to honor all entries to my bank account initiated through State Street Bank and Trust Company or any successor, on behalf of the applicable fund. I acknowledge and understand that Wells Fargo will not be liable for acting upon instructions believed genuine and in accordance with the procedures described in the prospectus or the rules of the Automated Clearing House. I further agree that any such authorization, unless previously terminated by my bank in writing, is to remain in efect until Wells Fargo receives, and has a reasonable amount of time to act upon, a subsequent notice.

9 T E L E P H O N E R E D E M P T I O N O P T I O N F O R F U T U R E D I S T R I B U T I O N S

10S I G N AT U R E

To complete this distribution request, you must sign here.

AMedallion Guarantee may be required.

We ofer a convenient option to request distributions by telephone. This option allows you to sell shares by phone and have the proceeds sent to the account owner’s address of record or bank account (via EFT or wire) if a preprinted, voided check is provided. This option will be added to the fund and account number(s) listed in Section 4 unless the box below is checked.

I do not want the redemption option.

I authorize Wells Fargo Funds and its transfer agent to process the distribution from the account(s) indicated in Section 4 of this form. I understand that for a complete liquidation, a $10 distribution fee may be collected by redeeming sufcient shares from the account. I further understand that I am responsible for any tax consequences that may result from the election I have made. I represent that no one at Wells Fargo provided any investment advice or recommendations to me regarding this distribution.

Medallion Guarantee** (if applicable)

Signature of account owner

Print name

Date

HAVE YOUR SIGNATURE MEDALLION GUARANTEED FOR ANY DISTRIBUTION THAT IS:

Sent to an address that is not on fle or to a new address prior to the expiration of the 15-day hold.

Made payable by check to someone other than or in addition to you.

Sent to a bank account if you are not a registered owner of the bank account.

More than $100,000 and sent to a bank account that is not currently on fle with Wells Fargo Funds.

Purchased into another Wells Fargo Funds mutual fund account if you are not a registered owner of the account.

**A Medallion Guarantee may be obtained from any eligible guarantor institution, as defned by the Securities and Exchange Commission. These institutions include banks, savings associations, credit unions, and brokerage frms that participate in the Medallion Program. The bar-coded stamp with the words “MEDALLION GUARANTEED” must be stamped near each signature being guaranteed. The guarantee must appear with the name of the guarantor institution and the signature of an individual authorized on behalf of the guarantor institution. Note that a notary public stamp or seal is not acceptable.

Wells Fargo Asset Management (WFAM) is the trade name for certain investment advisory/management frms owned by Wells Fargo & Company. These frms include but are not limited to Wells Capital Management Incorporated and Wells Fargo Funds Management, LLC. Certain products managed by WFAM entities are distributed by Wells Fargo Funds Distributor, LLC (a broker-dealer and Member FINRA).

INVESTMENT PRODUCTS: NOT FDIC INSURED • NO BANK GUARANTEE • MAY LOSE VALUE

Page 3 of 3

IRADIST 402787 (592552 Rev 06- 09/19)

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1. It's vital to complete the Iradist Form correctly, so pay close attention when filling in the segments including all these fields:

How one can fill in Iradist Form part 1

2. Immediately after this section is done, go to enter the applicable information in all these: IRA distributions may have, Note If this is a SIMPLE IRA and, Normal distribution if you are the, Permanent disability if you are, Excess contribution Year of excess, Amount of excess contribution, Is the excess contribution being, Yes, Note Withholding if elected in, Distribution from a benefciary IRA, If the decedents IRA has not, A C C O U N T S A N D D I S T R I, To request distributions from, I would like a distribution list, and Fund and account number.

Iradist Form completion process detailed (part 2)

3. The next stage is going to be easy - complete all of the blanks in A C C O U N T S A N D D I S T R I, If you have more than one IRA call, Pay dividends and capital gains in, Fund and account number, Fund and account number, Fund and account number, Fund and account number, Note This option is only available, Life expectancy RMD calculate my, Note Your RMD amount will be taken, P AY M E N T F R E Q U E N C Y, If a payment frequency is not, Choose one, Onetime distribution processed, and Monthly beginning specify month to finish this segment.

Choose one, P AY M E N T F R E Q U E N C Y, and Life expectancy RMD calculate my of Iradist Form

4. To go onward, this fourth form section will require filling in a handful of empty form fields. These comprise of If no box is checked we will, Choose one, Do not withhold federal income tax, I elect to have, federal income tax withheld from, In addition to the above, federal income tax withheld from, Additional specifc dollar, Important state tax withholding, Note If no withholding election is, P AY M E N T M E T H O D, A Medallion Guarantee may be, Choose one, I would like this distribution to, and this form, which are integral to carrying on with this particular document.

Stage no. 4 in filling out Iradist Form

5. The final point to complete this document is crucial. Make certain to fill in the required form fields, for example I would like this distribution to, I would like a onetime, Note Checks must be preprinted, IRADIST Rev, and Page of, before using the document. Neglecting to do it can end up in a flawed and probably unacceptable paper!

How one can fill in Iradist Form portion 5

Lots of people frequently make errors when completing I would like this distribution to in this area. Make sure you review whatever you type in right here.

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