Lynch Beneficiary Designation Form PDF Details

When you create a will, you have the opportunity to designate a beneficiary for your assets. If you don't name a beneficiary, or if your beneficiary designation form isn't valid, state law will determine who receives your assets. The Lynch Beneficiary Designation Form is an easy way to name a specific person or organization as the beneficiary of your assets. This form is simple to fill out and can be used to name a beneficiary for almost any type of asset.

Here is the information about the PDF you were looking for to fill in. It will tell you the amount of time you will need to complete lynch beneficiary designation form, exactly what fields you will have to fill in and a few other specific facts.

QuestionAnswer
Form NameLynch Beneficiary Designation Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesbeneficiary designation my sample, merrill lynch beneficiary distribution form, merrill lynch beneficiary designation form, beneficiary lynch online

Form Preview Example

Beneficiary Designation Form

This form is to be used to designate beneficiaries or to replace all prior beneficiary designations at Merrill Lynch for the accounts listed below.

n IRA

n BASICTM

n Retirement Selector Account® 403(b)(7)

n IRRA®

n SEP IRA

n Archer Medical Savings Account (MSA)

n Roth IRA

n SIMPLE IRA

n Health Savings Account (HSA)

 

 

n Merrill Lynch Education Savings Account® (MLESA)*

Instructions

n Use one form per account.

n Additional instructions for completing this form appear below and throughout the form.

n Forward your completed form, in its entirety (pages 1-3), to your Financial Advisor, Client Associate or the Merrill Edge Advisory Center™. n Please retain a copy of this form for your records.

Completing Designation/Change of Beneficiary(ies):

nDesignating a beneficiary has important consequences. We urge you to consult with your attorney or tax advisor before completing this form.

nYou may name one or more persons to be the primary or contingent beneficiary(ies) of your account, including your estate, trust or other entity. For all beneficiary(ies) named, the percentages must total 100%, (whole numbers must be used, and fractions will not be accepted).

For individuals, please indicate the name, social security number, date of birth, and relationship for each beneficiary. For entities, trusts or estates, please provide the exact name or title of the entity, employer identification number, and the date of inception, if available. Designations that include “as per will” or “as per trust” will be considered invalid.

nPlease do not submit copies of your will or trust document. If a trust or estate is designated, Merrill Lynch shall rely solely upon the instructions of the trustee or executor/administrator and shall have no responsibility for monitoring the terms of the trust or will.

nAfter your death, the balance in your account shall be distributed to the primary beneficiary(ies) in proportion to the payment percentages indicated. If a primary beneficiary predeceases you, his/her share will be distributed to the remaining primary beneficiary(ies) in proportion to the payment percentages. If no primary beneficiary(ies) survive you, the balance will be distributed to your contingent beneficiary(ies) in the

same manner. If no primary or contingent beneficiary(ies) survive you, or if no beneficiary is in effect at the time of your death, we will pay your IRA balance to your surviving spouse, or, if you are not survived by a spouse, to your estate.

nChanging your beneficiary – You may change your beneficiary designation at any time and as often as you wish. A designation or change of beneficiary must be in writing, and is not effective until we receive it.

nOptional Designations – Please consult a tax professional for further explanation. You may choose only “per stirpes” or “per capita”, (but not both) for each beneficiary.

n Per Stirpes – When a beneficiary pre-deceases the account holder, the deceased beneficiary’s share is divided equally between the deceased beneficiary’s descendants.

n Per Capita – When a beneficiary pre-deceases the account holder, the account is equally divided between the deceased beneficiary’s descendants and all remaining beneficiaries of the account holder.

n Customized Designations – If your beneficiary designation includes any alterations to the form, provisions in addition to the election of beneficiaries, or if you require additional space to write your designation, please submit your designation on a separate page(s) and attach it to this form. Please write “See Attached” in the Name and Address box on this form. This will be considered a “customized beneficiary designation.” Please note: all customized beneficiary designations must be reviewed for compatibility with Merrill Lynch’s administrative and operational requirements, which may change over time. Please contact your Financial Advisor, Client Associate, or the Merrill Edge Advisory Center™ for more information on customized designations.

*For Merrill Lynch Education Savings Accounts (MLESA), the words “me” and “my” shall refer to the “Student” or “Students,” and the words “you” and “yours” refer to the “Guardian” or the “Guardians” where applicable.

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1: Account Information

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Customer Name

Account Number

 

(one account per form)

2: Designation/Change of Beneficiary(ies)

PRIMARY BENEFICIARY(IES): I hereby designate the person(s) or entity(ies) named below as primary beneficiary(ies). You may choose only “per stirpes” or “per capita”, (but not both) in this section. Please refer to the instructions page or consult a tax professional for further explanation about per stirpes and per capita.

 

 

 

 

Optional

Name

Date of Birth

Relationship

Share (Whole

Social Security No. or

(MM/DD/YY)

Numbers Only)

Employer Identification No.

 

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

Must total

 

 

 

 

100%

 

Optional

 

Per

 

Per

Stirpes

Capita

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTINGENT BENEFICIARY(IES): If there are no primary beneficiary(ies) living at the time of my death, I hereby specify that the balance be distributed to the contingent beneficiary(ies). You may choose only “per stirpes” or “per capita”, (but not both) in this section. Please refer to the instructions page or consult a tax professional for further explanation about per stirpes and per capita.

 

 

 

 

Optional

Name

Date of Birth

Relationship

Share (Whole

Social Security No. or

(MM/DD/YY)

Numbers Only)

Employer Identification No.

 

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

Must total

 

 

 

 

100%

 

Optional

 

Per

 

Per

Stirpes

Capita

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: You must sign and date this form in Section 3 on the following page.

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3: Client Signature

INSTRUCTIONS: You must sign and date your Beneficiary Designation Form in order for it to become effective when received by Merrill Lynch.

I understand that if no designated beneficiary survives me, or if no beneficiary designation is in effect at my death, the account balance will be paid to my spouse, or if I am not survived by a spouse, to my estate. I am aware that this form replaces all prior beneficiary designations for this account, becomes effective when received and accepted by Merrill Lynch, and will remain in effect until I deliver to Merrill Lynch another designation form with a later date.

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Customer Signature

Date

Daytime Telephone

4: To be Completed ONLY for BASIC and Retirement Selector Accounts® (403(b)(7))

INSTRUCTIONS:

Spouse’s Consent to Alternate Beneficiary Designation:

n If you are not married, the plan administrator or notary public does not have to sign the form.

n If you are married, your spouse must sign and date this section if you designate someone other than your spouse as beneficiary.

n The plan administrator or a notary public must sign to certify your spouse’s signature.

Unavailability of Spouse’s Consent:

If you cannot obtain your spouse’s consent, your employer must indicate and certify the reason (see below).

I certify under penalty of perjury that I am not married as of the date this form is signed. I understand that if I marry after this date, the rules for married individuals will apply to me.

Spouse’s Consent to Alternate Beneficiary designation:

“I am the spouse of the participant who made the beneficiary designation on this form and I consent to it. I understand that if someone other than me has been designated beneficiary, my consent means that I give up my rights I may have under the Plan and applicable law (other than rights I may later have as the survivor in a joint annuity with the participant)

to receive those amounts payable under the Plan by reason of the participant’s death to which I would otherwise be entitled if I were the participant’s sole beneficiary.”

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Spouse’s SignatureDate

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Signature of Plan Administrator or Notary Public Date

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Notary Title/Commission

Expiration Date

 

 

 

 

 

 

 

 

 

 

 

 

Spouse’s consent unavailable because:

Participant’s spouse cannot be located.

Other _____________________________________

“It has been established to my satisfaction that the consent of the participant’s spouse to the participant beneficiary designation of this form cannot be obtained for the reason indicated.”

_____________________________________________________

Signature of Plan Administrator

Date

Merrill Lynch Wealth Management makes available products and services offered by Merrill Lynch, Pierce, Fenner & Smith Incorporated, a registered broker- dealer and member SIPC, and other subsidiaries of Bank of America Corporation.

Investment products:

Are Not FDIC Insured

Are Not Bank Guaranteed

May Lose Value

 

 

 

MLPF&S makes available investment products sponsored, managed, distributed or provided by companies that are affiliates of Bank of America Corporation or in which Bank of America Corporation has a substantial economic interest, including BofA™ Global Capital Management.

Code 1217-0813

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