Downloadable Forms Scheduled IRA Distribution
Document Sample


Retirement Plan
_________ bank (to be completed by a KeyBank Employee) Request for scheduled/recurring distribution
Please complete this form to request a distribution from your KeyBank retirement account. Due to the tax consequences of these distributions,
please obtain the tax and legal advice necessary to make the proper elections below.
Name SSN Birth Date
Address City/State/Zip
New request Change existing distribution
WHAT TYPE OF DISTRIBUTION ARE YOU TAKING? (Complete information in one box only: PRE 59 ½ EXCEPTIONS, NORMAL, or AGE 70 ½)
AGE 70 ½ or older (Please note: the “Interest only” option is NOT available if you are age 70 ½ or older.)
IRS Minimum using the Uniform Table (normal)
IRS Minimum with my spouse who is my sole primary beneficiary and is more than 10 years younger Birth date of spouse __________________
Fixed dollar amount $ (If the amount requested does not equal or exceed the IRS Minimum, the IRS Minimum will be
sent instead.)
number of years (This request may not create a distribution less than your IRS minimum required amount.)
I wish to monitor minimum required distribution on my own This year only – select the distribution option above for future years
Permanently – nothing will be sent to me by KeyBank
OTHER REQUIRED INFORMATION
1. Does this account now contain assets that were not invested in this plan with KeyBank as of December 31 of last year
(e.g. rollover/transfer)? No Yes, 12-31 value$
2. Should this value be included when calculating your minimum distribution? No Yes
3. Do you want to delay the first minimum required distribution until April 1 following the year you attain age 70 ½? (Only available for annual
distributions, and two distributions will be received in the same year.) No Yes
NORMAL (You are between age 59 ½ and 70 ½.)
Interest only Specific dollar amount of $ number of years
PRE 59 ½ EXCEPTIONS TO IRS PENALTY
Substantially equal payments pursuant to IRS code section 72(t) Please choose one of the two options below:
Life expectancy payment
Fixed dollar amount; amount requested $
Disability (pursuant to IRS code section 72(m)(7); amount requested $
HOW OFTEN DO YOU WISH TO RECEIVE PAYMENTS?
Please select one: (Payments will be made on the last business day of the month unless indicated otherwise.)
Monthly Quarterly Semiannually Annually (Annual payments are made on Nov. 15.)
Special Instructions:
WHAT METHOD OF PAYMENT DO YOU WISH?
Mail Check Deposit to my KeyBank checking or savings account #
CITIZENSHIP (choose one of the following):
I am a U.S. Citizen.
I am a Resident Alien.
I am a Non-Resident Alien and have attached IRS Form W-8BEN (additional forms may be required).
This information is necessary to determine the withholding rate that applies to your situation. (Certain payees may be subject to special withholding rules).
WITHHOLDING ELECTION (Please see the reverse side if you reside outside the United States.)
The distributions you receive from a Traditional IRA, a SEP IRA or a SIMPLE IRA are subject to Federal Income Tax withholding at a rate of 10% unless you
elect not to have withholding apply, you elect an additional percentage, or you reside outside the United States. Certain states (e.g., ME and OR) have state
income tax withholding requirements. Please see the reverse side of this document for more information and complete the following accordingly.
Withhold Federal Income Tax of % (not less than 10%) from the amount withdrawn.
Withhold State Tax at a rate of % (complete only if required by your state).
Do not withhold any income tax from my IRA distributions
Your Signature Date Daytime phone # with area code
KeyBank Representative Branch Number Branch Telephone # with area code
EF-88-0077KC 5/09 PRINT RESET
IMPORTANT INFORMATION ABOUT YOUR RECURRING DISTRIBUTION
(Please consult your tax advisor before making a decision.)
WHAT IS A RETIREMENT PLAN DISTRIBUTION?
A retirement plan distribution (or withdrawal) is a payment of assets to you from your retirement plan.
ARE RETIREMENT PLAN DISTRIBUTIONS TAXABLE?
Generally, yes. Distributed retirement funds are considered earned income in the tax year distributed and are subject to normal income tax. Any pro rata
distribution of non-deductible contributions, however, is not taxable. There may be a 10% income tax penalty on your distribution if you are younger
than age 59 ½.
WHEN MAY RETIREMENT PLAN DISTRIBUTIONS BEGIN?
Normally, distributions can begin when you reach age 59 ½. Such distributions are taxed as ordinary income.
CAN DISTRIBUTIONS BEGIN BEFORE AGE 59 ½ FROM MY IRA?
Yes, but such distributions may be subject to a 10% income tax penalty. They are also reported as income in the tax year of distribution. There are some
exceptions to the IRS penalty tax which are noted below:
• Made as a result of death (please use the withdrawal form specific to this situation),
• Made as a result of disability, or
• Distributions starting before you reach 59 ½ that are made in substantially equal payments over your life expectancy. (This distribution will be
reported to the Internal Revenue Service as “premature”. You will be required to complete Form 5329 and submit it with your taxes.)
ARE THERE MINIMUM RETIREMENT PLAN DISTRIBUTION REQUIREMENTS?
Yes, but minimum retirement plan distributions are not required until you reach age 70 ½.
WHAT PAYOUT OPTIONS ARE AVAILABLE?
EQUAL INSTALLMENTS - A series of equal payments that can include principal and interest. Such payments are made until your retirement plan is
depleted. Generally the payments will be made from the lowest interest bearing account.
INTEREST PAYMENTS FROM EACH ACCOUNT - A series of interest payments from your retirement plan. This option is not available on early
distributions (before age 59 ½).
MINIMUM REQUIRED DISTRIBUTION (RMD) - The smallest amount you can take from your retirement account without incurring IRS penalties.
The RMD is an annual amount that may be divided into monthly or quarterly payments.
FIXED DOLLAR AMOUNT - A specific dollar amount of your choosing. When the fixed dollar amount no longer meets or exceeds your RMD, your
RMD will be sent instead.
FIXED NUMBER OF YEARS - A specific number of years of your choosing. This number must be less than the factor used to calculate your current
RMD.
HOW FREQUENTLY CAN DISTRIBUTIONS BE MADE?
Equal installments may be paid monthly, quarterly, semiannually or annually.
HOW ARE DISTRIBUTION PAYMENTS MADE?
Payments can be mailed to you or deposited directly into your Key Checking or Savings Account.
CAN THE AMOUNT OR TIMING OF DISTRIBUTIONS BE CHANGED?
Generally, yes. Such changes may increase your tax liability. Please seek the tax advice necessary to make this determination. To change your
distribution option, please complete a new distribution form.
NOTICE OF TAX WITHHOLDING
You are liable for payment of Federal Income Tax even if you elect not to have withholding applied to your distribution. If you do not have enough
Federal Income Tax withheld from your distribution, you may be responsible for payment of estimated tax and may incur penalties under the estimated
tax rules if your withholding and estimated tax payments are not sufficient. You may change your percent of withholding at any time.
lf you are a U.S. Citizen and fail to make any election on the reverse side, we will be required to withhold 10% for Federal Income tax.
Certain states also require income tax withholding. Should you fail to elect any withholding, and your state requires withholding, the state default will
automatically apply.
ARE WITHHOLDING RULES THE SAME FOR EVERYONE?
No. Certain payees may be subject to special withholding rules based on citizenship and mailing address. If your mailing address is outside the United
States, we are required to withhold at least 10% for federal income tax withholding. If you are a non-resident alien, we are required to withhold 30% for
federal income tax withholding and you must provide us with IRS Form W-8BEN. Additional forms may also be required. Please note that the
processing of distributions for non-resident aliens may be delayed by up to one business day. Missing information may cause longer delays.
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