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Questions? Go to Fidelity.com or call 1-800-544-0003.
New Fidelity Account® — Inherited IRA for a
Non-Spouse Individual
Use this application if you are a non-spouse beneficiary of an IRA or a qualified retirement plan and the original account owner is
deceased and you need to open an Inherited IRA or Inherited Roth IRA. Type on screen or print out and fill in using CAPITAL letters
and black ink. If you need more room for information or signatures, use a copy of the relevant page.
Important to Understand
• Use this form if you are a non-spouse individual over the
By signing this application, you acknowledge that:
age of 18.
• Fidelity Brokerage Services LLC (“FBS”) will perform
• Please use the Fidelity Inherited IRA for Minors/Nonbrokerage and administrative services.
Individuals application if you are inheriting from the
• National Financial Services LLC (“NFS”) will maintain
original owner and:
the assets in a brokerage account and provide
– You are a minor or incapacitated person that is named
administrative services.
as the beneficiary.
• FBS, NFS, and FMTC are together referred to herein
– Your intent is to open a Trust Inherited IRA.
as “Fidelity.”
– The deceased IRA owner’s or a deceased beneficiary’s
• Important documents related to your account include
estate is inheriting.
the Fidelity IRA Custodial Agreement and Disclosure
Statement or Fidelity Roth IRA Custodial Agreement and
– You represent an entity like a charity, university, or other
Disclosure Statement and Fidelity Brokerage Retirement
educational organization.
Account Customer Agreement (“Customer Agreement”), • Distribution rules for your Inherited IRA will be based on
and other relevant information delivered from time to
several factors including the age of the original IRA owner
time.
at death and your age.
• Uninvested money in your account is held in your Core
– If the deceased IRA owner died before reaching 70½,
Position (“Core Position”) until you direct otherwise. Your
the age for mandatory MRDs, then you may elect to
Core Position will be the Fidelity® Government Money
take distributions using either:
Market Fund, a money market mutual fund. Other Core
– the five-year rule; or
Position options may be available after you open your
– annually, based on your age beginning by
account. Please note that in certain circumstances, such
December 31 of the year following death
as if Fidelity determines you reside outside the United
– If the deceased IRA owner was 70½ or older and taking
States, the Core Position will operate differently. Please
annual MRDs at time of death, then annual MRDs must
refer to the Customer Agreement for further details.
continue to be taken but will be calculated using either:
Helpful to Know
– the beneficiary’s own age and IRS Single Life
Regarding this account:
Expectancy table; or
• If the deceased was over 70½ and had not withdrawn his
– the remaining life expectancy of the deceased
or her total minimum required distribution (MRD) in the
IRA owner
year of death, see Section 7.
To learn more about these options, visit Fidelity.com.
1. Deceased IRA Owner’s Information
Include a copy of deceased’s death certificate and a
state inheritance tax waiver, if required by the deceased’s state of residence.
Who are you directly inheriting this IRA from? Tell us by completing the fields below.
You are known as a
successor beneficiary
if you are inheriting an
IRA after the original
beneficiary’s death.
First Name
Middle Name
Social Security Number
Date of Birth MM DD YYYY
Last Name
Date of Death MM DD YYYY
Was the person listed above the original owner? If not, then they inherited the IRA from someone else. Please
complete the information below about this original owner.
Original Owner’s First Name
Social Security Number
Middle Name
Date of Birth MM DD YYYY
Original Owner’s Last Name
Date of Death MM DD YYYY
Account owner must sign and date at the end of section 8. Form continues on next page.
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030190601
2. Selection of Type of Account
Indicate the type of account you plan to establish. For more information about options available to you as an owner inheriting retirement
assets, go to Fidelity.com.
Establish a New Account
Inherited IRA
Inherited Roth IRA
3. Your Information
Enter full name
as evidenced by a
government-issued,
unexpired document
(e.g., driver’s license,
passport, permanent
resident card).
First Name
Middle Name
Date of Birth MM DD YYYY
Last Name
Email
Social Security or Taxpayer ID Number
Daytime Phone
Extension
Residential Address (where you live) This is your legal address used for tax reporting.
Street Address
City
State
ZIP
Mailing Address May be a P.O. box, drop box, or c/o location
Same as legal / residential address
Default if no other information indicated below.
Mailing Address
City
State
ZIP
Citizenship
Indicate your
citizenship status.
U.S. citizen
Foreign citizen Information in this box must be completed.
Permanent U.S. resident
Non-permanent U.S. resident
Country of Citizenship
Check one and attach
a copy of a valid and
unexpired government ID
showing number and photo.
To claim non-U.S. tax status,
also complete and submit an
IRS Form W-8BEN.
Nonresident of U.S.
Country of Tax Residency Only applicable to nonresidents of the U.S.
City, State/Province, and Country of Birth
Passport
Employment Authorization Document
DHS Permanent Resident Card
Foreign National Identity Document
Account owner must sign and date at the end of section 8. Your Information continues on next page.
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030190602
3. Your Information, continued
Income Source
Check one and
provide information.
Industry regulations
require us to ask for
this information.
Employed:
Self-employed:
Occupation
Employer Leave blank if self-employed.
Employer Address
City
Retired:
State/Province
ZIP/Postal Code
Country
Not employed:
Source of Income Pension, investments, spouse, etc.
Associations
As a person associated
with a member firm, you
are obligated to receive
consent from that firm.
Fidelity has existing
consent agreements
with many firms for
their employees to
maintain accounts with
Fidelity and to deliver
transactional data. If
your firm is not one
of them, Fidelity will
attempt to contact your
firm’s compliance office.
If you are employed by or associated with a broker-dealer, stock exchange, exchange member firm, the Financial
Industry Regulatory Authority (FINRA), a municipal securities dealer, or other financial institution, or are the spouse or
an immediate family member residing in the same household of someone who meets the aforementioned employment criteria, provide the company’s name and address below. By providing this information and completing this
form, you hereby authorize Fidelity to provide the associated person’s employer with duplicate copies of confirmations
and statements, or the transactions data contained therein, for your account(s) and any accounts you choose to have
on a consolidated statement for purposes of their compliance review.
Company Name
Company Address
City
State/Province
ZIP/Postal Code
Country
If you are, or an immediate family/household member is, a director, corporate officer, or 10% shareholder of a publicly held
company, or a control person of a publicly traded company under SEC Rule 144, you must provide the information below.
Company Name
Trading Symbol or CUSIP
4. Funding Method
Check all funding options that apply.
Transfer Inherited Assets
Transfer from deceased’s Fidelity IRA: All shares will be transferred in kind. Account number indicated below can be for a
Traditional or Roth IRA and will be transferred to accounts selected in Section 2.
Fidelity IRA Account Number
Fidelity IRA Account Number
Transfer an Inherited IRA from another firm
Include a completed Transfer of Assets form and include a copy of the
deceased’s account statement.
Transfer rules vary among firms. Check with the firm’s guidelines to ensure that the original account owner’s assets
are eligible for transfer into a Fidelity Inherited IRA.
Account owner must sign and date at the end of section 8. Funding Method continues on next page.
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030190603
4. Funding Method, continued
Rollover
Roll over from an employer-sponsored account.
If plan is recordkept at Fidelity, contact us at 800-605-4015 for next steps. Please indicate Name of Employer below:
Name of Employer
If Rollover is from a plan not at Fidelity, you will need to contact the plan administrator by calling the toll-free number on the statement of
the account you have inherited.
Name of Employer’s Plan
Recordkeeper Name Where your assets are held
Recordkeeper Phone
Address
City
State
Plan ID/Account Number
ZIP
Approximate Rollover Amount
$
.
end a letter of acknowledgement to the Plan Administrator to the address provided above on your behalf.
S
OR
Enclosed is a check with this application, or the plan has been contacted and will be mailing Fidelity a check.
Make check payable and send to: FMTC, FBO (your name), Direct Rollover, P.O. Box 770001, Cincinnati, OH, 45277-0037.
5. Account Features
Optional. Additional features may be available for your account(s). Call Fidelity or go to Fidelity.com.
Automatic Withdrawals
You can create a schedule of Automatic Withdrawals from your account to help satisfy your MRD or establish an income stream.
Go to Fidelity.com/autowithd for more information.
Document Delivery
If you provided an email address in Section 3 and unless you indicate otherwise below, all materials will be sent to you electronically. To
confirm electronic delivery, respond to the Electronic Delivery Agreement and Consent, which we will email to you. To choose delivery by
U.S. mail, check one or more boxes below.
Account statements
Trade confirmations and related prospectuses
Tax forms and related disclosures
Other documents (including shareholder reports and regular prospectus mailings)
Account owner must sign and date at the end of section 8. Form continues on next page.
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030190604
6. Beneficiaries
You may want to review this document with a tax, financial, or legal advisor. Leaving this section blank will indicate that no beneficiary is
named by you for this account and that upon your death, payment will be made according to the rules of succession as outlined in the
applicable Custodial Agreement. You can add or change beneficiaries any time at Fidelity.com/beneficiary.
Primary Beneficiaries
For each beneficiary
you list by name,
check a beneficiary
type and provide
all information.
If you outlive the
beneficiary and
you want that
beneficiary’s share to
go to each of his or her
descendants by right of
representation, check
“per stirpes.”
Spouse
Name If naming spouse as a beneficiary, do so here.
Non-Spouse
Trust
Social Security or Taxpayer ID Number
Date of Birth MM DD YYYY
Share Percentage
%
Other Entity
Per stirpes
Name
Non-Spouse
Trust
Social Security or Taxpayer ID Number
Date of Birth MM DD YYYY
Share Percentage
Other Entity
%
Per stirpes
Name
Non-Spouse
Trust
Social Security or Taxpayer ID Number
Date of Birth MM DD YYYY
Share Percentage
Other Entity
%
Total must add up to 100%.
Per stirpes
0%
Contingent Beneficiaries
Contingent beneficiaries receive assets only
if no primary beneficiary
survives you.
Do NOT list any primary
beneficiaries here.
Spouse
Name If naming spouse as a beneficiary, do so here.
Non-Spouse
Trust
Social Security or Taxpayer ID Number
Date of Birth MM DD YYYY
Share Percentage
%
Other Entity
Per stirpes
Name
Non-Spouse
Trust
Social Security or Taxpayer ID Number
Date of Birth MM DD YYYY
Share Percentage
Other Entity
%
Per stirpes
Name
Non-Spouse
Trust
Social Security or Taxpayer ID Number
Date of Birth MM DD YYYY
Share Percentage
Other Entity
%
Total must add up to 100%.
Per stirpes
0%
Account owner must sign and date at the end of section 8. Form continues on next page.
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7. Minimum Required Distribution (MRD) for Deceased Age 70½ or Older
Was the deceased over 70½ and had not yet withdrawn his or her total MRD in the year he or she died? If the
answer is “YES,” please complete this entire section.
If not, please skip this entire section and move on to section 8.
7a. Deceased’s MRD Amount
Only complete
sections 7a, 7b, and
7c if the deceased
was older than 70½
at time of death, and
had not completed an
MRD in the year that
he or she died.
Call Fidelity
Inheritor Services
at 800-544-0003 if
you need the MRD
calculated.
If you answered “YES” to the question above, you, as the beneficiary, must withdraw the appropriate amount by
December 31 in the year of death. The distribution amount must be based on the deceased’s MRD schedule but
reported under your tax ID number.
To comply with IRS regulations, Fidelity requires the remaining year-of-death MRD, if applicable, to be taken from an
inherited IRA. Please note: If you wish to withdraw an amount other than the deceased’s MRD, please complete the
enclosed Fidelity IRA One-Time Withdrawal form. If you wish to establish periodic withdrawals on this newly established inherited IRA, please complete the Fidelity Inherited IRA Automatic Withdrawal Service form or go online at
Fidelity.com/autowithd.
Request for deceased’s MRD
If there are multiple beneficiaries inheriting the IRA, please provide
ONLY the amount you wish distributed from your inherited IRA.
Amount (required if box is checked)
$
.
The MRD will be taken from the cash position. If there is not enough cash available, please complete the following
in the order in which to liquidate a fund or individual security to meet the MRD amount. Please note that if multiple securities are listed, trades may be placed over multiple days. If no securities are provided, your requested MRD
will be withdrawn proportionately from all eligible money market and mutual fund positions.
1. Security/Fund Name
2. Security/Fund Name
7b. Distributions Method Only applies if you have listed an amount in section 7a.
Check one and
provide any required
information.
Directly deposited to your Fidelity nonretirement account:
Fidelity Nonretirement Account Number
Fidelity Fund Name or Symbol Mutual Fund Accounts Only
Brokerage accounts will
be deposited into the
Core Position.
Check mailed to the address of record
Default if no choice indicated or if we are unable to process your choice.
7c. Tax Withholding Only applies if you have listed an amount in section 7a.
MRDs from a non-Roth IRA are subject to federal and, where applicable, state income tax withholding unless you elect not to have
withholding apply below (if you are a U.S. citizen or other U.S. person, including a resident alien individual). If you do not elect out of
withholding, federal income tax will be withheld at a rate of 10% from your total IRA distribution amount, unless you indicate a higher
percentage below. If there are nondeductible contributions in your IRA, this may result in excess withholding from your distribution. If you
elect not to have withholding apply to your distribution or if you do not have enough federal income tax withheld from your distribution,
you may be responsible for payment of estimated tax. You may incur penalties under the estimated tax rules if your withholding and
estimated tax payments are not sufficient. See “State Tax Withholding information — IRA Withdrawals” at the end of this form.
State
Federal
Do NOT withhold federal taxes.
Do NOT withhold state taxes unless required by law.
Withhold federal taxes at the rate of:
Withhold state taxes at the applicable rate.
Percentage
%
Minimum 10%, maximum 99%. Whole
numbers; no dollar amounts. Note
that if there is federal withholding,
certain states require that there also
be state withholding.
Withhold state taxes at the rate of:
Percentage
%
Maximum 99%. Whole numbers; no
dollar amounts.
Account owner must sign and date at the end of section 8. Form continues on next page.
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030190606
8. Account Owner Signature and Date
Please be sure to read all the language included below and on the next page, as well as sign, date, and return all
pages of this application (1–8) to Fidelity.
To help the government fight money laun­dering and the funding of terrorism, federal law requires Fidelity to obtain your name, date of
birth, address, and a government-issued ID number before open­ing your account, and to verify the information. In certain circumstances,
Fidelity may obtain and verify comparable information for any person authorized to make transactions in an account or for beneficial owners of certain accounts. Further documen­tation is required for certain entities, such as trusts, estates, corporations, partnerships, and other
organizations. Your account may be restricted or closed if Fidelity cannot obtain and verify this information. Fidelity will not be responsible for any losses or damages (including, but not limited to, lost opportunities) that may result if your account is restricted or closed.
You acknowledge that this account is governed by a predispute arbitration clause, which appears on the last page of the Fidelity
Brokerage Retirement Customer Account Agreement, and that you have read the predispute arbitration clause.
By signing below, you acknowledge that you have read, understood, and agree to be bound by the provisions of this application,
including the Terms and Conditions for This Account below and on the next page.
PRINT OWNER NAME
SIGN
OWNER SIGNATURE X
D AT E
TODAY’S DATE
MM/DD/YYYY
X
9. Terms and Conditions for This Account
By signing the previous section, you:
• Adopt the Fidelity IRA or Fidelity Roth IRA
selected in Section 1 and appoint FMTC
(or its successor) as Custodian, and FBS
and NFS to perform administrative services
pursuant to the terms of the Fidelity IRA or
Roth IRA Custodial Agreement.
• Acknowledge that you received the
Customer Agreement, the Fidelity IRA
Custodial Agreement and Disclosure
Statement, and the Fidelity Roth IRA
Custodial Agreement and Disclosure
Statement, that you have read and understand both the Customer Agreement and
the applicable Custodial Agreement(s) that
apply to the account(s) you are opening
with this application, and that you agree to
all terms and conditions on this application
and in the above agreements, as these
agreements may be amended from time
to time.
• Acknowledge that acceptance of your
application will be indicated by a Letter
of Acceptance signed by, or on behalf
of, Fidelity or its agent, and delivered
upon the Custodian’s receipt of the
initial contribution.
•A
cknowledge that FMTC’s acceptance of
• Agree that to the extent that inherited
its appointment as Custodian is effective
employer-sponsored plan assets are being
upon proper completion and signature
directly rolled to an IRA or Inherited IRA,
of the application, and contingent upon
you understand that it is your responsibility
timely delivery of this application, as signed
to ensure that only eligible assets are rolled
and properly completed, to the Custodian,
and all minimum required distributions
notwithstanding what is stated in Article
are satisfied.
8, Section 27, of the Fidelity IRA Custodial • Agree that upon transfer of assets due to
Agreement and Article 9, Section 26, of the
any life event (divorce, death, etc.), and
Fidelity Roth IRA Custodial Agreement,
unless otherwise instructed, all residual
as appropriate.
income paid to the account and any frac• Understand Fidelity may charge an annual
tional shares will be systematically allocated
maintenance fee and/or liquidation fee
to the Transferee (New Asset Holder)
and this fee may be separately billed or
receiving the largest share proportion of
collected by liquidating sufficient securities
the account assets. If the account is
from your account. Fidelity may change the
transferred evenly, or at different intervals,
fee schedule from time to time, as provided
the income and/or fractional shares will
in the Fidelity IRA Custodial Agreement.
be systematically allocated to the last
transferee paid.
• Agree to indemnify the Custodian (its
agents, affiliates, successors, and employ• Affirm that you have received and read
ees) from any and all liability in the event
the Schedule of Fees, that you understand
that you fail to meet any IRS requirements
this schedule may change from time to
concerning your IRA(s).
time, and that you agree to be responsible
for those fees and charges that apply to
• Acknowledge that payment to beneficiayour account.
ries will be made according to the rules
of succession described in the applicable
Custodial Agreement.
Account owner must sign and date at the end of section 8. Form continues on next page.
595925.6.0
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030190607
9. Terms and Conditions for This Account, continued
•A
ffirm that you are at least 18 years old and
of full legal age to enter into the agreements associated with this application in
your state of residence.
•R
epresent and warrant that, if you have not
completed the section titled Associations,
you are not associated with or employed
by a stock exchange or a broker-dealer and
that you are not a control person or associate of a public company under SEC Rule
144 (such as a director, 10% shareholder, or
a policy-making officer), or an immediate
family or household member of such
a person.
•A
cknowledge that you agree to the use
of the Core Position to hold any assets of
your account pending investment or other
instructions and that you have received and
read the prospectus or other applicable
documents for the Core Position.
•U
nderstand that your Core Position is a
money market fund, and that you could
lose money by investing in a money
market fund. Although the fund seeks to
preserve the value of your investment
at $1.00 per share, it cannot guarantee
it will do so. An investment in the fund
is not insured or guaranteed by the
Federal Deposit Insurance Corporation
or any other government agency. Fidelity
Investments and its affiliates, the fund’s
sponsor, have no legal obligation to provide financial support to money market
funds and you should not expect that the
sponsor will provide financial support to
the fund at any time.
•U
nderstand that Fidelity’s government and
U.S. Treasury money market funds will not
impose a fee upon the sale of your shares,
nor temporarily suspend your ability to sell
shares if the fund’s weekly liquid assets fall
below 30% of its total assets because of
market conditions or other factors.
•A
cknowledge that you have received the
description of the Core Account in the
Customer Agreement, including Fidelity’s
right to change the options available as
core positions, and consent to having free
credit balances held or invested in the Core
Position indicated above.
• Consent to have only one copy of Fidelity
mutual fund shareholder documents, such
as prospectuses and shareholder reports
(“Documents”), delivered to you and
any other investors sharing your address.
Your Documents will be householded
indefinitely; however, you may revoke this
consent at any time by contacting Fidelity
at 800-343-3548 and you will begin receiving multiple copies within 30 days. As
Documents for other investments become
available in the future, these Documents
may also be householded in accordance
with this authorization or any notice or
agreement you received or entered into
with Fidelity or its service providers.
• Understand that, upon an issuer’s request
in accordance with applicable rules and
regulations, Fidelity will supply your name
to issuers of any securities held in your
account so you might receive any important information regarding them, unless you
notify Fidelity.
• Understand that it is your responsibility to
read the prospectus for any security purchased for your account or into which your
holdings are exchanged, including the
Core Position.
• Acknowledge that Fidelity will not be liable
for any loss, cost, or expense arising out of
your instructions, provided that it institutes
reasonable procedures to prevent unauthorized transactions.
• Hereby constitute and appoint Fidelity your
true and lawful attorney to surrender for
redemption any and all shares held in the
Did you sign the application and attach a check or any necessary
documents (death certificate and an inheritance tax waiver if required
by the deceased’s state of residence)? Please return pages 1–8 and
any attachments to Fidelity Investments. You will receive a “New Account
Profile” confirming that your account(s) is opened.
Questions? Go to Fidelity.com or call 1-800-544-0003.
above-indicated accounts with full power of
substitution in the premises.
• Acknowledge that Fidelity reserves the
right to cease to act as agent in connection
with the above appointment after provision
of notice to the address noted on this form.
• Agree that the certifications, authorizations,
and appointments in this document will
continue until Fidelity receives actual written notice of any change thereof.
• Acknowledge that you will receive a
monthly account statement from Fidelity,
unless there are no transactions in a particular month. In any case, you will receive a
statement quarterly.
If requesting EFT:
• Authorize Fidelity, upon receiving instructions from you, to make payments of
amounts representing redemptions by
you or distributions payable to you by
initiating credit or debit entries to the bank
account identified by you (“Bank”). You
authorize and request the Bank to accept
such entries from Fidelity, and to credit or
debit, as indicated, your account at the
Bank in accordance with these entries.
• Understand that there is no fee to use the
EFT service, although your financial institution may charge transaction fees.
• Acknowledge that this authorization may
be revoked only by providing written notice
of revocation to Fidelity, in such time and
manner as to afford Fidelity and the bank a
reasonable opportunity to act upon it.
If you are not a U.S. person:
• State that you are submitting IRS Form W-8
BEN with this application to certify your
foreign status and, if applicable, to claim
tax treaty benefits.
Use postage-paid envelope, drop off at a Fidelity
Investor Center, OR deliver to:
Regular mail
Fidelity Investments
P.O. Box 770001
Cincinnati, OH 45277-0036
Overnight mail
Fidelity Investments
100 Crosby Parkway KC1K
Covington, KY 41015
Brokerage services are provided by Fidelity Brokerage Services LLC, Member NYSE, SIPC. 595925.6.0 (04/17)
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Reset
State Tax Withholding - IRA Withdrawals
Helpful To Know
●
●
Each state sets its own withholding rates and requirements on
taxable distributions. We apply these rates unless you direct us
not to (where permitted) or you request a higher rate.
Your account's legal/residential address determines which state's
tax rules apply.
●
●
You are responsible for paying your federal, state, and local
income taxes and any penalties, including penalties for insufficient
withholding.
Withholding taxes for Roth IRA distributions is optional.
Withholding Options
State of residence
AK, FL, HI, NH, NV, SD,
TN, TX, WA, WY
State tax withholding options
●
●
AR, IA, KS, MA, ME,
OK, VT
●
●
●
CA, DE, NC, OR
●
●
●
DC
Only applicable if taking
a full distribution of entire
account balance.
●
●
●
●
MI
●
●
●
MS
●
●
OH
●
●
SC
All other states (and
DC if not taking a full
distribution)
●
No state tax withholding is available (even if your state has income tax).
If you choose federal withholding, you will also get state withholding at your state's minimum withholding rate or an
amount greater as specified by you.
If you do NOT choose federal withholding, state withholding is voluntary.
If you have state withholding, you can request a higher rate than your state's minimum but not a lower rate, except
on Roth IRA distributions.
If you choose federal withholding, you will also get state withholding at your state's minimum withholding rate
unless you request otherwise.
If you do NOT choose federal withholding, state withholding is voluntary.
If you have state withholding, you can request a higher rate than your state's minimum but not a lower rate, except
on Roth IRA distributions.
If you are taking distribution of your entire account balance and not directly rolling that amount over to another
eligible retirement account, DC requires that a minimum amount be withheld from the taxable portion of the
distribution, whether or not federal income tax is withheld. In that case, you must elect to have the minimum DC
income tax amount withheld by completing the Tax Withholding section.
If your entire distribution amount has already been taxed (for instance only after-tax or nondeductible contributions
were made and you have no pre-tax earnings), you may be eligible to elect any of the withholding options.
If you wish to take a distribution of both taxable and nontaxable amounts, you must complete a separate distribution
request form for each and complete the Tax Withholding section of the forms, as appropriate.
MI generally requires state income tax of at least your state's minimum requirements regardless of whether or not
federal income tax is withheld.
Tax withholding is not required if you meet certain MI requirements governing pension and retirement benefits.
Please reference the MI W-4P Form for additional information about calculating the amount to withhold from your
distribution.
If you are subject to MI state tax withholding, you must elect state tax withholding of at least your state's minimum
by completing the Tax Withholding section.
Contact your tax advisor or investment representative for additional information about MI requirements.
If you choose federal withholding, you will also get state withholding at your state's minimum withholding rate
unless you request otherwise.
If you do NOT choose federal withholding, state withholding will occur unless you request otherwise.
If you have state withholding, you can request a higher rate than your state's minimum but not a lower rate, except
on Roth IRA distributions.
State tax withholding is voluntary. If you choose state withholding, you can choose a higher rate than your state's
minimum but not a lower rate, except on Roth IRA distributions.
SC requires state withholding if you have not provided a Tax ID or if you have been notified of a name/Tax ID
mismatch and have not resolved the issue. Otherwise, state tax withholding is voluntary and you can choose the rate
you want (any whole number between 1% and 99%).
State tax withholding is voluntary and you can choose the rate you want (any whole number between 1% and 99%).
Important: State tax withholding rules can change and the rules cited above may not reflect the current ruling of your state. Consult with your tax advisor or state
taxing authority to obtain the most up-to-date information pertaining to your state.
The tax information is for informational purposes only, and should not be considered legal or tax advice. Always consult a tax or legal professional before making
financial decisions.
We do not provide tax or legal advice and we will not be liable for any decisions you make based on this or other general tax information we provide.
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