Free Gp5479Us Form in PDF

Free Gp5479Us Form in PDF

The GP5479US form serves as a critical document for individuals considering a cash distribution from their retirement plan with John Hancock. It outlines the potential tax implications and penalties of such a decision, alongside providing alternatives like rollovers to IRAs or new employer-sponsored plans. Those looking to navigate their retirement savings options more effectively, especially when facing major life changes such as job transitions or retirement, will find this form essential. To make informed decisions about your retirement savings, click the button below to fill out the GP5479US form.

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The GP5479US form serves a critical role for individuals considering or navigating through the ebbs and flows of retirement planning, especially in the context of changing jobs or retiring. It stands as an essential guide that outlines the available options for managing retirement plan savings housed within John Hancock accounts. This form doesn't just fill a mandatory step in the process; it educates its users on the consequences of cash distributions, including taxes and penalties, and encourages them to make informed decisions about rollovers and withdrawals. But it doesn't leave participants to fend for themselves, offering a calculative tool at www.JHCashOutCalculator.com to visualize the impact of cashing out. Furthermore, the form presents several pathways for action, such as keeping the money within the plan, opting for a rollover to a John Hancock IRA, other IRAs, or transferring to a new employer-sponsored plan, and taking a cash distribution. All these choices are framed with insights on the potential advantages, disadvantages, and tax implications. John Hancock further supports plan participants by making Rollover Specialists available for consultation, aiming to simplify the transition process and aiding with necessary paperwork. This approach underscores a broader commitment to personalized financial guidance, ensuring the plan’s financial representative is within reach, and emphasizing a supportive, informed decision-making journey for retirement plan savings.

Preview - Gp5479Us Form

If you’re thinking about a cash distribution, know that taxes and penalties may apply. Visit www.JHCashOutCalculator.com to see how cashing out could affect your savings.

Includes: Withdrawal – Eligible for Rollover Form

Same goal. New choices.

Whether you’re changing jobs or retiring, it’s important to understand your options so you can make an informed decision about what to do with your retirement plan savings at John Hancock. Read more about your choices and next steps, then complete the attached form – or give us a call. We’re here to help.

You have two ways to take action:

Call John Hancock at 1-888-695-4472

Our Rollover Specialists will help answer questions about the options available to you:*

-Keep your money in the Plan

- Roll over to a John Hancock IRA - Roll over to another IRA

- Roll over to new employer-sponsored plan

-Take a cash distribution (see box at right)

We’ll introduce you to your plan’s financial representative if applicable

We’ll help you complete the process, including filling out any paperwork

Work with your financial representative or do-it-yourself

Review your options with your financial representative*

Fill out the attached Withdrawal – Eligible for Rollover Form

Return it based on the instructions provided to you by your plan administrator

Our Rollover Specialists are here to make your

transition a smooth one. Call us at 1-888-695-4472.

*Each distribution option has its own potential advantages, disadvantages and tax consequences. Anyone interested in these transactions or topics should seek advice based on his or her particular circumstances from independent professional advisors. There may be additional distribution options that are available only under your specific plan. Please check with your plan administrator for more information.

John Hancock Personal Financial Services, LLC, also referred to as “John Hancock”, is an affiliate of John Hancock Retirement Plan Services.

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

NOT FDIC INSURED | MAY LOSE VALUE | NOT BANK GUARANTEED

© 2019 All rights reserved.

GP5479US (2/2021)

G-P 37398-GE 01/19-37398

Reset Form

Withdrawal - Eligible for Rollover

Important Information about this Form

Your plan may require you to provide supporting documents or additional information before your request can be processed.

As the participant, you complete Sections 1 - 7 of this form and return it to your Plan Representative.

As the Plan Representative, you review Sections 1 - 7, and complete Sections 8 - 10 of this form.

If the participant address provided below is new or different than what is currently on record with John Hancock Retirement Plan Services, we will update our records accordingly. Ensure your next census submission includes revised employee information to avoid your file superseding the information supplied on this form.

A 1099R form will be issued for each distribution and loan default (if applicable) by January 31 of the following year.

This request is subject to the processing and procedure guidelines contained in John Hancock’s Administrative Guidelines for Financial Transactions (“AGFT”). The latest AGFT is available on the John Hancock plan sponsor website or you may contact your John Hancock representative for a copy.

All changes must be initialed in pen (including numbers crossed out or changed using correction fluid).

1. General Information

The Trustee of

{Contractholder_name}

Plan (“the Plan”)

{ContractNum2}

Contractholder Name

 

 

 

 

 

Contract Number

{Participant_name}

 

 

 

{SSN}

 

Participant Name as displayed on your Social Security Card (Last Name, First Name, Initial)

 

 

Participant Social Security Number (Full SSN Required)

 

 

 

 

Date

 

{ppt_address}

 

 

 

of Birth {DCCIASec3EffectiveDate}

Participant Address – Street Address

 

 

 

 

 

 

 

Participant

{PhoneNumber}

 

{ppt_cszip}

 

Phone No.

 

City, State, Zip Code, Country

2. What is the reason for your withdrawal? – Select ONE option only

It is the responsibility of the Plan Administrator, and not of John Hancock Retirement Plan Services, to ensure that the participant is permitted under the terms of the Plan to receive the distribution selected below.

TE

Termination date

RE

Retirement date

IR

Employee Money Transferred into Plan

DI

Disability

 

(Must complete Section 3B)

 

 

VC

Employee Voluntary Money

PD

Early/Pre-Retirement

 

(Must complete Section 3B)

 

(If permitted by the Plan)

Information about Deferred Distributions

Section 1102 of the Pension Protection Act of 2006 requires plans to notify participants that they have the right to defer distributions as well as the consequences of making that choice. The investment options available under your group annuity contract as well as the fees related to the investment options are part of this consideration.

For a description of the investment options available under your group annuity contract, including fees:

Log onto www.johnhancock.com/myplan.

Select: Your contract reports - Investments - Contract investment options and view Selected investment options only. Alternatively, participants may obtain this information by calling our toll free service line at 1-800-395-1113.

You should also review your plan's Summary Plan Description (SPD) which may contain special provisions that may materially affect your decision to defer a distribution. For a copy of the SPD, please contact your Plan Administrator.

GP5479US (2/2021)

Page 1 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

3. How much do you want to withdraw? Select ONE option only

If no option is selected a TOTAL withdrawal will be processed.

The amount or percentage below will be withdrawn as a gross withdrawal before income tax withholding.

A - Withdraw 100% of my vested account value

OR

B - Withdraw only a portion of the funds in my plan as follows - Tell us how much to withdraw from each eligible money type (Amount or Percentage). Completing the Investment Fund Code is not mandatory. If the Investment Fund Code is left blank, John Hancock Retirement Plan Services’ standard withdrawal order will be used.

Money Type

Investment Fund

Amount

 

Percentage

(Mandatory)

Code (Optional)

 

 

 

 

{PortionType1}

{PortionFund1}

${PortionAmt1}

OR

{PortionPct1}%

{PortionType2}

{PortionFund2}

${PortionAmt2}

{PortionPct2}%

 

{PortionType3}

{PortionFund3}

${PortionAmt3}

 

{PortionPct3}%

4. What do you want to do with your money?

Complete Section A if you wish to make your distribution payable to only a single destination. For multiple destinations, complete Section B.

A - Send my payment to ONE destination only - Select ONE option only.

Direct Rollover to an IRA or Roth IRA - Complete Section 5A or 5B

Direct Rollover to Employer Sponsored Qualified Plan - Complete Section 5C Payment Directly to Me - Complete Section 5D

Pay to the Plan Trustee for Deposit into the Plan’s Trust Account - A check will be mailed to the Trustee address on record with John Hancock Retirement Plan Services unless EFT instructions are provided in Section 5C. Taxes will not be withheld and a 1099R Form will not be issued. The Plan Trustee will be responsible for implementing the participant's direction and performing the applicable withholding and reporting obligations. Continue to Section 6.

Leave my money in the Plan. You may defer your distribution to a later date. Consult your Plan Administrator. Continue to Section 6.

OR

B - Send my payments to MULTIPLE destinations - If applicable, you may provide separate instructions for the taxable and non taxable money that make up your requested withdrawal.

IRC § 402(c)(2) will apply to any request withdrawing only a portion of the funds in your plan (Section 3B).

Payments directly to you will be deemed to come first from non-taxable amounts (from Non-Roth After-Tax contributions then Roth contributions followed by taxable amounts) in the following order: Non-Roth After-Tax earnings, Roth earnings and Pre-Tax accounts.

Payments directly to you will be processed first. Any remaining funds will be directly rolled over to the appropriate rollover vehicle indicated below.

Your withdrawal will be processed in accordance with the time frame described in our Administrative Guidelines.

GP5479US (2/2021)

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Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

Split my payment - Select all the applicable options below and then complete the next Section.

{F34}

{F36}

{F45}

Pay directly to me $ {TaxDollar}

(Section 5D)

Pre-Tax and Non-Roth After-Tax:

 

 

{F37}

Non Taxable balance directly rolled over to:

 

 

{F38}

Traditional IRA

{F39}

Roth IRA

{F40}

Employer Sponsored Qualified Plan

 

 

(Section 5A)

 

(Section 5B)

 

(Section 5C)

{F41}

Taxable balance directly rolled over to:

 

 

 

{F42}

Traditional IRA

{F43}

Roth IRA

{F44}

Employer Sponsored Qualified Plan

 

 

(Section 5A)

 

(Section 5B)

 

(Section 5C)

Roth:

 

 

 

 

 

Directly rolled over to:

 

 

 

 

 

{F46}

Roth IRA

{F47}

A Designated Roth Account

 

 

(Section 5B)

 

in an Employer-Sponsored Qualified Plan

(Section 5C)

5. Where do you want your money sent?

Select and complete option(s) A, B, C, and/or D (as applicable)

Federal law requires that 20% of the taxable amount of an eligible rollover distribution be withheld, unless payment is directly rolled over to an eligible retirement plan. The amount withheld may not represent your entire tax bill. The rollover will be reported to the IRS and you are responsible for the payment of the income tax(es) that apply in connection with the rollover. Please refer to the Special Tax Notice provided by your Plan Administrator regarding these tax rules. Contact your tax advisor or Plan Administrator if you have any questions.

A - Traditional IRA

{F51} Direct Rollover to the following John Hancock product. Your funds will be transferred automatically by wire. You must provide the account number. For more information contact John Hancock at 1-888-695-4472.

Elect one:

{F49}

{F53}

{F52}

John Hancock Investments Rollover IRA

Account Number: {AccNum1}

 

 

 

John Hancock Managed IRA

Account Number: {AccNum2}

 

 

 

John Hancock GIFL Rollover Variable Annuity IRA

Account Number: {AccNumG1}

 

 

 

OR

 

 

 

{F55} Direct Rollover to another Financial Institution

Account Number: {AccNum3}

 

 

{RO_ Inst_Name}

 

 

 

 

Financial Institution Name

 

 

 

 

{RO_ Inst_Addr}

 

 

 

 

Financial Institution Address – Street, City, State, Zip Code, Country

 

 

 

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions on file with John Hancock Retirement Plan Services, as established by the Plan Trustee.

 

Expected Delivery: •

Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

 

Electronic Fund Transfer Details

 

 

 

 

Direct Deposit

OR

Wire – Verify with receiving bank if they accept wires and/or charge a fee

 

Provide Domestic Bank details:

 

 

 

{BankName}

 

 

 

 

 

Bank Name

 

 

 

 

 

{BankABA}

 

 

{BankAcctNo}

 

 

Bank ABA/Routing (9 digits)

 

 

Bank Account No.

 

{F64}

For international banks, complete and attach the International Banking Instructions form.

GP5479US (2/2021)

 

 

 

Page 3 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

B - Roth IRA

{F62} Direct Rollover to the following John Hancock product. Your funds will be transferred automatically by wire. You must provide the account number. For more information contact John Hancock at 1-888-695-4472.

Elect one:

{F66}

{F68}

{F69}

John Hancock Investments Rollover IRA

Account Number: {AccNumR1}

 

 

 

John Hancock Managed IRA

Account Number: {AccNumR2}

 

 

 

John Hancock GIFL Rollover Variable Annuity IRA

Account Number: {AccNumRG1}

 

 

 

OR

 

 

 

{F72} Direct Rollover to another Financial Institution

Account Number: {AccNumR3}

 

 

{RO_ Inst_NameR}

 

 

 

 

Financial Institution Name

 

 

 

 

{RO_ Inst_AddrR}

 

 

 

 

Financial Institution Address – Street, City, State, Zip Code, Country

 

 

 

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions on file with John Hancock Retirement Plan Services, as established by the Plan Trustee.

Expected Delivery: •

Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

Electronic Fund Transfer Details

 

 

 

Direct Deposit

OR

Wire – Verify with receiving bank if they accept wires and/or charge a fee

Provide Domestic Bank details:

 

 

{BankNameR}

 

 

 

 

Bank Name

 

 

 

 

{BankABAR}

 

 

{BankAcctNoR}

 

Bank ABA/Routing (9 digits)

 

 

Bank Account No.

{F82}

For international banks, complete and attach the International Banking Instructions form.

C - Employer Sponsored Qualified Plan

The Trustee of {Trustee_Name}

 

{PContractNum}

 

Plan Name

 

Plan Account Number

{RO_ Inst_NameEP}

 

 

Financial Institution Name

 

 

{RO_ Inst_AddrEP}

 

 

Financial Institution Address – Street, City, State, Zip Code, Country

 

 

GP5479US (2/2021)

Page 4 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions on file with John Hancock Retirement Plan Services, as established by the Plan Trustee.

Expected Delivery: •

Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

Electronic Fund Transfer Details

 

 

 

Direct Deposit

OR

Wire – Verify with receiving bank if they accept wires and/or charge a fee

Provide Domestic Bank details:

 

 

{BankNameEP}

 

 

 

 

Bank Name

 

 

 

 

{BankABAEP}

 

 

{BankAcctNoEP}

 

Bank ABA/Routing (9 digits)

 

 

Bank Account No.

{F93}

For international banks, complete and attach the International Banking Instructions form.

D - Payment Directly to Me – All applicable taxes will be withheld

Federal Tax

A taxable distribution (and, if applicable, each outstanding loan balance) is subject to 20% mandatory minimum federal tax withholding for a U.S. person (including a U.S. resident alien).

To request a higher tax rate, specify a whole number above 20%: {TaxPercent} % (refer to DOL Field Assistance Bulletin 2004-02 for details).

OR {F96} I am neither a U.S. person nor a U.S. resident alien. Country of residence: {CountryRes}

Unless I have attached a completed IRS Form W-8BEN, withholding federal tax of 30% will apply.

GP5479US (2/2021)

Page 5 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

State Tax Withholding Instructions

State of

Enter state of residence at time of withdrawal if state tax withholding should be taken for a state

Residence

other than the state provided to us.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State of Residence

 

Options for State Tax Withholding

 

 

 

 

 

 

 

 

 

 

 

 

AR, DC, KS, MA, MD, ME, NC, NE,

You may not opt out. Since your distribution was subject to federal income tax, these states

OK, VA, VT

 

require mandatory state withholding based on the states’ applicable minimum requirements.

 

 

 

 

 

 

 

 

 

 

 

 

Generally, state tax withholding will be applied to your taxable distribution at the rate of

 

 

6.99%. However, if you elected a partial withdrawal, a flat dollar amount may be withheld

 

 

instead, but the amount must be calculated based on a completed CT-W4P form provided to

CT

 

the Plan Administrator. If no amount is indicated, 6.99% will be withheld.

 

 

{F100}

I elected a partial distribution on this form and provided a completed CT-W4P to my

 

 

 

Plan Administrator. The calculated amount to be withheld is: ${TaxDollar6}

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State tax withholding will be applied to your taxable distribution unless one of the following

 

 

boxes is checked below:

 

 

 

 

 

{F98}

I elect to opt out of withholding. (This option is only available for residents of Michigan.)

MI, IA

 

{F99}

I am eligible to claim exemption of $ {TaxDollar2}

; withhold tax only on the

 

 

 

 

 

 

 

 

 

 

 

 

 

taxable, distributed amount that is in excess of the exempt amount.

 

 

If you check one of the boxes above, you are required to return a completed Form W-4P to

 

 

your Plan Administrator. Ensure that the election made above is consistent with the election

 

 

made on your completed Form W-4P.

 

 

 

 

 

 

 

 

 

 

CA, OR

 

You may opt out of the mandatory state withholding by checking here. {F101}

 

 

 

 

 

 

 

AL, CO, DE, GA, ID, IL, IN, KY, LA,

You may elect voluntary state income tax withholding by providing a percentage or whole

dollar amount to be applied for state tax withholding here. Some states mandate a minimum

MN, MO, MT, ND, NJ, NM, OH,

and/or maximum percentage.

 

 

 

SC, UT, WV, WI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

{TaxPercent2} % or $ {TaxDollar3}

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions on file with John Hancock Retirement Plan Services, as established by the Plan Trustee.

Expected Delivery: • Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

Electronic Fund Transfer Details

 

 

 

Direct Deposit – My personal bank account is

Checking

OR

Savings

OR

 

 

 

Wire – Verify with receiving bank if they accept wires and/or charge a fee

Provide domestic bank details:

{BankName4}

Bank Name

{BankABA4}

 

{BankAcctNo4}

 

 

 

Bank ABA/Routing (9 digits)

 

Bank Account No.

{F111}For international banks, complete and attach the International Banking Instructions form.

6. Waiver of Waiting Period

In general, you have a right to a period of at least 30 days to consider the decision of whether to elect a withdrawal from the day that you receive the Special Tax Notice from your Plan Administrator. However, if your plan permits, you may elect to waive this 30-day waiting period and have your benefit paid earlier. To waive the waiting period, check below:

I wish to waive the 30-day waiting period

The information provided in this section shall not be maintained or acted upon by John Hancock Retirement Plan Services.

GP5479US (2/2021)

Page 6 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

7. Participant Signature

If my withdrawal is made from Funds with the Guaranteed Income feature, I acknowledge that I have read and reviewed the Guaranteed Income feature brochure and fully understand the consequences and impact that my withdrawal will have on my Benefit Base and other benefits provided by this feature. I understand that a brief outline of the terms and conditions governing my withdrawal is also contained in the summary entitled “Important Information about the Guaranteed Income Feature” which can be found on the John Hancock Retirement Plan Services participant website or obtained from my Plan Administrator.

John Hancock Retirement Plan Services may charge a fee for this withdrawal request. Other charges or fees may also apply. Please refer to your plan’s 404a-5 Plan & Investment Notice available on the participant website at www.johnhancock.com/myplan for further details.

For participants under a contract issued by John Hancock Life Insurance Company of New York, any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claims for each such violation. For all other states, civil penalties may apply.

Certification required of U.S. persons only (including U.S. citizens or U.S. resident aliens).

Under penalties of perjury, I certify that:

1.The number shown in Section 1 of this form is my correct taxpayer identification number, and

2.I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and

3.I am a U.S. citizen or other U.S. person, including a U.S. resident alien (as defined in the IRS Form W-9 instructions).

Certification Instructions

You must check the box below if you have been notified by the IRS that you are currently subject to backup withholding because you failed to report all interest and dividends on your tax return.

{FCB1} I am subject to backup withholding as a result of a failure to report all interest and dividends.

Since the Plan is an account held in the United States, you are not required to provide a code indicating that you are exempt from FATCA reporting.

The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

Please note that, by signing this form, you declare that you make the above certifications under penalties of perjury. Under penalties of perjury, I certify the above statements.

 

 

{FNamePrint}

 

{FSigDate}

Signature of Participant

 

Name - please print

 

Date

The following sections are to be completed by the Plan Representative.

8. Withdrawal Details

Has the final contribution been submitted for this participant?

If the final payroll for this participant has not been submitted

to John Hancock Retirement Plan Services, provide the final payroll ending date.

If a date is provided, John Hancock Retirement Plan Services will coordinate processing of this distribution with receipt of the final payroll to avoid additional contribution payouts that often remain uncashed.

Is the participant withdrawing In-Plan Roth Rollover (IRR) assets?

For a total withdrawal, we will report the original rollover amount processed as the amount allocable to IRR assets. For a partial withdrawal, provide the amount allocable to IRR assets $ {TaxDollar4}

Note: All Roth assets held by the participant would need to be taken into consideration when calculating the amount allocable to the IRR. If left blank, we will report the amount requested as being first allocable to the IRR assets.

GP5479US (2/2021)

Page 7 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

It is important that information on the allocable amount be provided to John Hancock Retirement Plan Services if this allocation order is not consistent with the terms of your Plan.

IRS Distribution Code

The applicable IRS distribution code will be based on the type of distribution and/or age of the participant.

If the early distribution exception code applies check here.

(Code 2 will be applied)

Code B will be included with the applicable code if the distribution includes Designated Roth contributions and the combination is valid.

Loans

If a loan is active at time of distribution (Termination, Retirement or Disability), we will apply the applicable age dependent loan distribution code.

Loans can only be rolled over to an employer sponsored qualified plan.

If the loan rollover code applies check here.

(Code G will be applied)

Vesting percentage(s)

Vesting is mandatory for partial and total termination, retirement, disability and total early/pre-retirement withdrawals.

The unvested money will be forfeited using instructions given in the Employer Unvested Money section below. For all other withdrawals vesting is not required.

% for ALL Employer money types

OR

Vesting varies by money type as indicated below

Money Type

%

 

 

ER Match

{VestPct}

Profit Sharing

{VestPct2}

Employer Unvested Money

Other ER Money

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{VestPct3}

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Other ER Money

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{VestPct6}

If no box is selected below, direction for forfeitures previously provided to John Hancock will be applied to any unvested money in the participant’s account. If no direction for forfeitures has been provided and no box is selected below, any unvested money will remain in the participant’s account invested according to the current investment instructions.

If you determine the unvested portion of the account is not forfeitable, then you may wish to select leave in participant’s account as invested so that the participant continues to have the ability to direct the investment of the full balance of his/her account (including any unvested money).

Transfer to Cash Account

Pay outstanding John Hancock charges

Refund to Plan Trustee

Leave in Participant account and transfer to default fund

 

Leave in Participant account as invested

9. Third Party Administrator (TPA) Withdrawal Fee

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Invested Balance

John Hancock Retirement Plan Services is not responsible for any uncollected fee amounts as a result of insufficient funds. These shortages will be reported on the transaction and summary confirmations.

No Fee will be applied if this section is not completed.

GP5479US (2/2021)

Page 8 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

10. Trustee/Authorized Signer Signature

If the participant fails to sign the Signature section, the Trustee/Authorized Signer below certifies, under penalties of perjury, that based on the plan sponsor's record, (i) the name shown on this form is the legal name of the participant; (ii) the number shown on this form is the correct taxpayer identification number (Social Security Number) of the participant; and, (iii) the participant is a U.S. person (including a U.S. resident alien) unless indicated otherwise above. I acknowledge that John Hancock Retirement Plan Services will rely on this certification in determining the tax withholding and reporting requirements applicable to the requested distribution and agree to hold John Hancock Retirement Plan Services harmless for any errors made in reliance upon this certification.

I hereby authorize John Hancock Retirement Plan Services to rely and act upon the instructions provided on this form. I understand that it is my responsibility to ensure that the withdrawal(s) requested herein are permitted by law and, if applicable, consistent with the terms of the Plan. If the amount withdrawn is paid directly to the Plan Trustee, I also agree and acknowledge that I am responsible for the proper handling of the funds in accordance with the requirements of the law.

I certify that all the above information is complete and correct, that the required participant elections and consent and, if applicable, spousal consent for married participants as required by IRC Sec. 417, have been properly obtained, and that the funds being withdrawn are not for the purpose of prohibited transactions as defined in IRC Sec. 4975. I also certify that all necessary and applicable information required to be furnished to the participant under IRC Sec. 417 and an explanation of the direct rollover option and related tax rules required by IRC Sec. 402 have been provided. I also certify that, if applicable, (i) the participant has waived the 30-day waiting period; and (ii) the Withholding Certificate for Pension or Annuity Payments (Form W-4P) for the states of Michigan and Iowa have been properly obtained, completed in accordance with Michigan and Iowa law, and that any amount exempt from state tax withholding described above accurately reflects such Withholding Certificate submitted by the participant.

In the event that the participant is under the age of 18, I certify that consent to this request has been obtained from the parent or legal guardian authorized to act on the participant's behalf.

I hereby direct John Hancock Retirement Plan Services to pay to the Third Party Administrator currently on record the above referenced fee (if applicable). I understand that this fee will be deducted from the participant's account balance at the time of the distribution using standard withdrawal protocol and will be held in the general business account of John Hancock Retirement Plan Services until paid to the Third Party Administrator. I hereby represent that this fee is in accordance with the fee schedule that has been approved by the plan's trustee or named fiduciary as reasonable and authorized under the terms of the plan.

On behalf of the Plan Sponsor, the Plan and its related trust, and the Plan Trustee or named Fiduciary, I further agree to indemnify and hold harmless John Hancock Retirement Plan Services, its employees, agents, directors, and officers from any liability, penalties, and taxes that may be incurred as a result of the requested distribution giving rise to one or more prohibited transactions or for implementing requests (including, if applicable, a direct rollover request) based solely on the instructions provided on this form, or if any of the certifications provided on this form are incorrect.

 

 

{FNamePrint}

 

{FSigDate}

Signature of Trustee/Authorized Signer

 

Name - please print

 

Date

GP5479US (2/2021)

Page 9 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

Document Specs

Fact Description
Form Identifier GP5479US
Issue Date February 2021
Purpose Used for withdrawals eligible for rollover from retirement plans managed by John Hancock.
Rollover Options Includes options for rollover to a John Hancock IRA, another IRA, new employer-sponsored plan, or taking a cash distribution.
Cash Distribution Warning Advises that taxes and penalties may apply to cash distributions.
Taxation Information Highlights that a 1099R form will be issued for each distribution and loan default by January 31 of the following year.
Issuer John Hancock Life Insurance Company (U.S.A.) and John Hancock Life Insurance Company of New York.
State Specific Notices Product features and availability may differ by state.
Investment Advice Disclaimer John Hancock does not provide impartial investment advice or advice in a fiduciary capacity unless specifically stated.
Contact Information Contact number for John Hancock Rollover Specialists is 1-888-695-4472.
Online Calculator Advises visiting www.JHCashOutCalculator.com for understanding the impact of cashing out.

Instructions on Writing Gp5479Us

Filling out the GP5479US form is a key step in managing your retirement plan, especially when considering a cash distribution or rolling over your savings. This form allows you to specify how you want to handle your retirement plan savings with John Hancock, whether you're changing jobs, retiring, or considering other options for your plan. It’s essential to approach this process with attention to detail to ensure that your withdrawal or rollover aligns with your financial goals and complies with the guidelines provided by John Hancock. Below are the detailed steps to fill out the form accurately.

  1. Begin with Section 1: General Information. Enter the Contractholder Name and Contract Number as they appear on your plan documentation.
  2. In Section 1, fill in your name as it appears on your Social Security Card in the Participant Name field, followed by your Social Security Number and Date of Birth.
  3. Provide your current address, including City, State, Zip Code, and Country in the designated fields.
  4. Move to Section 2: Reason for Withdrawal. Select only one option that best describes the reason for your withdrawal (e.g., Termination, Retirement, Disability).
  5. In Section 3, decide how much you want to withdraw. If choosing a total withdrawal, mark option A. For partial withdrawals, mark option B and specify amounts or percentages from each eligible money type.
  6. Section 4 asks what you want to do with your money. For a single destination, complete Section A; for multiple destinations, complete Section B. Make sure to fill out corresponding details in Section 5 based on your selection.
  7. In Section 5, provide details about where you want your money sent. This may include direct rollover to an IRA or another retirement plan. Specify the financial institution’s name, address, and account numbers as required.
  8. For direct rollover options, include electronic fund transfer information if you prefer the funds to be transferred directly rather than by check.
  9. Review all sections carefully. If any changes are made, they must be initialed in pen. Using correction fluid or erasing is not allowed.
  10. Once Sections 1 through 7 are completed by you, the form must be returned to your Plan Representative for review and completion of Sections 8 through 10.

After filling out and submitting the form, your request will undergo processing according to John Hancock's standard timelines and procedures. Be mindful that your plan may require additional documentation or information before the request can be finalized. Stay in contact with your Plan Representative and John Hancock to ensure all requirements are met and to address any questions or concerns you may have during the process.

Understanding Gp5479Us

What is the GP5479US form?

The GP5479US form is a document designed for individuals who are considering or have decided to make a withdrawal from their retirement plan with John Hancock. This form facilitates the process of electing a distribution or rollover from an eligible retirement plan.

Who should use the GP5479US form?

Individuals changing jobs, retiring, or otherwise needing to make a decision about the distribution of their retirement plan savings at John Hancock should use this form. It's also for those looking into cashing out or rolling over their savings to a different plan or IRA.

Can I take a cash distribution using this form?

Yes, the form allows for the option to take a cash distribution. However, it's important to be aware that taxes and penalties may apply to cash distributions. Using the JHCashOutCalculator.com is recommended to see how cashing out could affect your savings.

What are the rollover options available with the GP5479US form?

With the GP5479US form, you can roll over to a John Hancock IRA, another IRA, or a new employer-sponsored plan. It allows for choosing the destination of your rollover to suit your future retirement planning needs.

Are there any tax implications associated with filling out the GP5479US form?

Yes, each distribution option has its own potential tax implications. Taking cash distributions can lead to taxes and penalties, and choosing a rollover option will have different tax consequences. It is advised to seek advice from independent professional advisors to understand your specific circumstances and tax obligations.

What if I need assistance filling out the form?

You can call John Hancock at 1-888-695-4472 for assistance. Rollover Specialists are available to help answer questions about your options and guide you through the process, including completing the necessary paperwork.

How do I submit the GP5479US form?

After filling out the required sections of the form, return it to your plan representative as directed by your plan administrator. Make sure to follow the instructions provided to ensure proper handling and processing of your request.

What happens if I provide new address information on this form?

If you provide a new or different address than what is currently on record with John Hancock Retirement Plan Services, they will update their records accordingly. Remember to include revised employee information in your next census submission to avoid information mismatch.

When will I receive a 1099R form if I take a distribution?

A 1099R form will be issued for each distribution and loan default, if applicable, by January 31 of the following year. This form is important for your tax reporting, as it details the distributions you've taken from your pension, annuity, retirement or profit-sharing plans, IRAs, insurance contracts, etc.

Common mistakes

Individuals often encounter various pitfalls when filling out the GP5479US form, a crucial step for those considering a rollover from their John Hancock retirement plan. Several common errors can hamper the process, leading to delays or unwanted tax implications. Understanding these mistakes is vital to ensuring a smooth transition of funds.

Firstly, a frequent oversight occurs in the General Information section, where participants inaccurately record their personal details or fail to update their address and contact information. This basic error can lead to significant delays in processing the form, as accurate and current information is critical for the plan administrator to execute the rollover or withdrawal accurately.

Another common mistake is in selecting the reason for withdrawal (Section 2). Participants may choose an incorrect reason that doesn't align with their actual situation or the plan's provisions. This misstep can not only cause processing delays but might also result in unfavorable tax implications if the withdrawal reason doesn't qualify for rollover treatment.

In Section 3, detailing the withdrawal amount, participants often enter ambiguous or incorrect figures. Some may fail to specify whether they are withdrawing a percentage or a fixed dollar amount, leading to confusion and incorrect withdrawal amounts. Additionally, neglecting to choose between a total or partial withdrawal can complicate the intended distribution of funds.

When deciding what to do with the withdrawn funds (Section 4), a crucial error includes not properly indicating the desired destination for the rollover, such as an IRA, another employer's plan, or opting for a direct payment. Mislabeled or incomplete destination details can cause funds to be transferred incorrectly, potentially generating unforeseen tax liabilities and penalties.

A significant error occurs in failing to accurately complete the destination details in Section 5, especially when electing a direct rollover to an IRA or another retirement plan. Participants often omit crucial information like the account number or financial institution details, or they might mistakenly provide incorrect routing numbers. These mistakes can lead to failed transactions, requiring time-consuming corrections.

Election of tax withholding in the event of choosing a direct payment to oneself rather than a direct rollover (Section 5D) is another area fraught with error. Participants might overlook or misunderstand the tax implications, including the mandatory 20% withholding on taxable amounts, thus finding themselves unprepared for the immediate tax reduction from their distribution.

Furthermore, inaccuracies in the Electronic Fund Transfer Information can result in funds being delayed or sent to the wrong account. This mistake is particularly consequential for participants opting for a wire transfer or direct deposit, as incorrect banking information can divert funds in an unrecoverable manner.

Last but not least, a common misstep involves participants not attaching required supporting documents or additional information mandated by their plan, as noted in the form's introductory section. This oversight can halt the entire process, as the plan administrator needs this information to verify the participant's eligibility for the chosen distribution option.

In summary, careful attention to detail and an understanding of the form's requirements are essential when completing the GP5479US form. Avoiding these common errors can significantly streamline the rollover or withdrawal process, ensuring that participants can manage their retirement savings effectively and in accordance with their financial goals.

Documents used along the form

When handling your retirement plan with the Gp5479Us form, there are a handful of other documents and forms that can play crucial roles in managing your retirement savings efficiently and effectively. These documents can assist in making informed decisions, understanding your financial position, and ensuring compliance with regulations. Here’s a list of documents often used alongside the Gp5479Us form:

  • Beneficiary Designation Form: This form allows you to designate who will receive the benefits of your retirement plan in the event of your untimely death. It's crucial to keep this updated to reflect your current wishes.
  • Investment Election Form: Use this to choose how your retirement funds are invested within your plan options. It’s key to align your investment choices with your risk tolerance and retirement goals.
  • 401(k) Contribution Form: This document enables you to specify the percentage or amount of your salary you wish to contribute to your 401(k) plan, including adjustments to your contribution levels.
  • Loan Application Form: If your plan permits, this form is used to request a loan against your retirement account’s value. It includes terms for repayment, interest rates, and other relevant loan details.
  • Hardship Withdrawal Form: This is required when you need to make an early withdrawal due to financial hardship. It outlines the specific circumstances under which hardship withdrawals are permitted.
  • Roll-over Form: For transferring existing retirement funds into your current plan without incurring immediate taxes. This is particularly useful when changing jobs or consolidating accounts.
  • Summary Plan Description (SPD): While not a form, this document is essential as it provides detailed information about your plan, including its benefits, features, and rights under the plan.
  • Annual Account Statement: A yearly summary of your account, including contributions, investment earnings, and withdrawals. This statement is vital for tracking the performance of your retirement savings.
  • Special Tax Notice Regarding Plan Payments: This notice explains the tax treatment of distributions from the plan, including the implications of rolling over funds to an IRA or another employer's plan.

Each document serves a unique purpose in the broad context of managing your retirement savings. From defining beneficiaries to making investment choices and understanding tax implications, these forms collectively ensure that you’re making the most of your retirement plan while being aware of its rules and opportunities. Proper use of these documents, in conjunction with the Gp5479Us form, can significantly influence the growth and security of your retirement fund.

Similar forms

The 401(k) Rollover Form is intrinsically linked to the GP5479US form in its purpose of guiding individuals through the transition of retirement savings. Both documents act as a vital bridge, facilitating the seamless movement of funds when changing jobs or retiring, without immediate tax penalties. Specifically, a 401(k) Rollover Form offers choices to either move to a new employer’s plan, roll over to an IRA (Individual Retirement Account), or cash out, which mirrors the GP5479US form’s intention. This alignment empowers individuals to maintain control over their retirement funds, minimizing taxes and making informed decisions that align with their financial goals.

Similarly, the Individual Retirement Account (IRA) Transfer Form shares a significant resemblance to the GP5479US form. It's used when you decide to transfer IRA assets from one institution to another, typically to consolidate accounts or seek better investment options. This form, much like the GP5479US, emphasizes the importance of understanding different investment strategies and their tax implications. By facilitating a direct transfer of funds, it ensures that the account holder does not incur taxes or penalties, a commonality that underscores the strategic movement of retirement savings for optimal financial planning.

The 403(b) Plan Distribution Form is another document that parallels the GP5479US form. Designed for employees of public schools and certain tax-exempt organizations, it guides through the distribution of 403(b) plan funds. Options often include rolling over to an IRA, transferring to a new employer’s 403(b) plan, or taking a distribution. This document underscores the critical nature of making informed decisions concerning retirement funds, closely echoing the GP5479US’s emphasis on the potential tax consequences and financial implications of cashing out or rolling over savings.

The Profit-Sharing Plan Withdrawal Form, while somewhat different in context, aligns closely with the GP5479US form in function and purpose. Profit-sharing plans, offered by some employers, allow employees to share in the profits of the company. When withdrawing from these plans, employees face similar decisions as those outlined in the GP5479US form: rolling over the funds into an IRA or another qualified plan, or opting for a cash distribution. Here, again, the emphasis is on understanding the tax implications and making a choice that supports one’s long-term financial health and retirement goals.

Dos and Don'ts

When filling out the Gp5479Us form for a withdrawal eligible for a rollover from your retirement plan with John Hancock, there are specific do's and don'ts to follow to ensure the process is smooth and correct. These guidelines will help you to avoid common mistakes and make informed decisions regarding your retirement savings.

Do:
  1. Visit www.JHCashOutCalculator.com first to understand the tax implications and penalties of cashing out your savings.

  2. Call John Hancock at 1-888-695-4472 for assistance or review your options with your financial representative to make informed decisions.

  3. Complete Sections 1 through 7 of the form carefully, providing accurate and current information.

  4. Choose your withdrawal reason and amount carefully, understanding the options available under your specific plan.

  5. Be aware of the requirement to provide supporting documents or additional information as specified by your plan.

Don't:
  1. Forget to check with your plan administrator about additional distribution options available under your specific plan.

  2. Ignore the importance of consulting an independent professional advisor for advice based on your particular circumstances.

  3. Fail to initial all changes made on the form, including numbers that are crossed out or corrected.

  4. Select a withdrawal option without understanding the fees, investment options available under your group annuity contract, and other details that could impact your decision.

  5. Neglect to update your participant address if it has changed, to ensure John Hancock Retirement Plan Services have your current information.

Misconceptions

When dealing with the GP5479US form for managing your retirement plan options, especially during job changes or retirement, it's imperative to navigate through common misconceptions accurately. Here, we aim to clarify some of these misunderstandings to ensure informed decision-making.

  • Misconception 1: Cashing out is the only option when leaving an employer.

    This is not true. The GP5479US form clearly outlines multiple options, including keeping your money in the plan, rolling over to a John Hancock IRA, transferring it to another IRA, or moving it to a new employer-sponsored plan. The choice should be based on your financial goals and the tax implications of each option.

  • Misconception 2: Completing the form guarantees immediate processing of your request.

    Processing times can vary. The form mentions that your request is subject to the processing and procedure guidelines contained in John Hancock's Administrative Guidelines for Financial Transactions. It also highlights the need for possibly providing additional documents or information before your request can be processed.

  • Misconception 3: Tax penalties are unavoidable if you cash out.

    While taxes and penalties may apply to cash distributions, as stated on the form, careful planning can minimize or avoid these penalties. For instance, rolling over your savings to an IRA or another employer's plan can defer taxes and avoid early withdrawal penalties.

  • Misconception 4: The form only allows for complete cash withdrawals.

    Section 3 offers options for partial withdrawals, allowing participants to specify how much they want to withdraw, either as a total percentage or by specifying amounts from different types of eligible money. This flexibility can be crucial for tax planning and maintaining investment strategies.

  • Misconception 5: All your funds must go to one destination if you leave them in the plan.

    The form provides options to send payments to multiple destinations, allowing for a split between direct rollovers to IRAs, employer-sponsored qualified plans, or leaving a portion in the plan. This can be particularly useful for diversifying your retirement savings strategy or for tax purposes.

  • Misconception 6: Your only option for rollover is into another John Hancock product.

    While the form does provide options for rolling over into John Hancock products, it equally allows for the direct rollover to other financial institutions. This ensures you have the flexibility to choose a financial product that best suits your retirement planning needs, regardless of the provider.

Understanding these misconceptions about the GP5479US form can provide the clarity needed to make informed decisions that align with your long-term financial wellbeing.

Key takeaways

When considering a distribution from your retirement plan with John Hancock, it is crucial to understand the implications and available options. Here are four key takeaways from the GP5479US form:

  • It is essential to be aware that withdrawing cash from your retirement plan can lead to taxes and penalties. Using tools like the calculator provided at www.JHCashOutCalculator.com can help you see the potential impact on your savings.
  • You are provided with multiple options for what to do with your retirement savings, including keeping your money in the plan, rolling over to a John Hancock IRA, another IRA, a new employer-sponsored plan, or taking a cash distribution. Each choice has its potential benefits and drawbacks, as well as tax consequences.
  • To proceed with any action regarding your retirement plan, you must fill out the attached Withdrawal – Eligible for Rollover Form. You can either do this by calling John Hancock directly for assistance or by completing the form using the instructions given by your plan administrator.
  • Be mindful that there may be a need for additional documents or information before your request can be processed. Moreover, any changes to the information must be initialed in pen, including alterations corrected using correction fluid. A 1099R form will be issued for each distribution by January 31 of the following year, highlighting the necessity to accurately report any transaction.

Making an informed decision about your retirement savings is paramount. Whether you are changing jobs or retiring, understand your options, the associated advantages and disadvantages, and the tax consequences to optimize your financial wellbeing.

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