Sit Required Minimum Distribution Election Form - Sit Mutual Funds - 2016

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REQUIRED MINIMUM DISTRIBUTION ELECTION FORM
1-800-332-5580
P.O. Box 9763, Providence, RI 02940-9763
Overnight Mail: 4400 Computer Drive
Westborough, MA 01581
If you currently receive Required Minimum Distribution (“RMD”) payments and you do not want to make any changes to the amount or payment
schedule, or if you have already satisfied your annual RMD, you DO NOT need to complete or return this form. Note: Failure to withdraw your RMD
amount by the applicable deadline could result in a 50% penalty tax. The penalty tax would be assessed on the difference between the amount that
you were required to take and the amount that was actually distributed, if any. Before making any decision regarding your RMD, we urge you to
consult your tax advisor or tax attorney.
Name: _______________________________________________________________________ Phone Number: _______________________
Type of Account:
Social Security Number: _______-_____-_________
Date of Birth: _____/_____/_____
Traditional IRA
SEP IRA
MM
DD
YY
SIMPLE IRA
DISTRIBUTION ELECTION
– (RMD amounts are calculated on the entire account balance including all of the underlying investments in your IRA.)
Account Number: __________________________________
New RMD election (If new account, prior year end balance $_______________)
Change an existing RMD election
Distribute my RMD from:
Across all funds proportionately (rounding may occur), or
Distribute from fund(s): ___________________________________________________________________________
CALCULATION METHOD
Your RMD amount is calculated in accordance with Internal Revenue Service (“IRS”) regulations. The regulations are explained in IRS Publication
590-B, “Distributions from Individual Retirement Arrangements (IRAs)”, which includes the life expectancy tables used to calculate RMD amounts.
Note: Your RMD will be calculated based on the Uniform Lifetime Table, unless the following exception applies to you and you have indicated so by
checking the box below.
My sole primary beneficiary is my spouse who is more than 10 years younger than I am. I elect to calculate my RMD based on the Joint and
Last Survivor Expectancy Table. Spouse’s Date of Birth: ______/______/______
MM
DD
YY
TYPE OF DISTRIBUTION
Single Sum / One-Time Distribution (options):
Calculate RMD Amount: Calculate and distribute immediately upon receipt of this form my
current year RMD. I understand that I am
responsible for ensuring any future year RMD amounts are satisfied by contacting the Custodian to request subsequent distributions. If you
attained age 70½ last year and you are electing to also distribute your prior year deferred RMD check this box
(must be received
st
st
between January 1
and April 1
).
Distribute a fixed amount of $_______________ immediately upon receipt of this form. I understand that I am responsible for ensuring my
RMD amounts are satisfied each year and for contacting the Custodian to request any subsequent distributions.
Qualified Charitable Distribution (“QCD”) - Check this box if the amount indicated above is a QCD distribution (SEP and SIMPLE IRAs are
excluded). Attach a letter of instruction providing the name of the charity(ies), specific allocation(s) and provide the mailing instructions. The
amount(s) distributed as a QCD must not exceed $100,000. Any amounts in excess of the applicable limit will be distributed based on your
instructions provided in the section titled Payment Method on the next page.
Systematic Distributions (options): (Important: You must also complete “Systematic Distribution Cycle” at the top of page 2.)
Calculate and distribute my current year RMD amount for this year and all subsequent years. I understand that the Custodian will continue
to calculate and distribute my RMD amount for all subsequent years until I notify them to discontinue the payments. If you attained age 70½
st
last year and you are electing to also distribute your prior year deferred RMD check this box
(must be received between January 1
and
st
April 1
). Your prior year deferred amount will be issued as a single sum distributed immediately upon receipt of this form.
Distribute a fixed amount of $____________ for this year and all subsequent years until I notify you to discontinue payments. I understand
that I am responsible for ensuring my RMD amounts are satisfied each year. I also understand that I am responsible for contacting the
Custodian to request any adjustments to the fixed dollar amount or frequency.
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