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Forms and Documents

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  • FormDescriptionPDFDocuSign
    401(k) Account Acceptance for Self-Employed onlyAcknowledgement and signature of acceptance of the terms of a 401(k) account agreementn/aDocuSign Logo
    complete and sign a 401k Account Acceptance for Self-Employed only form online
    401(k) Account Application kit for Self-Employed onlyComplete this application to open your IRA Services Self-Employed 401(k) Traditional or Roth account401k Account Application kit for Self-Employed only downloadDocuSign Logocomplete and sign a 401k Account Application kit for Self-Employed only online
    Acceptable Precious MetalsList of precious metals allowed in an IRA. Also includes a list of precious metals that are not allowed.Acceptable Precious Metals download
    Account AcceptanceAcknowledgement and signature of acceptance of the terms of an IRA account agreementn/aDocuSign Logocomplete and sign an Account Acceptance form online
    Account Disclosure InformationThis disclosure will provide you with information about your self‐directed account and your requirements for managing the account.Account Disclosure Information download
    Account Owner Information ChangeA signature is required on this form to make changes to your address, phone number, and email address.Account Owner Information Change form downloadDocuSign Logocomplete and sign an Account Owner Information Change form online
    Application KitThis kit includes all the necessary forms and instructions to establish a Self-Directed IRA account.Application Kit downloadDocuSign Logo
    complete and sign an Application Kit online
    Beneficiary Designation or ChangesThis is required if you have beneficiaries. If you designate multiple beneficiaries, be sure that you include the percentage attributable to each beneficiary and that the total equals 100%.Beneficiary Designation or Change form downloadDocuSign Logocomplete and sign Beneficiary Designation or Change form online
    Coverdell Education Savings Account Application KitUse this form to establish a new Coverdell Education Savings Account.Coverdell Education Savings Account Application form download
    Coverdell ESA Custodial AgreementThis is the custodial agreement for Coverdell Education Savings Accounts.Coverdell Education Savings Account Custodial Agreement form download
    Delivery InformationWire instructions, checks & document instructions, DTC asset delivery instructions and contact information.Delivery Information form download
    Deposit NotificationUse this form for any deposit other than a custodian to custodian transfer. Our policy is that deposits, in the form of checks, will be held for 3-5 business days (depending on where the check is from) before the funds will be available for investment or disbursement. We will not accept third-party checks, therefore your check must be made payable to “IRA Services Trust Company.”Deposit Notification form downloadDocuSign Logocomplete and sign a Deposit Notification form online
    Direct Deposit (ACH) AuthorizationThis form is for periodic distributions only that are to be sent by direct deposit/ACH.Direct Deposit ACH Authorization form downloadDocuSign Logocomplete and sign a Direct Deposit ACH Authorization form online
    Direct Deposit (ACH) NotificationUse this form to notify us of an incoming direct deposit (ACH). This form must be completed in full by the sender and received by us on the same day that the payment is being sent. If this form is incomplete, or if it is not received by us in a timely manner, funds may be returned to the originating bank.Direct Deposit ACH Notification form downloadDocuSign Logocomplete and sign a Direct Deposit ACH Notification form online
    Distribution RequestUse this form to make a withdrawal payable to yourself.Distribution Request form downloadDocuSign Logocomplete and sign a distribution request form online
    E-Sign Disclosure and Consent AgreementThis IRA Services Individual Retirement Account (IRA) E-Sign Disclosure and Consent Agreement (“Agreement”) must be accepted before you can enroll online for an IRA Services Account. E-Sign Disclosure and Consent Agreement form download
    Expense Payment RequestUse this form to make a payment from your IRA for an expense of the account (e.g., payments of property taxes or asset expenses, etc).Expense Payment Request form downloadDocuSign Logocomplete and sign an Expense Payment Request form online
    Fee Schedule and Financial DisclosureEffective January 1, 2019Fee Schedule and Financial Disclosure form download
    Guide for Professionals and Investment ProvidersImportant things Professionals and Investment Providers need to know regarding our services. Your responsibilities, our responsibilities, prohibited transactions, our Fee Schedule, how to open an account for a client, transaction processing timelines and investment document requirements.Guide for Professionals and Investment Providers download
    Guide for Prospective InvestorsImportant things to know prior to opening an account.Guide for Prospective Investors download
    Incoming Asset QuestionnaireThis form is to be used by all individuals transferring Assets In-Kind to IRA Services Trust Company.Incoming Asset Questionnaire form downloadDocuSign Logocomplete and sign an Incoming Asset Questionnaire online
    In-Kind Investment or Exchange RequestComplete this form to move assets from your IRA to your IRA LLC or from your IRA LLC to your IRA, or if you wish to exchange an asset currently held in your IRA with another asset.In-Kind Investment or Exchange Request form downloadDocuSign Logocomplete and sign an In-Kind Investment or Exchange Request online
    Inherited IRA FormComplete this form if you are establishing an Inherited or Beneficiary IRA. Attach it to the Account Application form.Inherited IRA form downloadDocuSign Logocomplete and sign an Inherited IRA form online
    Internet Access KitComplete this form if you would like online access to your account.Internet Access Kit downloadDocuSign Logocomplete and sign an Internet Access Kit online
    Investment Authorization Form OnlyThis is Investment Authorization form only.Investment Authorization Form downloadDocuSign Logocomplete and sign an Investment Authorization Form online
    Investment Authorization KitThis packet contains the Investment Authorization form, instructions on how to complete the form, Wire Request form, and our Document Requirements list. Complete this packet when you are ready to make your investment. This should accompany any paperwork required by the investment provider.Investment Authorization Kit downloadDocuSign Logocomplete and sign an Investment Authorization Kit online
    Investment Document RequirementsList of required supporting investment documents that must be submitted with the Investment Authorization form.Investment Document Requirements checklist download
    IRA LLC RequirementsPlease read and review the requirements for establishing a private, single-member or family IRA LLC.IRA LLC Requirements download
    IRS Publication 590-A IRS Publication for Contributions to Individual Retirement Arrangements (IRAs) IRS Publication 590-A download
    IRS Publication 590-BIRS Publication for Distributions from Individual Retirement Arrangements (IRAs) IRS Publication 590-B download
    Letter of Acceptance RequestUse this form to request a Letter of Acceptance if your Plan Administrator requires one in order to facilitate a rollover from a qualified retirement plan.Letter of Asset Acceptance form download
    Liquidation RequestUse this form if you want to liquidate (sell) assets into cash.Liquidation Request form download
    LLC AgreementRequired when requesting an investment in a private, single-member or family IRA LLC. Please review, sign and return with your Investment Authorization.LLC Agreement form downloadDocuSign Logocomplete and sign an llc agreement online
    LLC Investing InformationThe do’s and don’ts of investing in an IRA LLC with your IRA.LLC Investing download
    Name ChangeUse this form to notify IRA Services that your name has changed.Name Change form downloadDocuSign Logocomplete and sign a Name Change form online
    Note Modification AuthorizationThis form is to be completed if you wish to modify the terms of a promissory note.Note Modification Authorization form downloadDocuSign Logocomplete and sign a Note Modification Authorization form online
    One and the Same LetterUse this form to notify IRA Services of any slight discrepancies in the way your name is listed on your IRA Services account and the account from which your assets are being transferred.One and the Same Letter form download
    Power of Attorney AffidavitUse this form to certify the validity and effectiveness of the Power of Attorney (POA) that granted you the power to act on behalf of the account owner of the IRA Services accounts listed on this form and to indemnify IRA Services.Power of Attorney Affidavit form downloadDocuSign Logocomplete and sign a Power of Attorney Affidavit form online
    Privacy NoticeList of our policies to maintain your confidentiality.Privacy Notice download
    Prohibited Transactions QuestionnaireInvestors who lend funds from their IRA to a business entity, or invest in a Limited Partnership or Limited Liability Company (exclusive of IRA LLCs) must complete this questionnaire.Prohibited Transactions Questionnaire form downloadDocuSign Logocomplete and sign a Prohibited Transactions Questionnaire online
    Real Estate and Promissory Note Investment Document RequirementsList of documents required for real estate or promissory note investments.Real Estate and Promissory Note Investment Document Requirements download
    Real Estate Investing with your IRAThe do’s and don’ts of investing in real estate with your IRA.Real Estate Investing with your IRA download
    Representative AuthorizationComplete this form if you want to designate an individual as an authorized representative on your account, granting them access to your account information.Representative Authorization Request form downloadDocuSign Logocomplete and sign a Representative Authorization Request form online
    Representative Information ChangeUse this form to update the information of an authorized representative.Representative Information Change form downloadDocuSign Logocomplete and sign a Representative Information Change form online
    Representative Internet Access RequestFor individuals or entities that have been designated as an authorized representative: You must complete this form to establish or manage online access to your clients’ accounts, and to change your Email Notification Service preferences.Representative internet Access Request Kit downloadDocuSign Logocomplete and sign a Representative internet Access Request Kit online
    Representative KitFor account representatives and investment sponsors: A complete portfolio containing the forms necessary to assist your clients in establishing their self-directed account, funding it and/or transferring assets from another IRA or qualified retirement plan, and making an investment.IRA Representative Kit download
    RMD Asset In-Kind Request FormUse these forms to request an RMD distribution from your account.RMD Asset In-Kind Request Form downloadDocuSign Logocomplete and sign a RMD Asset In-Kind Request Form online
    RMD Cash Distribution Request FormUse these forms to request an RMD distribution from your account.RMD Cash Distribution Request Form downloadDocuSign Logocomplete and sign a RMD Cash Distribution Request Form online
    Roth Conversion and Recharacterization RequestUse this form to request one of the following: a Roth Conversion (conversion from a Traditional IRA, Simple or SEP account to a Roth IRA), or a Recharacterization (correct a contribution or conversion from one account to another).Roth Conversion and Recharacterization Request form downloadDocuSign Logocomplete and sign a Roth Conversion and Recharacterization Request form online
    Roth IRA Custodial AgreementCustodial agreement for Roth accounts.Roth IRA Custodial Agreement download
    SEP IRA Employer AgreementThis form must be completed by the employer and submitted with the Account Application Form.SEP IRA Employer Agreement form download
    SIMPLE IRA Custodial AgreementCustodial agreement for SIMPLE accounts.SIMPLE IRA Custodial Agreement download
    SIMPLE IRA Employer AgreementThis form must be completed by the employer and submitted with the Account Application Form.SIMPLE IRA Employer Agreement form download
    Traditional and Roth IRA Combined Disclosure StatementDisclosure statement required by federal tax regulations.Traditional and Roth IRA Combined Disclosure Statement download
    Traditional IRA Custodial AgreementCustodial agreement for Traditional accounts.Traditional IRA Custodial Agreement download
    Transfer Authorization Cash Only Instructions & FormComplete this form if you wish to transfer cash only from another IRA custodian.Transfer Authorization Cash Only Kit downloadRequires original signature
    Transfer Authorization Instructions & FormComplete this form if you wish to transfer cash and/or assets in-kind from another IRA custodian.Transfer Authorization Instructions and Form downloadRequires original signature
    Valuation for LLC (Individual / Family)Before completing a Valuation Form, you may be able to submit your valuation online without completing any forms.
    If you have a ROTH account please use the online portal.
    You cannot use the portal if you have a Traditional IRA and are 70 years of age or older or if you have an inherited IRA
    and are required to take a distribution. You cannot use the portal if the valuation is for a ROTH conversion or other taxable event.
    Click here to go to the ONLINE PORTAL
    IRA LLC Valuation Worksheet Individual and Family download
    Valuation for other IRA AssetsTo be submitted annually to report the fair market value of your assets. Do NOT use this form for Private LLC or Real Estate Valuations if your asset can be updated using our Online Valuation.
    Click here to go to the ONLINE PORTAL
    asset valuation worksheet download
    Valuation for Real EstateUse this form to report the fair market value of real estate property.
    Click here to go to the ONLINE PORTAL
    Real Estate Valuation Worksheet download
    Wire RequestRequest a disbursement or distribution via wire transfer.wire transfer request form downloadDocuSign Logocomplete and sign a wire transfer request form online
  • FormDescriptionPDFDocuSign
    401(k) Account Acceptance for Self-Employed onlyAcknowledgement and signature of acceptance of the terms of a 401(k) account agreementn/aDocuSign Logo
    complete and sign a 401k Account Acceptance for Self-Employed only form online
    401(k) Account Application kit for Self-Employed onlyComplete this application to open your IRA Services Self-Employed 401(k) Traditional or Roth account401k Account Application kit for Self-Employed only downloadDocuSign Logocomplete and sign a 401k Account Application kit for Self-Employed only online
    Rollover Instructions for Retirement PlansFollow these instructions if you will rollover a qualified retirement plan (e.g. 401K) into your IRA Services account.Rollover Kit downloadDocuSign Logo
    complete and sign Rollover Kit online
  • FormDescriptionPDFDocuSign
    401(k) Account Application kit for Self-Employed onlyComplete this application to open your IRA Services Self-Employed 401(k) Traditional or Roth account401k Account Application kit for Self-Employed only downloadDocuSign Logocomplete and sign a 401k Account Application kit for Self-Employed only online
    Application KitThis kit includes all the necessary forms and instructions to establish a Self-Directed IRA account.Application Kit downloadDocuSign Logo
    complete and sign an Application Kit online
    Inherited IRA FormComplete this form if you are establishing an Inherited or Beneficiary IRA. Attach it to the Account Application form.Inherited IRA form downloadDocuSign Logocomplete and sign an Inherited IRA form online
  • FormDescriptionPDFDocuSign
    Account Owner Information ChangeA signature is required on this form to make changes to your address, phone number, and email address.Account Owner Information Change form downloadDocuSign Logocomplete and sign an Account Owner Information Change form online
    Beneficiary Designation or ChangesThis is required if you have beneficiaries. If you designate multiple beneficiaries, be sure that you include the percentage attributable to each beneficiary and that the total equals 100%.Beneficiary Designation or Change form downloadDocuSign Logocomplete and sign Beneficiary Designation or Change form online
    Name ChangeUse this form to notify IRA Services that your name has changed.Name Change form downloadDocuSign Logocomplete and sign a Name Change form online
    One and the Same LetterUse this form to notify IRA Services of any slight discrepancies in the way your name is listed on your IRA Services account and the account from which your assets are being transferred.One and the Same Letter form download
    Power of Attorney AffidavitUse this form to certify the validity and effectiveness of the Power of Attorney (POA) that granted you the power to act on behalf of the account owner of the IRA Services accounts listed on this form and to indemnify IRA Services.Power of Attorney Affidavit form downloadDocuSign Logocomplete and sign a Power of Attorney Affidavit form online
    Representative Information ChangeUse this form to update the information of an authorized representative.Representative Information Change form downloadDocuSign Logocomplete and sign a Representative Information Change form online
  • FormDescriptionPDFDocuSign
    Coverdell ESA Custodial AgreementThis is the custodial agreement for Coverdell Education Savings Accounts.Coverdell Education Savings Account Custodial Agreement form download
    E-Sign Disclosure and Consent AgreementThis IRA Services Individual Retirement Account (IRA) E-Sign Disclosure and Consent Agreement (“Agreement”) must be accepted before you can enroll online for an IRA Services Account. E-Sign Disclosure and Consent Agreement form download
    LLC AgreementRequired when requesting an investment in a private, single-member or family IRA LLC. Please review, sign and return with your Investment Authorization.LLC Agreement form downloadDocuSign Logocomplete and sign an llc agreement online
    Roth IRA Custodial AgreementCustodial agreement for Roth accounts.Roth IRA Custodial Agreement download
    SEP IRA Employer AgreementThis form must be completed by the employer and submitted with the Account Application Form.SEP IRA Employer Agreement form download
    SIMPLE IRA Custodial AgreementCustodial agreement for SIMPLE accounts.SIMPLE IRA Custodial Agreement download
    SIMPLE IRA Employer AgreementThis form must be completed by the employer and submitted with the Account Application Form.SIMPLE IRA Employer Agreement form download
    Traditional and Roth IRA Combined Disclosure StatementDisclosure statement required by federal tax regulations.Traditional and Roth IRA Combined Disclosure Statement download
    Traditional IRA Custodial AgreementCustodial agreement for Traditional accounts.Traditional IRA Custodial Agreement download
  • FormDescriptionPDFDocuSign
    Account Disclosure InformationThis disclosure will provide you with information about your self‐directed account and your requirements for managing the account.Account Disclosure Information download
    Coverdell Education Savings Account Application KitUse this form to establish a new Coverdell Education Savings Account.Coverdell Education Savings Account Application form download
    Coverdell ESA Custodial AgreementThis is the custodial agreement for Coverdell Education Savings Accounts.Coverdell Education Savings Account Custodial Agreement form download
    Fee Schedule and Financial DisclosureEffective January 1, 2019Fee Schedule and Financial Disclosure form download
    Privacy NoticeList of our policies to maintain your confidentiality.Privacy Notice download
  • FormDescriptionPDFDocuSign
    Delivery InformationWire instructions, checks & document instructions, DTC asset delivery instructions and contact information.Delivery Information form download
    Deposit NotificationUse this form for any deposit other than a custodian to custodian transfer. Our policy is that deposits, in the form of checks, will be held for 3-5 business days (depending on where the check is from) before the funds will be available for investment or disbursement. We will not accept third-party checks, therefore your check must be made payable to “IRA Services Trust Company.”Deposit Notification form downloadDocuSign Logocomplete and sign a Deposit Notification form online
    Direct Deposit (ACH) NotificationUse this form to notify us of an incoming direct deposit (ACH). This form must be completed in full by the sender and received by us on the same day that the payment is being sent. If this form is incomplete, or if it is not received by us in a timely manner, funds may be returned to the originating bank.Direct Deposit ACH Notification form downloadDocuSign Logocomplete and sign a Direct Deposit ACH Notification form online
    Incoming Asset QuestionnaireThis form is to be used by all individuals transferring Assets In-Kind to IRA Services Trust Company.Incoming Asset Questionnaire form downloadDocuSign Logocomplete and sign an Incoming Asset Questionnaire online
    Letter of Acceptance RequestUse this form to request a Letter of Acceptance if your Plan Administrator requires one in order to facilitate a rollover from a qualified retirement plan.Letter of Asset Acceptance form download
    Transfer Authorization Cash Only Instructions & FormComplete this form if you wish to transfer cash only from another IRA custodian.Transfer Authorization Cash Only Kit downloadRequires original signature
    Transfer Authorization Instructions & FormComplete this form if you wish to transfer cash and/or assets in-kind from another IRA custodian.Transfer Authorization Instructions and Form downloadRequires original signature
  • FormDescriptionPDFDocuSign
    Direct Deposit (ACH) AuthorizationThis form is for periodic distributions only that are to be sent by direct deposit/ACH.Direct Deposit ACH Authorization form downloadDocuSign Logocomplete and sign a Direct Deposit ACH Authorization form online
    Distribution RequestUse this form to make a withdrawal payable to yourself.Distribution Request form downloadDocuSign Logocomplete and sign a distribution request form online
    Expense Payment RequestUse this form to make a payment from your IRA for an expense of the account (e.g., payments of property taxes or asset expenses, etc).Expense Payment Request form downloadDocuSign Logocomplete and sign an Expense Payment Request form online
    RMD Asset In-Kind Request FormUse these forms to request an RMD distribution from your account.RMD Asset In-Kind Request Form downloadDocuSign Logocomplete and sign a RMD Asset In-Kind Request Form online
    RMD Cash Distribution Request FormUse these forms to request an RMD distribution from your account.RMD Cash Distribution Request Form downloadDocuSign Logocomplete and sign a RMD Cash Distribution Request Form online
    Wire RequestRequest a disbursement or distribution via wire transfer.wire transfer request form downloadDocuSign Logocomplete and sign a wire transfer request form online
  • FormDescriptionPDFDocuSign
    Acceptable Precious MetalsList of precious metals allowed in an IRA. Also includes a list of precious metals that are not allowed.Acceptable Precious Metals download
    Incoming Asset QuestionnaireThis form is to be used by all individuals transferring Assets In-Kind to IRA Services Trust Company.Incoming Asset Questionnaire form downloadDocuSign Logocomplete and sign an Incoming Asset Questionnaire online
    In-Kind Investment or Exchange RequestComplete this form to move assets from your IRA to your IRA LLC or from your IRA LLC to your IRA, or if you wish to exchange an asset currently held in your IRA with another asset.In-Kind Investment or Exchange Request form downloadDocuSign Logocomplete and sign an In-Kind Investment or Exchange Request online
    Investment Authorization Form OnlyThis is Investment Authorization form only.Investment Authorization Form downloadDocuSign Logocomplete and sign an Investment Authorization Form online
    Investment Authorization KitThis packet contains the Investment Authorization form, instructions on how to complete the form, Wire Request form, and our Document Requirements list. Complete this packet when you are ready to make your investment. This should accompany any paperwork required by the investment provider.Investment Authorization Kit downloadDocuSign Logocomplete and sign an Investment Authorization Kit online
    Investment Document RequirementsList of required supporting investment documents that must be submitted with the Investment Authorization form.Investment Document Requirements checklist download
    IRA LLC RequirementsPlease read and review the requirements for establishing a private, single-member or family IRA LLC.IRA LLC Requirements download
    LLC Investing InformationThe do’s and don’ts of investing in an IRA LLC with your IRA.LLC Investing download
    Prohibited Transactions QuestionnaireInvestors who lend funds from their IRA to a business entity, or invest in a Limited Partnership or Limited Liability Company (exclusive of IRA LLCs) must complete this questionnaire.Prohibited Transactions Questionnaire form downloadDocuSign Logocomplete and sign a Prohibited Transactions Questionnaire online
    Real Estate and Promissory Note Investment Document RequirementsList of documents required for real estate or promissory note investments.Real Estate and Promissory Note Investment Document Requirements download
    Real Estate Investing with your IRAThe do’s and don’ts of investing in real estate with your IRA.Real Estate Investing with your IRA download
  • FormDescriptionPDFDocuSign
    IRA LLC RequirementsPlease read and review the requirements for establishing a private, single-member or family IRA LLC.IRA LLC Requirements download
    LLC AgreementRequired when requesting an investment in a private, single-member or family IRA LLC. Please review, sign and return with your Investment Authorization.LLC Agreement form downloadDocuSign Logocomplete and sign an llc agreement online
    LLC Investing InformationThe do’s and don’ts of investing in an IRA LLC with your IRA.LLC Investing download
  • FormDescriptionPDFDocuSign
    401(k) Account Acceptance for Self-Employed onlyAcknowledgement and signature of acceptance of the terms of a 401(k) account agreementn/aDocuSign Logo
    complete and sign a 401k Account Acceptance for Self-Employed only form online
    401(k) Account Application kit for Self-Employed onlyComplete this application to open your IRA Services Self-Employed 401(k) Traditional or Roth account401k Account Application kit for Self-Employed only downloadDocuSign Logocomplete and sign a 401k Account Application kit for Self-Employed only online
    Account AcceptanceAcknowledgement and signature of acceptance of the terms of an IRA account agreementn/aDocuSign Logocomplete and sign an Account Acceptance form online
    Account Disclosure InformationThis disclosure will provide you with information about your self‐directed account and your requirements for managing the account.Account Disclosure Information download
    Application KitThis kit includes all the necessary forms and instructions to establish a Self-Directed IRA account.Application Kit downloadDocuSign Logo
    complete and sign an Application Kit online
    Fee Schedule and Financial DisclosureEffective January 1, 2019Fee Schedule and Financial Disclosure form download
    Guide for Prospective InvestorsImportant things to know prior to opening an account.Guide for Prospective Investors download
    Inherited IRA FormComplete this form if you are establishing an Inherited or Beneficiary IRA. Attach it to the Account Application form.Inherited IRA form downloadDocuSign Logocomplete and sign an Inherited IRA form online
    Internet Access KitComplete this form if you would like online access to your account.Internet Access Kit downloadDocuSign Logocomplete and sign an Internet Access Kit online
    Representative KitFor account representatives and investment sponsors: A complete portfolio containing the forms necessary to assist your clients in establishing their self-directed account, funding it and/or transferring assets from another IRA or qualified retirement plan, and making an investment.IRA Representative Kit download
    Roth Conversion and Recharacterization RequestUse this form to request one of the following: a Roth Conversion (conversion from a Traditional IRA, Simple or SEP account to a Roth IRA), or a Recharacterization (correct a contribution or conversion from one account to another).Roth Conversion and Recharacterization Request form downloadDocuSign Logocomplete and sign a Roth Conversion and Recharacterization Request form online
    Roth IRA Custodial AgreementCustodial agreement for Roth accounts.Roth IRA Custodial Agreement download
    Traditional and Roth IRA Combined Disclosure StatementDisclosure statement required by federal tax regulations.Traditional and Roth IRA Combined Disclosure Statement download
  • FormDescriptionPDFDocuSign
    Fee Schedule and Financial DisclosureEffective January 1, 2019Fee Schedule and Financial Disclosure form download
    Guide for Professionals and Investment ProvidersImportant things Professionals and Investment Providers need to know regarding our services. Your responsibilities, our responsibilities, prohibited transactions, our Fee Schedule, how to open an account for a client, transaction processing timelines and investment document requirements.Guide for Professionals and Investment Providers download
    Guide for Prospective InvestorsImportant things to know prior to opening an account.Guide for Prospective Investors download
    IRS Publication 590-A IRS Publication for Contributions to Individual Retirement Arrangements (IRAs) IRS Publication 590-A download
    IRS Publication 590-BIRS Publication for Distributions from Individual Retirement Arrangements (IRAs) IRS Publication 590-B download
    Liquidation RequestUse this form if you want to liquidate (sell) assets into cash.Liquidation Request form download
    Note Modification AuthorizationThis form is to be completed if you wish to modify the terms of a promissory note.Note Modification Authorization form downloadDocuSign Logocomplete and sign a Note Modification Authorization form online
    Privacy NoticeList of our policies to maintain your confidentiality.Privacy Notice download
  • FormDescriptionPDFDocuSign
    Guide for Professionals and Investment ProvidersImportant things Professionals and Investment Providers need to know regarding our services. Your responsibilities, our responsibilities, prohibited transactions, our Fee Schedule, how to open an account for a client, transaction processing timelines and investment document requirements.Guide for Professionals and Investment Providers download
    Representative AuthorizationComplete this form if you want to designate an individual as an authorized representative on your account, granting them access to your account information.Representative Authorization Request form downloadDocuSign Logocomplete and sign a Representative Authorization Request form online
    Representative Information ChangeUse this form to update the information of an authorized representative.Representative Information Change form downloadDocuSign Logocomplete and sign a Representative Information Change form online
    Representative Internet Access RequestFor individuals or entities that have been designated as an authorized representative: You must complete this form to establish or manage online access to your clients’ accounts, and to change your Email Notification Service preferences.Representative internet Access Request Kit downloadDocuSign Logocomplete and sign a Representative internet Access Request Kit online
    Representative KitFor account representatives and investment sponsors: A complete portfolio containing the forms necessary to assist your clients in establishing their self-directed account, funding it and/or transferring assets from another IRA or qualified retirement plan, and making an investment.IRA Representative Kit download
  • FormDescriptionPDFDocuSign
    RMD Asset In-Kind Request FormUse these forms to request an RMD distribution from your account.RMD Asset In-Kind Request Form downloadDocuSign Logocomplete and sign a RMD Asset In-Kind Request Form online
    RMD Cash Distribution Request FormUse these forms to request an RMD distribution from your account.RMD Cash Distribution Request Form downloadDocuSign Logocomplete and sign a RMD Cash Distribution Request Form online
  • FormDescriptionPDFDocuSign
    Deposit NotificationUse this form for any deposit other than a custodian to custodian transfer. Our policy is that deposits, in the form of checks, will be held for 3-5 business days (depending on where the check is from) before the funds will be available for investment or disbursement. We will not accept third-party checks, therefore your check must be made payable to “IRA Services Trust Company.”Deposit Notification form downloadDocuSign Logocomplete and sign a Deposit Notification form online
    Incoming Asset QuestionnaireThis form is to be used by all individuals transferring Assets In-Kind to IRA Services Trust Company.Incoming Asset Questionnaire form downloadDocuSign Logocomplete and sign an Incoming Asset Questionnaire online
    Letter of Acceptance RequestUse this form to request a Letter of Acceptance if your Plan Administrator requires one in order to facilitate a rollover from a qualified retirement plan.Letter of Asset Acceptance form download
  • FormDescriptionPDFDocuSign
    Roth Conversion and Recharacterization RequestUse this form to request one of the following: a Roth Conversion (conversion from a Traditional IRA, Simple or SEP account to a Roth IRA), or a Recharacterization (correct a contribution or conversion from one account to another).Roth Conversion and Recharacterization Request form downloadDocuSign Logocomplete and sign a Roth Conversion and Recharacterization Request form online
    Roth IRA Custodial AgreementCustodial agreement for Roth accounts.Roth IRA Custodial Agreement download
  • FormDescriptionPDFDocuSign
    Traditional and Roth IRA Combined Disclosure StatementDisclosure statement required by federal tax regulations.Traditional and Roth IRA Combined Disclosure Statement download
    Traditional IRA Custodial AgreementCustodial agreement for Traditional accounts.Traditional IRA Custodial Agreement download
  • FormDescriptionPDFDocuSign
    Transfer Authorization Cash Only Instructions & FormComplete this form if you wish to transfer cash only from another IRA custodian.Transfer Authorization Cash Only Kit downloadRequires original signature
    Transfer Authorization Instructions & FormComplete this form if you wish to transfer cash and/or assets in-kind from another IRA custodian.Transfer Authorization Instructions and Form downloadRequires original signature
  • FormDescriptionPDFDocuSign
    Valuation for LLC (Individual / Family)Before completing a Valuation Form, you may be able to submit your valuation online without completing any forms.
    If you have a ROTH account please use the online portal.
    You cannot use the portal if you have a Traditional IRA and are 70 years of age or older or if you have an inherited IRA
    and are required to take a distribution. You cannot use the portal if the valuation is for a ROTH conversion or other taxable event.
    Click here to go to the ONLINE PORTAL
    IRA LLC Valuation Worksheet Individual and Family download
    Valuation for other IRA AssetsTo be submitted annually to report the fair market value of your assets. Do NOT use this form for Private LLC or Real Estate Valuations if your asset can be updated using our Online Valuation.
    Click here to go to the ONLINE PORTAL
    asset valuation worksheet download
    Valuation for Real EstateUse this form to report the fair market value of real estate property.
    Click here to go to the ONLINE PORTAL
    Real Estate Valuation Worksheet download

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Contact Us

IRA Services
PO Box 7080
San Carlos, CA 94070-7080

(800) 248-8447
(605) 385-0050
info@IRAServices.com

IRA Services, Inc., Retirement Planning Service, San Carlos, CA

IRA SERVICES AND IRA SERVICES TRUST COMPANY AND THEIR REPRESENTATIVES IS NOT A FIDUCIARY UNDER ERISA AND DO NOT OFFER TAX OR LEGAL ADVICE. DO NOT PROVIDE INVESTMENT ADVICE, DO NOT SELL INVESTMENTS, DO NOT EVALUATE, RECOMMEND, OR ENDORSE ANY ADVISORY FIRM OR INVESTMENTS. INVESTMENTS ARE NOT FDIC INSURED AND ARE SUBJECT TO RISK, INCLUDING THE LOSS OF PRINCIPAL. CLIENTS ARE ADVISED TO PERFORM OR FACILITATE THEIR OWN DUE DILIGENCE WHEN INVESTING. THE INFORMATION CONTAINED HEREIN DOES NOT CONSTITUTE LEGAL OR TAX ADVICE AND SHOULD NOT BE CONSTRUED TO APPLY TO ANY INDIVIDUAL PERSON OR SITUATION. EACH PERSON SHOULD CONSULT WITH HIS OR HER OWN PERSONAL TAX ADVISOR, FINANCIAL PLANNER, ATTORNEY OR ACCOUNTANT WITH RESPECT TO SUCH INDIVIDUAL'S SPECIFIC SITUATION AND SHOULD NOT RELY UPON THIS INFORMATION WITHOUT SUCH CONSULTATION.

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