IRA Services DocuSign Login 401(k) Account Acceptance for Self-Employed only Acknowledgement and signature of acceptance of the terms of a 401(k) account agreement for Self-Employed only.401(k) Account Application Kit Complete this application to open your IRA Services Self-Employed 401(k) Traditional or Roth account.401(k) Custody Agreement Agreement for the custody of assets held in a single member 401k plan.Account Acceptance Acknowledgement and signature of acceptance of the terms of an IRA account agreement.Account Application Kit This kit includes all the necessary forms to establish an account, and an instruction on how to establish the account.Account Owner Information Change A signature is required on this form to make changes to your address, phone number, and email address.Beneficiary Designation or Changes This 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%.Coverdell Education Savings Account Application Kit Use this form to establish a new Coverdell Education Savings Account.Deposit Notification Use 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.”Direct Deposit (ACH) Authorization This form is for periodic distributions only that are to be sent by direct deposit/ACH.Direct Deposit (ACH) Notification Use 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.Distribution Request Use this form to make a withdrawal payable to yourself.Expense Payment Request Use 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).Incoming Asset Questionnaire This form is to be used by all individuals transferring Assets In-Kind to IRA Services Trust Company. Please complete one (1) form for each incoming asset.In-Kind Investment or Exchange Request Complete 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.Inherited IRA Form Complete this form if you are establishing an Inherited or Beneficiary IRA. Attach it to the Account Application form.Internet Access Kit Complete this form if you would like online access to your account.Investment Authorization Form Only This is the Investment Authorization form onlyInvestment Authorization Kit This 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.LLC Agreement Required when requesting an investment in a private, single-member or family IRA LLC. Please review, sign and return with your Investment Authorization.LLC Distribution or Contribution Correction Complete this form if you took a distribution directly from your IRA LLC, or if you made a contribution or rolled over funds from another IRA or qualified retirement plan directly into your IRA LLC.LLC Resolution Liquidation Request Use this form if you want to liquidate (sell) assets into cash.Name Change Note Modification Authorization This form is to be completed if you wish to modify the terms of a promissory note.Prohibited Transactions Questionnaire Investors 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.Representative Authorization Complete this form if you want to designate an individual as an authorized representative on your account, granting them access to your account information.Representative Information Change Use this form to update the information of an authorized representative.Representative Internet Access Request Kit For 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 Kit For 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. (INACTIVE BECAUSE THE DOCUSIGN LINK FROM THE REFERRING PAGE WAS REMOVED - TO ACTIVATE, ADD THE REFERRING LINK WITH THE FORM# APPENDED FROM THE SELECTED FORM FIELD, REMOVE THIS TEXT AND REACTIVATE THE REDIRECT CONFIRMATION.)Retirement Plan Rollover Kit Use this worksheet if you are retiring, changing jobs, or you’ve inherited assets in an employer sponsored 401(k) retirement plan.RMD Asset In-Kind Request Form Use these forms to request an RMD distribution from your account.RMD Cash Distribution Request Form Use these forms to request an RMD distribution from your account.Roth Conversion and Recharacterization Request Use 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).Safekeeping Withdrawal Transfer Authorization Cash Only Instructions & Form Complete this form if you wish to transfer cash only from another IRA custodian. (BOTH TRANSFER FIELDS ARE INACTIVE BECAUSE THE DOCUSIGN LINK FROM THE REFERRING PAGE WAS REMOVED - TO ACTIVATE, ADD THE REFERRING LINK WITH THE FORM# APPENDED FROM THE SELECTED FORM FIELD, REMOVE THIS TEXT AND REACTIVATE THE REDIRECT CONFIRMATION.)Transfer Authorization Instructions & Form Complete this form if you wish to transfer cash and/or assets in-kind from another IRA custodian. (BOTH TRANSFER FIELDS ARE INACTIVE BECAUSE THE DOCUSIGN LINK FROM THE REFERRING PAGE WAS REMOVED - TO ACTIVATE, ADD THE REFERRING LINK WITH THE FORM# APPENDED FROM THE SELECTED FORM FIELD, REMOVE THIS TEXT AND REACTIVATE THE REDIRECT CONFIRMATION.)Valuation for LLC (Individual / Family) To be submitted annually to report the fair market value of your private, single-member or family IRA LLC. (ALL VALUATION FIELDS ARE INACTIVE BECAUSE THE DOCUSIGN LINK FROM THE REFERRING PAGE WAS REMOVED - TO ACTIVATE, ADD THE REFERRING LINK WITH THE FORM# APPENDED FROM THE SELECTED FORM FIELD, REMOVE THIS TEXT AND REACTIVATE THE REDIRECT CONFIRMATION.)Valuation for other IRA Assets To 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. (ALL VALUATION FIELDS ARE INACTIVE BECAUSE THE DOCUSIGN LINK FROM THE REFERRING PAGE WAS REMOVED - TO ACTIVATE, ADD THE REFERRING LINK WITH THE FORM# APPENDED FROM THE SELECTED FORM FIELD, REMOVE THIS TEXT AND REACTIVATE THE REDIRECT CONFIRMATION.)Valuation for Real Estate Use this form to report the fair market value of real estate property. If you are providing a fair market valuation to determine your RMD , Roth conversion or other distribution, this form must be accompanied by (1) and (3). If you are providing a fair market valuation for annual reporting only (not for RMD, Roth conversion or other distribution), this form must be accompanied by (1), (2) and (3). (ALL VALUATION FIELDS ARE INACTIVE BECAUSE THE DOCUSIGN LINK FROM THE REFERRING PAGE WAS REMOVED - TO ACTIVATE, ADD THE REFERRING LINK WITH THE FORM# APPENDED FROM THE SELECTED FORM FIELD, REMOVE THIS TEXT AND REACTIVATE THE REDIRECT CONFIRMATION.)Wire Request Request a disbursement or distribution via wire transfer.Please enter your name and email to begin the signing process.Name (exactly as it appears on your account)* Account Owner Name Name*Representative NameEmail* This email address is used by DocuSign to send you the completed signed document after the process is completed successfully.Your RoleEmployer Account Owner Name Employer Email This email address is used by DocuSign to send you the completed signed document after the process is completed successfully.