Recharacterization Request Form (Page 2 of 2) in pdf

To avoid delays, contact your current custodian to verify their correct address and ask if they require a Medallion Signature Guarantee. Please see the Participant

Authorization section for an explanation of the Medallion Signature Guarantee. Please also attach your most recent statement, if possible.

CURRENT CUSTODIAN AND ACCOUNT INFORMATION

Current Custodian:

Telephone Number: (

)

Address:

City:

State:

Zip Code:

Investment to Recharacterize: _________________________________________________________

Account Number:___________________________________

Distributing Account Type:

Traditional/Rollover IRA

Roth IRA

Amount to be Distributed:

Liquidate Entire Account

Partial $ ________________

For Certificates of Deposit:

Immediately*

At Maturity Date _________________

*Note: if you wish to have certificates of deposit transferred immediately and they have not matured, you may incur a redemption penalty. We cannot accept

requests to convert certificates of deposit more than 60 days before their maturity.

PARTICIPANT AUTHORIZATION

I authorize the current custodian or trustee of my IRA to distribute the amount indicated for the purpose of recharacterizing it to an IRA with RMB Funds and to issue

a check as indicated below. I understand it is my responsibility to insure the prompt recharacterization of assets by the current custodian or trustee. I understand that

I am solely responsible for all tax consequences and agree that neither RMB Funds nor their Custodian shall have responsibility for any tax consequences resulting

from my instructions. I authorize RMB Funds and BNY Mellon Investment Servicing Trust Company to process this request on my behalf.

I have read this form and understand and agree to be legally bound by the terms of this form. I also understand that the Custodian, RMB Funds and their agents will

rely on my instructions within this form when accepting my recharacterization contribution. I understand this recharacterization is irrevocable.

Participant’s Signature:

Date:

Medallion Signature Guarantee Stamp and Signature (If required by your

Medallion Signature Guarantee Stamp

current custodian or transfer agent): An eligible guarantor is a domestic bank

or trust company, securities broker/dealer, clearing agency or savings

association that participates in a medallion program recognized by the

Securities Transfer Agents Association. The three recognized medallion

programs are the Securities Transfer Agents Medallion Program (known as

STAMP), Stock Exchanges Medallion Program (SEMP), and the Medallion

Signature Program (MSP). A notarization from a notary public is NOT an