Mutual Fund Transfer - T. Rowe Price

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Mutual Fund Transfer
Mail to:
Express delivery only:
✓ Use this form to:
T. Rowe Price
T. Rowe Price Mail Code 17150
• Transfer assets to T. Rowe Price mutual funds from another
P.O. Box 17150
4515 Painters Mill Road
institution or a T. Rowe Price SEP-IRA or SIMPLE IRA.
Baltimore, MD 21297-1150
Owings Mills, MD 21117-4903
✗ Do not use this form to:
• Transfer brokerage assets in kind. Use the
Brokerage Transfer
form.
This stamp indicates a signature guarantee is required.
This paper clip indicates you may need to attach documentation.
• Transfer T. Rowe Price mutual fund shares in kind from another
institution. Use the
Mutual Fund Transfer In Kind
form.
Checklist to ensure your request is in good order:
• Transfer into a SEP-IRA or SIMPLE IRA with T. Rowe Price. Use
• Provide a copy of most recent statement for account being transferred.
the
Employer-Sponsored Retirement Plan Participant Transfer-In
• Call the delivering institution to confirm liquidation and signature
or 403(b) Exchange-In
form.
guarantee requirements.
Account Statement Required to Process. Enclose a copy of your
1
T. Rowe Price Account
most recent statement.
 Check here if transfer is from a T. Rowe Price SEP-IRA or SIMPLE
NOTE: Assets will be transferred to the account type checked in
IRA. Skip the delivering institution name information and complete
Section 2. A separate form is required for each account type.
the investment information below.
Information in this table is required to process this request.
Owner Name
Social Security Number (SSN)
Delivering Institution Name
Phone
Joint Owner Name (if applicable)
Phone
Mailing Address
Provide the T. Rowe Price mutual fund allocation. For a new account, visit
City
State
ZIP Code
to open a new account, or enclose an
IRA New
Account
form or a
Mutual Fund New Account
form.
If this transfer is from
a T. Rowe Price SEP-IRA or SIMPLE IRA and the investments are to remain
 Liquidate all assets below unless a partial amount is provided.
the same, skip this table.
1. Investment Name
Account Number/Plan ID
T. Rowe Price Mutual Fund Name
Amount
%
 Partial Liquidation: $
%
2. Investment Name
Account Number/Plan ID
%
%
 Partial Liquidation: $
Total = 100%
3. Investment Name
Account Number/Plan ID
 For more investments, check this box and attach a
separate
page.
2
Account Being Transferred
 Partial Liquidation: $
4. Investment Name
Account Number/Plan ID
Contact your current financial institution to determine if you need to
liquidate your account to cash prior to submitting this form.
 Partial Liquidation: $
NOTE: The transferring institution may take up to six weeks to process
 For more investments, check this box and attach a
separate
page.
the transfer and send the proceeds.
Certificate of Deposit (CD)
Check one:
Only complete this section if the above investment is a CD.
 I have called my current institution and converted my assets into cash.
 I have called my current institution and verified that I do NOT have
Liquidation time frame:
to convert my assets into cash prior to the transfer.
 Immediately. I agree to pay any early withdrawal fees.
To process the transfer, the assets will be liquidated by your current
 Upon maturity (mm/dd/yyyy)
.
institution and the proceeds invested as designated in Section 1. Any
NOTE: Liquidating a CD prior to maturity may result in an early
gains on liquidated taxable assets may be subject to capital gains tax.
withdrawal penalty. In order to transfer at the maturity date, this
Cost basis will be based on the transferring account’s method.
form must be received within 15–30 days of maturity.
T. Rowe Price will transfer to the same account type. Exception:
SEP-IRA or SIMPLE IRA assets will be transferred to a Traditional IRA.
Inherited IRA Asset Transfer
Complete this section if the assets are coming from an Inherited IRA.
Check one account type:
Provide the address of the delivering institution above.
Taxable account
IRA
Provide deceased account owner’s information:
 Individual
 Joint
 Traditional IRA
 Roth IRA
 Trust
 Estate  Rollover IRA
 Inherited IRA
Name
SSN
 UGMA/UTMA
 Roth Rollover IRA  SEP-IRA
 Corporate or Other Entity  Roth Inherited IRA  SIMPLE IRA
(two
years since the first
contribution)
FMF2TRAN
Questions?
| 800-541-6613
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