Fillable Transamerica Funds Ira Direct Rollover Request Form (Page 2 of 2) in pdf

Section Four – Instructions for Transamerica Fund Services, Inc.

Special Instructions for Employer

Securities

The rollover assets should be applied to a(n):

Employer securities should be liquidated

□ New Transamerica Funds IRA account, State Street Bank and Trust Company as Custodian.

and the cash proceeds sent to your

(Not available for Class P shares)

Transamerica Funds SEP-IRA account.

A completed Transamerica Funds IRA Application must accompany this Direct Rollover Request Form. Your rollover

However, if the present custodian/trustee is

assets will be allocated as indicated in Section Three of your new account application.

unable to liquidate such securities and the

employer securities must be rolled over, the

□ Existing Transamerica Funds IRA account, State Street Bank and Trust Company as Custodian. Unless you

following procedures must be followed: a

indicate otherwise, your rollover assets will be allocated as indicated on your original Transamerica Funds IRA

stock certificate must be issued in the name

Account Application. If you would like to allocate your rollover assets differently, complete the section below.

of “State Street Bank and Trust Company

as Custodian, FBO [Client Name].”

Total for all funds must equal 100%

Rollover recipient name must appear

exactly as shown. Send to Transamerica

□

100%

Fund Services, Inc., P.O. Box 219945,

Fund and Account Number

Kansas City MO 64121-9945.

□

100%

This procedure may only be used if the

Fund and Account Number

employer securities are traded on a national

exchange; any others will be returned to the

□

100%

present custodian/trustee. Reasonable

Fund and Account Number

efforts will be made to sell such stock and

invest the cash proceeds in your

Transamerica Funds SEP-IRA pursuant to

Section Five – Authorization

your instructions.

Account Holder Authorization: I hereby authorize State Street Bank and Trust Company to deposit the assets received

Any customer that rolls over employer

securities to a Transamerica Funds SEP-

from my existing retirement plan according to the terms stated in this form. I hereby acknowledge that strict requirements

IRA will incur a $15 legal transfer fee and

must be met to qualify for tax-free rollover treatment; I hereby certify that the assets being directly rolled over constitute an

will pay a reasonable commission for the

eligible rollover distribution as defined in the Internal Revenue Code of 1986, as amended. If I have elected to convert to a

liquidation of their employer stock.

Roth IRA, I understand that: i) I may not convert in any year that my modified adjusted gross income (adjusted gross

However, in the event State Street Bank

income minus any taxable conversion amounts) exceeds $100,000 or if I am married and file separately, ii) the amount

and Trust Company is not able to liquidate

converted, excluding any nondeductible contributions, shall be taxable to you as ordinary income; and iii) none of the

the stock within 10 business days, the

assets to be converted include required minimum distributions.

certificate will be returned to the present

custodian/trustee as indicated on the

____________________________________________________________________________________________________________

Transamerica Funds SEP-IRA Direct

Rollover Request Form.

Signature

Date

Additional Information

If the participant already maintains an

existing Transamerica Funds SEP-IRA

account and desires to roll over tax-

sheltered account or annuity plan assets to

the existing account, a new Transamerica

funds SEP-IRA application is not required.

In this case, you only need to send the

completed Transamerica Funds SEP-IRA

Direct Rollover Request Form to State

Street, c/o Transamerica Fund Services,

Inc., and indicate the existing Transamerica

Funds SEP-IRA account number,

________________________________________

shareholder’s name, and Social Security

Signature Guarantee

Number on the form for proper identification.

____________________________________________________________________________________________________________

Name of Signing Officer for Signature Guarantee (please print)

Date

TF-IRARO-0315

Transamerica Funds Ira Direct Rollover Request Form Page 2

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