Hartford Funds SEP IRA Investment Transmittal Form
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1 SEP IRA Investment Transmittal Form Purpose This form is designed to make communicating investment needs for each payroll submission easier and to help organize investment allocations of employee salary reduction contributions. Use your employee s IRA Application to complete the Investment Transmittal Form, converting the percentages from each employee s allocation to the dollar amount. All participants should be listed on the Investment Transmittal Form. Use Hartford Funds Fund numbers and list only one fund per line when completing the Investment Transmittal Form. Photocopy this form as needed to add additional participants. Section A - Information Name of Mailing Address City State ZIP Code Name of Plan Contact Person Telephone of Plan Contact Person Section B - Broker/Dealer Information (your financial advisor can provide this information) Registered Representative s Name Dealer Firm Branch Street Address City State ZIP Code Telephone Total Check Amount Please complete this form and attach a check payable to for the total amount indicated on the right. Send to: P.O. Box Boston, MA SEP IRA $ (from final page) $ (for plans only)* TOTAL CHECK ENCLOSED $ * To allow contributions, the plan had to be established prior to January 1, 1997 and satisfy certain other requirements. Plan Administration A Plan Participation Confirmation (PPC) will be mailed to the designated contact person for your group after the initial contribution has been made. The PPC contains the names of all participants in your plan along with the amount and investment allocation of their previous contribution. If a participant chooses to change the investment allocation of his or her current contribution, you may adjust the investment allocation on the PPC and remit it with the current payment. Page 1 of 6
2 SEP IRA Investment Transmittal Form Example: John Smith $1, $ $50.00 TOTAL CONTRIBUTIONS $1, $ TOTAL CONTRIBUTIONS Page 2 of 6
3 SEP IRA Investment Transmittal Form TOTAL CONTRIBUTIONS Page 3 of 6
4 SEP IRA Investment Transmittal Form TOTAL CONTRIBUTIONS Page 4 of 6
5 (Fund s) Fund Name Class A - Fund # Class C - Fund # Hartford Balanced Fund Hartford Balanced Income Fund Hartford Capital Appreciation Fund Hartford Checks and Balances Fund Hartford Conservative Allocation Fund Hartford Core Equity Fund Hartford Dividend and Growth Fund Hartford Emerging Markets Equity Fund Hartford Schroders Emerging Markets Equity Fund Hartford Emerging Markets Local Debt Fund Hartford Schroders Emerging Markets Multi-Sector Bond Fund Hartford Environmental Opportunities Fund Hartford Equity Income Fund Hartford Floating Rate Fund Hartford Floating Rate High Income Fund Hartford Global All-Asset Fund Hartford Global Capital Appreciation Fund Hartford Global Impact Fund Hartford Global Real Asset Fund Hartford Schroders Global Strategic Bond Fund Hartford Growth Allocation Fund Hartford Growth Opportunities Fund Hartford Healthcare Fund Hartford High Yield Fund Hartford Inflation Plus Fund Hartford International Growth Fund Hartford Schroders International Multi-Cap Value Fund Hartford International Opportunities Fund Hartford Schroders International Stock Fund Hartford Long/Short Global Equity Fund Hartford MidCap Fund Hartford MidCap Value Fund Hartford Moderate Allocation Fund Hartford Multi-Asset Income Fund Hartford Quality Bond Fund Hartford Real Total Return Fund Hartford Short Duration Fund Hartford Small Cap Core Fund Hartford Small Company Fund Hartford Strategic Income Fund Hartford Total Return Bond Fund Hartford Schroders US Small Cap Opportunities Fund Hartford Schroders US Small/Mid Cap Opportunities Fund Hartford Quality Value Fund Hartford World Bond Fund Fund List AC_IRA 03/18 Page 5 of 6
6 Fax this completed form to (888) , or mail it to the appropriate address below. For standard mail delivery, please mail this form to: P.O. Box Boston, MA For private express mail, please mail this form to: 30 Dan Road Suite Canton, MA If you have questions or require more information, contact your financial advisor or call at (888) Page 6 of 6
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