Inheriting a Roth IRA - Beneficiary Checklist
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- Matilda Murphy
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1 Inheriting a Roth IRA - Beneficiary Checklist Re-registration Requirements Completed Janus Henderson IRA Beneficiary Claim Form Individual Claim Form - For spouse or non-spouse person beneficiaries Entity Claim Form - For entity beneficiaries (trust, estate, corporation, etc.) Certification of Beneficial Owner of Legal Entity Customers Form - for any entity beneficiary that is NOT a trust or estate (i.e. corporation, charity, etc.) Certified copy of the death certificate (photocopies not accepted) Questions? call us at Tax waiver if required by the decedent s state of residence (see Janus Henderson IRA Beneficiary Claim Form for details) Clear instructions for any distribution (if applicable) Roth Beneficiary Options Spouse beneficiary options: Roll over the assets into a new or existing Janus Henderson Roth IRA in your name (normal Roth IRA rules apply) Transfer the assets into a Janus Henderson Inherited Roth IRA Distribution options: Lump sum distribution Distribute based on life expectancy (Must begin by 12/31 of the original owner s 70½ year.) Distribute using the 5-year rule Non-spouse person or entity beneficiary options: Transfer the assets into a Janus Henderson Inherited Roth IRA Distribution options: Lump sum distribution Distribute based on life expectancy (May need to start the year following the year of the IRA holder s death. This option is not available for estate/entity beneficiaries.) Distribute using the 5-year rule Account will be re-registered into either a Roth IRA or Inherited Roth IRA account before any distributions can be taken. Important Definitions Required Minimum Distribution (RMD) - Not required for the original owner of a Roth IRA or for a spouse beneficiary who elects to treat-as-own. However, RMDs are required from Inherited Roth IRA accounts after the account has been reregistered to the beneficiary. The amount of the RMD will be based on the method elected for distribution from the Inherited Roth IRA. The Janus Henderson IRA Distribution Form and IRA Systematic Distribution Form are enclosed for your convenience. Life expectancy - Remaining number of years an individual is expected to live. Life expectancy tables are issued by the IRS and are used to calculate RMDs for retirement account owners and their beneficiaries. Five-year rule - A distribution option from an Inherited Roth IRA where assets must be withdrawn by December 31st of the fifth year following the original owner s death. Lump sum distribution - Distribute all funds in the account once they are re-registered to the beneficiary. Complete the Janus Henderson IRA Distribution Form. This option is available at any time. Rollover (treat-as-own) - Available at any time to a spouse beneficiary. Allows the spouse beneficiary to move assets into a Roth IRA. After a rollover, all normal Roth IRA rules will apply. Inherited Roth IRA account - Available to spouse and non-spouse beneficiaries. Original owner s name remains on the account and you will continue to be the beneficiary of the account. Inherited Roth IRA rules will apply, including those for distribution. Janus Henderson highly recommends consulting with a tax professional or financial advisor before making any choices PAGE 1 of 1
2 IRA Beneficiary Claim Form - Individual Beneficiary Use this form to establish an account when the original IRA owner is deceased and you have been designated as the beneficiary. Each beneficiary must complete a separate claim form. There are many options to consider when inheriting an IRA. Janus Henderson encourages you to consult with a tax advisor and/or financial planner before making any choices. The inherited assets will be transferred to the same fund as the original account. If you would like to exchange to a different fund at a later date, please contact a Janus Henderson representative or visit In the event of an IRA participant s death, the executor of the decedent s estate or the IRA beneficiary(ies) may request a date-ofdeath valuation of the decedent s IRA account pursuant to IRS Revenue Procedure Print in capital letters using black ink. Questions? Call You must be a US Citizen or US Resident Alien residing in the United States or a US Territory to open a Janus Henderson account. Shares inherited by an IRA beneficiary who does not meet this requirement must be immediately liquidated (mandatory tax withholding rules may apply). An inheritance tax waiver may be required if the decedent was a resident of Alabama (not required if death occurred after 12/31/04), Indiana (not required if transferred to the surviving spouse or if the account owner died after 12/31/12), Ohio (not required if transferred to the surviving spouse, value less than $25,000 as of date of death, or decedent died after 12/31/12), Oklahoma (not required if transferred to spouse, or if death occurred after 12/31/09), Pennsylvania (not required if transferred to spouse), Puerto Rico (required) or Tennessee (not required if the decedent died after 12/31/2015). Please contact the appropriate state s department of revenue for further information. For minor beneficiaries: If a custodian for a minor beneficiary was not previously designated by the account owner, the personal representative of the decedent s estate must designate one. Additional documentation may be required. Please call for more information if a minor is inheriting the account. Important Note: To help the government deter money laundering and terrorism funding activities, all financial institutions are required to obtain, verify and record information that identifies each person who opens an account. Please read important disclosures in Section 7. Please include an original certified copy of the decedent s death certificate. Please return the certified death certificate and/or court documents to me at (please print): Required Minimum Distribution (RMD): If the IRA owner died after reaching age 70½, but before April 1 of the year following their 70½ year, no RMD is required until the next year. However, if the IRA owner died after April 1 following the year they reached 70½, any undistributed RMD amount must be distributed in the year of death by December 31. This amount is based on the original owner s RMD calculation and reported under the beneficiary s Tax ID. If an RMD is required, please complete Section 4. An RMD is not required for the original owner of a Roth IRA. However, the beneficiary may be required to take RMDs following the year of death of the original owner. Distribution Election: Assets inherited from an IRA have many unique options and requirements. Prior to making your distribution election(s), Janus Henderson encourages you to consult with a tax advisor and/or financial planner for assistance in making such an important decision. Once you have determined how you wish to distribute these assets, please complete the appropriate Janus Henderson Distribution Form (enclosed) and return it with your Beneficiary Claim Form. Please contact a Janus Henderson representative with any additional questions. 1. Original IRA Owner Information Original Owner s Full Legal Name Original Owner s Date of Birth Original Owner s Date of Death Original Owner s Social Security Number Check one box to indicate the type of account you are inheriting. Traditional IRA SEP IRA SARSEP IRA Roth IRA (review Inheriting a Roth IRA Beneficiary Checklist) CONTINUED ON NEXT PAGE PAGE 1 of 6
3 2. Beneficiary Information Relationship of Beneficiary to the Decedent (check one): Spouse Non-Spouse (For a Minor Beneficiary, please also complete Section 2a below.) Social Security Number Date of Birth Mailing Address (If you provide a PO Box, you must fill out Physical Address below.) Street Number or PO Box Street Name Apartment Number Phone Number (required) Address (optional) Physical Address (Required, if different from above. No PO Box addresses.) Street Number Street Name Apartment Number 2a. Custodian Information for Minor Beneficiary (if applicable) Custodian s Social Security Number Date of Birth Mailing Address (If you provide a PO Box, you must fill out Physical Address below.) Street Number or PO Box Street Name Apartment Number Phone Number (required) Address (optional) Physical Address (Required, if different from above. No PO Box addresses.) Street Number Street Name Apartment Number CONTINUED ON NEXT PAGE PAGE 2 of 6
4 3. Spouse Beneficiary Options (If applicable) Complete this section only if you are a spouse beneficiary. Rollover to a Janus Henderson IRA. This option is only available to the spouse beneficiary of the deceased shareholder. Assets will be moved into the same fund using the same allocations as that of the decedent unless otherwise indicated. To use your existing account the type of IRA must match the type of account you are inheriting. Use my existing IRA account number: Establish a new IRA in my name Transfer assets to a new Janus Henderson Inherited IRA account. Note: If no box is checked, Janus Henderson will establish an Inherited IRA account and Inherited IRA rules will apply. 4. Required Minimum Distribution (RMD) If the IRA owner died after reaching age 70½, but before April 1 of the year following their 70½ year, no RMD is required until the next year. However, if the IRA owner died after April 1 following the year they reached 70½, any undistributed RMD amount must be distributed in the year of death by December 31. This amount is based on the original owner s RMD calculation and reported under the beneficiary s Tax ID. An RMD is not required for the original owner of a Roth IRA. (Check all that apply) Please calculate and distribute the decedent s RMD for the year of death (Does not apply to Roth IRAs). I have included a completed Janus Henderson IRA Distribution Form for an amount other than the decedent s RMD. I have included a completed Janus Henderson IRA Systematic Distribution Form to automatically redeem the beneficiary s RMD going forward. I plan to take the decedent s RMD at a later time prior to IRS deadlines (Does not apply to Roth IRAs). I plan to take beneficiary distributions at a later time prior to IRS deadlines. The decedent s RMD has been satisfied for the year of death or is not required (Does not apply to Roth IRAs). Notes: The RMD will be distributed proportionately from all inherited funds and sent to your address of record. If there is more than one beneficiary, each beneficiary should distribute their portion of the deceased owner s RMD before 12/31 in the year of death (If applicable). For other distribution amounts and/or options, please complete the Janus Henderson IRA Distribution Form or the Janus Henderson IRA Systematic Distribution Form (Enclosed). Any missed distributions (excess accumulations) may be subject to a 50% IRS excise penalty. Due to the complexity of any missed RMDs for either the decedent or beneficiary, you may need to include a letter of instruction. Should you have any questions, please consult a tax advisor and/or financial planner or see IRS Publication 590B. CONTINUED ON NEXT PAGE PAGE 3 of 6
5 5. Would you like federal income tax withheld on the RMD? (check one) If this section is not completed, IRS regulations require federal income tax to be withheld at a rate of 10% from your distributions. Form W-4P/OMB NO Important Notice: Any distributions from your IRA are subject to federal income tax withholding unless you elect not to have withholding apply. Since the entire distribution may be included in your income that is subject to federal income tax, the withholding will apply to the entire distribution. Qualified distributions from a Roth IRA are nontaxable and therefore not subject to withholding. I do not want any federal income tax withheld on my distributions. I understand that I will be responsible for paying the income tax (if any) which may be due as a result of these distributions. Please withhold federal income tax on my distributions at a rate of % (10% is the minimum withholding rate). I understand that Janus Henderson will remit any income tax which has been withheld to the Internal Revenue Service on my behalf. If required by my state, mandatory withholding at the state level will be taken at my state s required minimum rate if federal withholding is taken. Notes: If no box is selected, federal income tax will be taken at a default rate of 10% for Traditional, SEP & SARSEP IRAs; Roth IRAs will default to no withholding. Any amounts withheld cannot be reimbursed by Janus Henderson. If you elect not to have withholding apply to your distributions, or if you do not have enough federal income tax withheld from your distributions, you may be responsible for payment of estimated tax. You may incur penalties under the estimated tax rules if your withholding and estimated tax payments are not sufficient. Even if you elect not to have federal income tax withheld, you are liable for payment of federal income tax on the taxable portions of your distributions. Whether or not you elect to have withholding apply, you are responsible for any federal income taxes, state and local taxes, and any penalties that may apply to your distributions. These distributions will be reported to the IRS and the state of your residence, if applicable, as taxable income. The address on the account registration at the time of the distributions will determine the state of residence for state withholding purposes. For more information, or for assistance completing this form, please contact a Janus Henderson representative at CONTINUED ON NEXT PAGE PAGE 4 of 6
6 6. Who would you like to name as the beneficiary(ies) of your account? A. Primary Beneficiary(ies) If applicable, the share of a beneficiary who predeceases the account owner will be divided proportionally among the surviving beneficiaries. If you have more than 2 primary beneficiaries please attach a separate sheet. Primary beneficiary allocations must total 100%. Social Security Number Date of Birth % of Account Spouse Non-Spouse Check here if beneficiary is a minor and appoint one person as custodian. You cannot name yourself as custodian. Custodian s Full Name Spouse Non-Spouse Social Security Number Date of Birth % of Account Check here if beneficiary is a minor and appoint one person as custodian. You cannot name yourself as custodian. Custodian s Full Name Total: % Must total 100% B. Secondary Beneficiary(ies) Secondary beneficiaries only receive assets if the account owner has died and all primary beneficiaries predecease the owner or disclaim assets. If you have more than 2 secondary beneficiaries please attach a separate sheet. Secondary beneficiary allocations must total 100%. Social Security Number Date of Birth % of Account Spouse Non-Spouse Check here if beneficiary is a minor and appoint one person as custodian. You cannot name yourself as custodian. Custodian s Full Name Social Security Number Date of Birth % of Account Spouse Non-Spouse Check here if beneficiary is a minor and appoint one person as custodian. You cannot name yourself as custodian. Custodian s Full Name Total: % Must total 100% CONTINUED ON NEXT PAGE PAGE 5 of 6
7 7. Please read and sign below. By signing below, I: (1) establish an Individual Retirement Account (IRA) pursuant to the Internal Revenue Code of 1986, as amended, and in accordance with all the terms of the Custodial Agreement on Form 5305-A, 5305-SEP or 5305-RA (whichever is applicable); (2) appoint State Street Bank and Trust Company, or its successors, as custodian on the account; (3) agree that I have received, read, accepted and specifically incorporated herein the Custodial Agreement on Form 5305-A, 5305-SEP or 5305-RA (whichever is applicable) and the IRA Disclosure Statement; (4) agree to promptly give instructions to the custodian necessary to enable the custodian to carry out its duties under the Custodial Agreement; (5) agree that this account will be subject to the Custodial Agreement as amended from time to time; and (6) agree that the terms, representations and conditions in this application and the prospectus, as amended from time to time, will apply to this account and any account established at a later date. Certify that I have received and read the current prospectus of the Fund(s) in which I am investing. I certify that I have the authority and legal capacity to make this purchase and that I am of legal age in my state of residence. I agree to read the prospectus for any Janus Henderson fund into which I request an exchange. Authorize the Fund and its agents to act upon instructions (by phone, in writing, online or by other means) believed to be genuine and in accordance with procedures described in the prospectus for this account or any account into which exchanges are made. I agree that neither the Funds nor the transfer agent will be liable for any loss, cost or expense for acting on such instructions, provided the Fund employs reasonable procedures to confirm that instructions communicated are genuine. I understand it is my responsibility to review account statements and inform Janus Henderson of errors posted to my account. I understand Janus Henderson reserves the right not to correct errors not brought to the company s attention within a reasonable time period. I understand that anyone who can properly identify my account(s) may be able to make telephone transactions on my behalf. Authorize the Fund and its agents to reinvest all income dividends and capital gains distributions in the distributing fund. Authorize the Fund and its agents to establish check and telephone redemption privileges on my account. Certify that if I am the spouse beneficiary and have elected to rollover the assets into a Janus Henderson IRA in Section 3, that in addition to the other terms and conditions listed, I: (1) certify that all contributions to the IRA meet the requirements of the Internal Revenue Code governing such contributions; and (2) authorize the Fund and its agents to establish telephone and online purchase privileges on my account. Certify that (if I am married and reside in a community property or marital property state) my spouse has knowledge of and consents to the designation of a non-spouse beneficiary for this account. (Please consult with a legal advisor regarding your beneficiary designation. Neither the custodian nor the plan sponsor will be liable for any consequences resulting from failure to accurately represent spousal consent.) Understand that Florida law voids, with certain limited exceptions, an ex-spouse s designation as beneficiary if designated prior to the time the decedent s marriage was judicially dissolved or declared invalid by court order. As a result of this law, I may be required to provide additional documentation before Janus Henderson is able to process my request. Consent to the householded delivery of any fund prospectuses, shareholder reports or other documents (except transaction confirmations and account statements) that I am required, by law, to receive. This means Janus Henderson will generally deliver a single copy of the most recent annual and semi-annual reports, prospectuses, and newsletters to investors who share an address, even if the accounts are registered under different names. My participation in this program will continue indefinitely unless I contact Janus Henderson. Agree that the information provided is accurate. Any required minimum distributions are my responsibility. Janus Henderson will not be held liable for any failure to distribute. Due to the important tax consequences associated with retirement plan distributions, I have been advised to consult with a tax advisor. Important Note: To help the government deter terrorism funding and money laundering activities, all financial institutions are required to obtain, verify and record information that identifies each person who opens an account. So that we may comply with these requirements, we ask you to please complete the registration section in its entirety when opening an account with Janus Henderson. The omission of this information will result in the return of your application and investment. Please note that your ability to perform transactions in your account may also be affected or otherwise delayed if Janus Henderson cannot easily verify the accuracy of the required information in the registration section. If, after 30 days, Janus Henderson is still unable to verify the required information, your account may be closed and your shares redeemed at the next available net asset value (NAV). Under penalty of perjury, I certify that: 1. The Social Security Number(s) shown on this application is/are correct. 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding; or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of failure to report all interest or dividends; or (c) the IRS has notified me that I am no longer subject to backup withholding. Cross out item 2 if you have been notified by the IRS that you are currently subject to backup withholding. 3. I am a US Citizen or a US Resident Alien residing in the United States or a US Territory. 4. I am exempt from reporting per the Foreign Account Tax Compliance Act (FATCA). The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. X Signature of Owner or Custodian for Minor Date PAGE 6 of 6
8 IRA Beneficiary Claim Form - Entity Beneficiary Use this form to establish an account when the original IRA owner is deceased and an entity such as the decedent s estate, a trust or a corporation/business entity has been designated as the beneficiary. Each beneficiary must complete a separate claim form. For Inherited IRAs registered in the name of a trust, an estate or corporation, provide the full legal name of the entity. Inherited IRA assets have several unique options. Janus Henderson highly recommends consulting with a tax advisor and/or financial planner before selecting your choice. The inherited assets will be transferred to the same fund as from the original account. If you would like to exchange to a different fund at a later date, please contact a Janus Henderson representative or visit In the event of an IRA participant s death, the executor of the decedent s estate or the IRA beneficiary(ies) may request a date-ofdeath valuation of the decedent s IRA account pursuant to IRS Revenue Procedure Print in capital letters using black ink. Questions? Call The entity must be established and located in the United States or a US Territory with a valid US taxpayer identification number to open a Janus Henderson account. Shares inherited by an IRA beneficiary who does not meet this requirement must be immediately liquidated (mandatory tax withholding rules may apply). An inheritance tax waiver may be required if the decedent was a resident of Alabama (not required if death occurred after 12/31/04), Indiana (not required if transferred to the surviving spouse or if the account owner died after 12/31/12), Ohio (not required if transferred to the surviving spouse, value less than $25,000 as of date of death, or decedent died after 12/31/12), Oklahoma (not required if transferred to the surviving spouse or if the account owner died after 12/31/09), Pennsylvania (not required if transferred to spouse), Puerto Rico (required) or Tennessee (not required if the decedent died after 12/31/2015). Please contact the appropriate state s department of revenue for further information. Important Note: To help the government deter money laundering and terrorism funding activities, all financial institutions are required to obtain, verify and record information that identifies each person who opens an account. Please read important disclosures in Section 6. Please include an original certified copy of the decedent s death certificate. Please return the certified death certificate and/or court documents to me at (please print): Beneficiary Type: Trust/Estate (Complete Section 2) Corporation/Business Entity (Complete Section 3) Required Minimum Distribution (RMD): If the IRA owner died after reaching age 70½, but before April 1 of the year following their 70½ year, no RMD is required until the next year. However, if the IRA owner died after April 1 following the year they reached 70½, any undistributed RMD amount must be distributed in the year of death by December 31. This amount is based on the original owner s RMD calculation and reported under the beneficiary s Tax ID. If an RMD is required, please complete Section 4. An RMD is not required for the original owner of a Roth IRA. However, the beneficiary may be required to take RMDs following the year of death of the original owner. Distribution Election: Assets inherited from an IRA have many unique options and requirements. Prior to making your distribution election(s), Janus Henderson encourages you to consult with a tax advisor and/or financial planner for assistance in making such an important decision. Once you have determined how you wish to distribute these assets, please complete the appropriate Janus Henderson Distribution Form (enclosed) and return it with your Beneficiary Claim Form. Please contact a Janus Henderson representative with any additional questions. 1. Original IRA Owner s Information Please provide the following information about the original Janus Henderson shareholder. Date of Birth Date of Death Social Security Number Account Number(s) Check one box to indicate the type of account being inherited. Traditional IRA SEP IRA SARSEP IRA Roth IRA (review Inheriting a Roth IRA Beneficiary Checklist) CONTINUED ON NEXT PAGE PAGE 1 of 7
9 2. Trustee/Executor Information Complete Section 2 only if the beneficiary is a Trust or Estate. If there are more than two Trustees or Executors, attach a separate piece of paper with their names and required information along with a signature on this claim form for each. A copy of the trust document or currently certified evidence of appointment for the estate representative must be provided. The decedent s Social Security Number should not be used in the sections below. Trust Estate Name of Trust/Estate Date Trust was Established Trust s Social Security Number or Trust s/estate s Taxpayer Identification Number Name of Trustee/Estate Representative Social Security Number Date of Birth Mailing Address (If you provide a PO Box, you must fill out Physical Address below.) Street Number or PO Box Street Name Apartment Number Phone Number (required) Additional Phone Number (optional) Physical Address (Required, if different from above. No PO Box addresses.) Street Number Street Name Apartment Number Name of Co-Trustee/Estate Representative (if applicable) Social Security Number Date of Birth Mailing Address (If you provide a PO Box, you must fill out Physical Address below.) Street Number or PO Box Street Name Apartment Number Phone Number (required) Additional Phone Number (optional) Physical Address (Required, if different from above. No PO Box addresses.) Street Number Street Name Apartment Number CONTINUED ON NEXT PAGE PAGE 2 of 7
10 3. Corporation/Business Entity Information Complete Section 3 only if the designated beneficiary is a corporation or business entity. Corporations must be established and located in the US to open a Janus Henderson account. Name of Corporation or Other Entity Corporation/Other Entity s Taxpayer Identification Number Please indicate the type of organization: Bank/Nominee Brokerage Firm Sole Proprietor Partnership/ Investment Club Trust Company C Corporation S Corporation Association/Hospital Insurance Company Public Company Ticker Symbol: Mailing Address (If you provide a PO Box, you must fill out Physical Address below.) Foundation/Charity Church Other: Limited Liability Company (Enter tax classification C=C Corporation, S=S Corporation, P=Partnership): Street Number or PO Box Street Name Apartment Number Phone Number (required) Additional Phone Number (optional) Physical Address (Required, if different from above. No PO Box addresses.) Street Number Street Name Apartment Number Certificate of Authorization (Please include a copy of one of the following if a Corporation or other Organization.) Corporate Resolution Secretary s Certificate Articles of Incorporation Bylaws or Partnership Agreement Other: The undersigned hereby certifies that he/she is the duly elected Secretary of: (Name of Corporation/Organization) and that the following individual(s): Social Security Number Date of Birth Title Social Security Number Date of Birth Title CONTINUED ON NEXT PAGE PAGE 3 of 7
11 Certificate of Authorization continued (Please complete for Corporations or other Organizations only.) Social Security Number Date of Birth Title Social Security Number Date of Birth Title Social Security Number Date of Birth Title is/are duly authorized by resolution or otherwise to act on behalf of the Corporation/Organization in connection with the Corporation s/organization s ownership shares of any mutual fund managed by Janus Henderson (individually, the Fund and collectively, the Funds ) including, without limitation, furnishing any such Fund and its transfer agent with instructions to transfer or redeem shares of that Fund payable to any person or in any manner, or to redeem shares of that Fund and apply the proceeds of such redemption to purchase shares of another fund (an exchange ), and to execute any necessary forms in connection therewith. If the undersigned is the only person authorized to act on behalf of the Corporation/Organization, the undersigned certifies that he/she is the sole shareholder, director, and officer of the Corporation/Organization and that the Corporation s/organization s Charter, Articles of Incorporation or Bylaws provide that he/she is the only person authorized to act. Unless expressly declined, the undersigned further certifies that the Corporation/Organization has authorized by resolution or otherwise the establishment of the telephone exchange and telephone redemption by check privileges for the Corporation s/ Organization s account with any Fund offering such Privilege. If elected, the undersigned also certifies that the Corporation/ Organization has similarly authorized establishment of the electronic transfer, and telephone redemption by wire for the Corporation s/organization account with any Fund offering said privileges. Certain transactions may require additional documentation; please refer to the Janus Henderson Prospectus. The undersigned has further authorized each Fund and its transfer agent to honor any written, telephone, or facsimile instructions furnished pursuant to any such privilege by any person believed by the Fund or its transfer agent to their agents, officers, directors, trustees, or employees to be authorized to act on behalf of the Corporation/Organization and agrees that neither the fund nor its transfer agent, their agents, officers, trustees, or employees will be liable for any loss, liability, cost or expense for acting upon any such instructions. These authorizations shall continue in effect until after the Fund and its transfer agent receive written notice from the Corporation/ Organization of any change. In Witness whereof, I have hereunto subscribed my name as Secretary and affixed the seal of the Corporation/Organization this day of, 20. Corporate Seal Here (If available) Secretary Signature CONTINUED ON NEXT PAGE PAGE 4 of 7
12 4. Required Minimum Distribution (RMD) If the IRA owner died after reaching age 70½, but before April 1 of the year following their 70½ year, no RMD is required until the next year. However, if the IRA owner died after April 1 following the year they reached 70½, any undistributed RMD amount must be distributed in the year of death by December 31. This amount is based on the original owner s RMD calculation and reported under the beneficiary s Tax ID. An RMD is not required for the original owner of a Roth IRA. (Check all that apply.) Please calculate and distribute the decedent s RMD for the year of death. (Does not apply to Roth IRAs.) I have included a completed Janus Henderson IRA Distribution Form for an amount other than the decedent s RMD. I have included a completed IRA Systematic Distribution Form to automatically redeem the beneficiary s RMD going forward. I plan to take the decedent s RMD at a later time prior to IRS deadlines. (Does not apply to Roth IRAs.) I plan to take beneficiary distributions at a later time prior to IRS deadlines. The decedent s RMD has been satisfied for the year of death or is not required. (Does not apply to Roth IRAs.) Notes: The RMD will be distributed proportionately from all inherited funds based on the percentage you have inherited and sent to your address of record. If there is more than one beneficiary, each beneficiary should distribute their portion of the deceased owner s RMD before 12/31 in the year of death (If applicable). For other distribution amounts and/or options, please complete the Janus Henderson IRA Distribution Form or the Janus Henderson IRA Systematic Distribution Form (enclosed). Any missed distributions (excess accumulations) may be subject to a 50% IRS excise penalty. Due to the complexity of any missed RMDs for either the decedent or beneficiary, you may need to include a letter of instruction. Should you have any questions, please consult with a tax advisor and/or financial planner or see IRS Publication 590B. 5. Would you like federal income tax withheld on the RMD? (check one) If this section is not completed, IRS regulations require federal income tax to be withheld at a rate of 10% from your distributions. Form W-4P/OMB NO Important Notice: Any distributions from your IRA are subject to federal income tax withholding unless you elect not to have withholding apply. Since the entire distribution may be included in your income that is subject to federal income tax, the withholding will apply to the entire distribution. Qualified distributions from a Roth IRA are nontaxable and therefore not subject to withholding. I do not want any federal income tax withheld on my distributions. I understand that I will be responsible for paying the income tax (if any) which may be due as a result of these distributions. Please withhold federal income tax on my distributions at the rate of % (10% is the minimum withholding rate). I understand that Janus Henderson will remit any income tax which has been withheld to the Internal Revenue Service on my behalf. If required by my state, mandatory withholding at the state level will be taken at my state s required minimum rate if federal withholding is taken. Notes: If no box is selected, federal income tax will be taken at a default rate of 10% for Traditional, SEP & SARSEP IRAs; Roth IRAs will default to no withholding. Any amounts withheld cannot be reimbursed by Janus Henderson. If you elect not to have withholding apply to your distributions, or if you do not have enough federal income tax withheld from your distributions, you may be responsible for payment of estimated tax. You may incur penalties under the estimated tax rules if your withholding and estimated tax payments are not sufficient. Even if you elect not to have federal income tax withheld, you are liable for payment of federal income tax on the taxable portions of your distributions. Whether or not you elect to have withholding apply, you are responsible for any federal income taxes, state and local taxes, and any penalties that may apply to your distributions. These distributions will be reported to the IRS and the state of your residence, if applicable, as taxable income. The address on the account registration at the time of each distribution will determine the state of residence for state withholding purposes. For more information, or for assistance completing this form, please contact a Janus Henderson representative at CONTINUED ON NEXT PAGE PAGE 5 of 7
13 6. Please read and sign. By signing, I: (1) establish an Individual Retirement Account (IRA) pursuant to the Internal Revenue Code of 1986, as amended, and in accordance with all the terms of the Custodial Agreement on Form 5305-A, 5305-SEP or 5305-RA (whichever is applicable); (2) appoint State Street Bank and Trust Company, or its successors, as custodian on the account; (3) agree that I have received, read, accepted and specifically incorporated herein the Custodial Agreement on Form 5305-A, 5305-SEP or RA (whichever is applicable) and the IRA Disclosure Statement; (4) agree to promptly give instructions to the custodian necessary to enable the custodian to carry out its duties under the Custodial Agreement; (5) agree that this account will be subject to the Custodial Agreement as amended from time to time; and (6) agree that the terms, representations and conditions in this application and the prospectus, as amended from time to time, will apply to this account and any account established at a later date. Certify that I have received and read the current prospectus of the Fund(s) in which I am investing. I certify that I have the authority and legal capacity to make this purchase and that I am of legal age in my state of residence. I agree to read the prospectus for any Janus Henderson fund into which I request an exchange. Authorize the Fund and its agents to act upon instructions (by phone, in writing, online or by other means) believed to be genuine and in accordance with procedures described in the prospectus for this account or any account into which exchanges are made. I agree that neither the Funds nor the transfer agent will be liable for any loss, cost or expense for acting on such instructions, provided the Fund employs reasonable procedures to confirm that instructions communicated are genuine. I understand it is my responsibility to review account statements and inform Janus Henderson of errors posted to my account. I understand Janus Henderson reserves the right not to correct errors not brought to the company's attention within a reasonable time period. I understand that anyone who can properly identify my account(s) may be able to make telephone transactions on my behalf. Authorize the Fund and its agents to reinvest all income dividends and capital gains distributions in the distributing fund. Authorize the Fund and its agents to establish check and telephone redemption privileges on my account. Consent to the householded delivery of any fund prospectuses, shareholder reports or other documents (except transaction confirmations and account statements) that I am required, by law, to receive. This means Janus Henderson will generally deliver a single copy of the most recent annual and semiannual reports, prospectuses, and newsletters to investors who share an address, even if the accounts are registered under different names. My participation in this program will continue indefinitely unless I contact Janus Henderson. Agree that the information provided is accurate. Any required minimum distributions are my responsibility. Janus Henderson will not be held liable for any failure to distribute. Due to the important tax consequences associated with retirement plan distributions, I have been advised to consult with a tax advisor. Authorized Trader Indemnification: On behalf of the corporation/other entity, I/we hereby agree to indemnify and hold Janus Henderson, its affiliates and any directors, officers, employees, or agents of these entities, including without limitation each Janus Henderson fund, harmless from any claims (including reasonable attorney s fees) that may arise by reason of acting upon instructions, either oral, written or electronically believed to have originated from the Authorized Trader(s) under the authorization contained in this Agreement, and from any and all acts of the Authorized Trader(s) with respect to the Janus Henderson account(s). This authorization is ongoing and shall remain in full force and effect until Janus Henderson receives notice of its revocation by an officer of the organization. Janus Henderson accepts no liability for acting on instructions from the Authorized Trader(s) in cases in which it is not notified that the Authorized Trader(s) no longer has the authority to transact on the account. 1. Purchase, sell and exchange shares; 2. Change the mailing address of the account(s); 3. Make inquiries regarding the account(s) and receive account information; 4. Make minor account option changes such as dividend and capital gains distribution options; and 5. Select a cost basis election. I/We understand that the Authorized Trader(s) will not have authority to: 1. Add, delete or change any banking information; 2. Request a wire transfer to any account other than my bank account of record; 3. Redeem shares from the fund account(s) and have the proceeds payable or mailed to anyone other than the organization/ other entity; 4. Have check writing privileges on the account(s); and 5. Change the ownership of the account(s). CONTINUED ON NEXT PAGE PAGE 6 of 7
14 Important Note: To help the government deter terrorism funding and money laundering activities, all financial institutions are required to obtain, verify and record information that identifies each person who opens an account. So that we may comply with these requirements, we ask you to please complete the registration section in its entirety when opening an account with Janus Henderson. The omission of this information will result in the return of your application and investment. Please note that your ability to perform transactions in your account may also be affected or otherwise delayed if Janus Henderson cannot easily verify the accuracy of the required information in the registration section. If, after 30 days, Janus Henderson is still unable to verify the required information, your account may be closed and your shares redeemed at the next available net asset value (NAV). Under penalty of perjury, I certify that: 1. The Social Security Number(s)/Tax Identification Number(s) shown on this application is/are correct. 2. The entity is not subject to backup withholding because: (a) the entity is exempt from backup withholding; or (b) the entity has not been notified by the Internal Revenue Service (IRS) that the entity is subject to backup withholding as a result of a failure to report all interest or dividends; or (c) the IRS has notified me that the entity is no longer subject to backup withholding. Cross out item 2 if the entity has been notified by the IRS that the entity is currently subject to backup withholding. 3. I am a US Citizen or a US Resident Alien residing in the United States or a US Territory or the entity is a US Corporation located in the United States or a US Territory. 4. I am exempt from reporting per the Foreign Account Tax Compliance Act (FATCA). The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. X Signature of Trustee/Estate Representative/Authorized Officer Title Date X Signature of Trustee/Estate Representative/Authorized Officer Title Date X Signature of Trustee/Estate Representative/Authorized Officer Title Date X Signature of Trustee/Estate Representative/Authorized Officer Title Date X Signature of Trustee/Estate Representative/Authorized Officer Title Date PAGE 7 of 7
15 Certification of Beneficial Owner of Legal Entity Customers Form In an effort to help fight financial crime, federal regulation requires certain financial institutions to obtain, verify, and record information about the beneficial owners of legal entity customers. Legal entities can be abused to disguise involvement in terrorist financing, money laundering, tax evasion, corruption, fraud, and other financial crimes. Requiring the disclosure of key individuals who ultimately own or control a legal entity (i.e., the beneficial owners) helps law enforcement investigate and prosecute these crimes. This form must be completed by the person opening a new account on behalf of a legal entity. (For the purposes of this form, a legal entity includes a corporation, limited liability company, partnership, charity, or any other similar business entity formed in the United States or a foreign country.) Note: Publicly traded companies do not need to complete this form. Print in capital letters using black ink. Questions? Call Certification of Beneficial Owner(s) Persons opening an account on behalf of a legal entity must provide: 1. Name and title of the natural person opening this account Title 2. Name and address of the legal entity for which this account is being opened Name of Legal Entity Street Number Street Name Apartment/Suite Number 3. The following information must be provided for each individual, if any, who, directly or indirectly (through any contract, arrangement, understanding, relationship or otherwise) owns 25 percent or more of the equity interests of the legal entity listed above. If no individual meets this definition, please check Beneficial Owner Not Applicable below and skip this section. Beneficial Owner Not Applicable For a person with a Social Security Number (SSN), provide the SSN and leave Primary ID Type, Description and State/ Country/Province blank. For a non-u.s. person without a Tax Identification Number (TIN), provide a Passport Number and Country of Issuance. In lieu of a passport, non-u.s. persons may also provide a U.S. government-issued Alien ID or other foreign government-issued documents evidencing nationality or residence and bearing a photograph or similar safeguard. CONTINUED ON NEXT PAGE PAGE 1 of 3
16 First Beneficial Owner s Information: Street Number Street Name Apartment/Suite Number Country Social Security Number Date of Birth Primary ID Type Primary ID Description Primary ID State/Country/Province Second Beneficial Owner s Information: Street Number Street Name Apartment/Suite Number Country Social Security Number Date of Birth Primary ID Type Primary ID Description Primary ID State/Country/Province Third Beneficial Owner s Information: Street Number Street Name Apartment/Suite Number Country Social Security Number Date of Birth Primary ID Type Primary ID Description Primary ID State/Country/Province Fourth Beneficial Owner s Information: Street Number Street Name Apartment/Suite Number Country Social Security Number Date of Birth Primary ID Type Primary ID Description Primary ID State/Country/Province CONTINUED ON NEXT PAGE PAGE 2 of 3
17 4. The following information for one individual with significant responsibility for managing the legal entity listed above, such as an executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President, Treasurer); or any other individual who regularly performs similar functions. (If appropriate, an individual listed under section 3 above may also be listed in this section 4.) For a person with a Social Security Number (SSN), provide the SSN and leave Primary ID Type, Description and State/ Country/Province blank. For a non-u.s. person without a Tax Identification Number (TIN), provide a Passport Number and Country of Issuance. In lieu of a passport, non-u.s. persons may also provide a U.S. government-issued Alien ID or other foreign government-issued documents evidencing nationality or residence and bearing a photograph or similar safeguard. Individual with Control Information: Street Number Street Name Apartment/Suite Number Country Social Security Number Date of Birth Primary ID Type Primary ID Description Primary ID State/Country/Province Preferred Phone Number (required) Additional Phone Number (optional) 5. Please read and sign below. I, (printed name of natural person opening account), hereby certify, to the best of my knowledge, that the information provided above is complete and correct. Signature: X Signature of Natural Person Opening Account Date Legal Entity Identifier: (Optional) PAGE 3 of 3
18 IRA Systematic Distribution Form Use this form to establish systematic distributions from your IRA. Do not use this form for a one-time distribution. Print in capital letters using black ink. Questions? Call What name is on your retirement account at Janus Henderson? Social Security Number Date of Birth Street Number Street Name Apartment Number Phone Number (required) Additional Phone Number (optional) Fund Name or Number Account Number 2. What distribution option would you like? (check A or B) Option A: Please redeem a total of $ per payment. (continue to Section 3B) Option B: Please calculate my Required Minimum Distribution (RMD) or Series of Substantially Equal Periodic Payments from my retirement account. Note: If no box is checked above, Option B will be used. Required Beneficiary Information Non-trust beneficiary: Please provide your spouse s date of birth if your sole primary beneficiary is your spouse who is more than 10 years younger than you. Spouse s Date of Birth Name of Spouse Beneficiary Trust beneficiary: If the beneficiary of your account is a trust, please provide the date of birth of the oldest primary beneficiary of the trust. Trust Beneficiary s Date of Birth Name of Trust Beneficiary Check if the trust beneficiary is the spouse and is the sole primary beneficiary. Required information: Please provide us with the prior year-end account value of any previous retirement accounts that were transferred or rolled over to Janus Henderson during the current year:. CONTINUED ON NEXT PAGE PAGE 1 of 5
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ROTH IRA APPLICATION IMPORTANT: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information
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