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IRA ENROLLMENT FORMComplete this IRA Enrollment Form to establish a Traditional IRA or a Roth IRA under the Defined ContributionRetirement Accounts of the Pension Fund of the Christian Church (Disciples of Christ) ("DCRA"). You may establish aTraditional IRA or Roth IRA in the following circumstances:(1) You are an employee or former employee of an employer that is eligible to participate in the DCRA.(2) You are the spouse of an individual described in (1) above, if you file a joint tax return with the employee orformer employee.(3) You are the surviving spouse of a deceased individual described in (1) above and you are designated as theemployee's or former employee’s beneficiary under the DCRA, but only for purpose of receiving eligiblerollovers or transfers from the DCRA. (NOTE: if you instead want to elect to treat an inherited IRA as yourown, complete the Spousal Inherited IRA Redesignation Form instead of this Form.)See Eligibility for a Pension Fund Traditional IRA or Roth IRA located at www.pensionfund.org for information as towhether you are eligible to make regular contributions, rollover/transfer contributions, or both, to an IRA. You can makeregular contributions to an IRA from your spouse's taxable compensation if you file a joint tax return with your spouse. Ifyou are the spouse of an employee or former employee, you may only roll or transfer assets into the IRA from retirementplans or IRAs held in your name. If you would like to establish an "inherited IRA" with assets from a retirement plan orIRA under which you are a designated beneficiary, complete the Inherited IRA Enrollment Form instead of this Form.- PLEASE TYPE OR PRINT CLEARLY -I. APPLICANT INFORMATIONNameMr.Ms.Mrs.Rev.MissDr.Applicant is a (check one):(first)(middle)Current employeeSpouse of current employee(last/family)Former employeeSocial Security No./ITIN - - Birth Date / / Gender:Check here if there has been a change to your contact information on file.Spouse of former employeeMaleFemaleHome AddressCityStateHome Phone Number ()CountryWork Phone Number (Zip Code)Cell Phone Number ()E-Mail AddressCitizenship:U.S.Other: If you are not a US citizen, you must have an ITIN to enroll.Complete the following if applicant is a spouse of an employee or former employee:Name of Employee/Former Employee(first)(middle)(last/family)Social Security No./ITIN - - Birth Date / /II. EMPLOYEE/FORMER EMPLOYEE EMPLOYMENT INFORMATIONEmployer/Former Employer(enter "self-employed minister" if applicable)Mailing AddressCityStateCountryZip Code-Contact NamePhone Number ()E-Mail AddressDates of Employment / / through (check one)present or/ /III. CONTRIBUTION INFORMATIONI am establishing aTraditional IRAIRA Enrollment Form 11-21Roth IRA. Complete a separate IRA Enrollment Form for each IRA you establish.Page 1 of 44843-7479-7784.9
Indicate contribution type below (check one or more as applicable):Rollover/Transfer (including a conversion or recharacterization). Complete and return Application for Rollover/Transfer to IRA unlessrequesting a transfer (conversion) from a Traditional IRA to a Roth IRA under the DCRA. Former employees and spouses of formeremployees can only check this box.Single Sum Contribution. I am remitting an initial after-tax contribution amount to my IRA equal to This contribution is being made by.check (including checks sent by or through your bank)one-time debit (ACH) from my bank account (complete the bank information below)I irrevocably elect that this contribution be made for the tax year 20 . Contributions must be received by the tax filing deadline,without extensions, for the year for which the contribution is being made (generally, by April 15). If no year is indicated, the contributionwill apply to the current tax year. For future contributions, complete the IRA Contribution Form or elect to make recurring contributionsbelow.Recurring Contributions. Effective as soon as administratively practicable on or after , 20 , Iauthorize after-tax contributions to be made to my IRA through automatic debit (ACH) from my bank account. Complete the bankinformation below.Recurring contributions of will be debited on the (check one only)1st15thComplete below if you elect a one-time or recurring bank debit and attach a "void" check to this Form:Name of BankAccount Holder NameMailing Address of BankPhone Number ( )CityStateCountryAccount Number Bank Routing/ABA NumberZip Code CheckingSavingsIMPORTANT: A minimum initial contribution of 100 is required to open an IRA. Regular contributions may not exceed the InternalRevenue Service limits for the taxable year. If you are or will be age 50 by the end of the year, you may make an additional contribution forthe taxable year. For a Roth IRA only, the regular contribution limits are reduced for higher income earners. Regular contributions madeto a traditional IRA reduce the amount you can contribute to a Roth IRA, and vice versa. See the IRA Owner Resource Book atwww.pensionfund.org for information on these limits.IV. DESIGNATION OF BENEFICIARIESDesignate the person, trust or entity you choose to receive any benefits payable from your IRA in the event of your death. If youdesignate a trust as a beneficiary, include the trust's name and address, the date the trust was created, and the trustee's name. You arenot limited to two primary and two contingent beneficiaries. To designate additional beneficiaries, please attach and sign a separatepiece of paper stating the additional names and identifying information.Unless otherwise indicated, death benefits will be paid in equal shares to your primary beneficiaries who are living at the time of yourdeath. If no primary beneficiary is living at your death, unless otherwise indicated, death benefits will be paid in equal shares to yourcontingent beneficiaries who are living at the time of your death. If you name multiple primary or contingent beneficiaries, and one ofthem predeceases you, the percentage of that beneficiary's designated share shall be divided equally amongst the surviving primary orcontingent beneficiaries, as applicable.IMPORTANT: If you do not elect a beneficiary, or if your beneficiaries named on this IRA Enrollment Form fail to surviveyou, your benefits will be paid to your estate. Failure to include a social security number/ITIN and current contactinformation for each designated beneficiary, if applicable, may delay distributions at your death.Primary BeneficiariesThe total percentage to all primary beneficiaries must equal 100%.Percentage ofBenefitIndividual or Trust Name%Mailing Address(first, middle, last/family name)(street, city, state, zip code)Primary Phone ()Relationship to Applicant/Trustee NameSocial Security No./ITIN - -Birth or Trust Date / /E-Mail AddressIndividual or Trust NameMailing Address%(first, middle, last/family name)(street, city, state, zip code)IRA Enrollment Form 11-21Page 2 of 44843-7479-7784.9
Primary Phone ()Relationship to Applicant/Trustee NameSocial Security No./ITIN - -Birth or Trust Date / /E-Mail AddressContingent BeneficiariesIf all of your primary beneficiary(ies) die before you, any benefits payable in the event of your death will be paid to yourcontingent beneficiary(ies). The total percentage to all contingent beneficiaries must equal 100%.Individual or Trust NameMailing AddressPercentageof Benefit%(first, middle, last/family name)(street, city, state, zip code)Primary Phone ()Relationship to Applicant/Trustee NameSocial Security No./ITIN - -Birth or Trust Date / /E-Mail AddressIndividual or Trust NameMailing Address%(first, middle, last/family name)(street, city, state, zip code)Primary Phone ()Relationship to Applicant/Trustee NameSocial Security No./ITIN - -Birth or Trust Date / /E-Mail AddressV. APPLICANT CERTIFICATION AND SIGNATUREBy signing this IRA Enrollment Form, I make the following certifications: I agree to be bound by all terms of the DCRA, as it may be amended from time to time, and all administrativepolicies and procedures adopted by Pension Fund with respect to the DCRA. I understand that I can access the IRA Owner Resource Book and other information regarding IRAs electronicallyat www.pensionfund.org, and that I can also request Pension Fund mail me a copy of the IRA Owner ResourceBook. I certify that I have received, reviewed and understand the IRA Disclosure Statement and IRA FinancialDisclosure. I understand that I have seven days from the date that Pension Fund receives this Form to revoke itwithout penalty by mailing or delivering a written notice to Pension Fund. I certify that I am an employee or former employee of an employer that is eligible to participate in the DCRA, asprovided in Section II, or the spouse of such eligible employee or former employee. I certify that the information provided on this IRA Enrollment Form is accurate, including my Social SecurityNumber/ITIN. I agree that I will timely notify Pension Fund of any changes to the information provided onthis Form. I understand that the personal information provided on this Enrollment Form will be used by Pension Fund toprocess my enrollment and to provide services to me under the DCRA. I assume complete responsibility for ensuring that all contributions I make are within the limits set forth by the taxlaws and for the tax consequences of any contribution and distributions. I understand that I am responsible fordetermining and tracking the cost basis in the IRA. If applicable, I hereby authorize my bank to debit the bank account identified above and authorize Pension Fundto accept these deposits. These debits and deposits are to be made under the Rules of the Automated ClearingHouse (ACH). If I have elected recurring contributions, I understand that this Agreement will remain in effectuntil I give written notice of termination to Pension Fund. I designate the person(s) or entity(ies) named in Section IV of this Form as beneficiaries of my IRA. I understandthat this beneficiary designation will remain in effect until I complete, sign, and submit an updated BeneficiaryDesignation Form to Pension Fund, which I may do at any time. I certify that I have secured spousal consent if IIRA Enrollment Form 11-21Page 3 of 44843-7479-7784.9
have named a beneficiary other than, or in addition to, my spouse to the extent I reside in a community or maritalproperty state and am required to secure such consent by state law with respect to all or a portion of my IRA. Ifurther agree that if I am not currently married, but become married, I will secure spousal consent if the precedingsentence applies. I understand that to secure spousal consent, I may use the Spousal Consent for Community andMarital Property States form located at www.pensionfund.org. I assume complete responsibility for allconsequences if I fail to obtain any required consent. I understand that Pension Fund and the DCRA are exempt from the registration, regulation, and reportingrequirements of the Securities Act of 1933, the Securities Exchange Act of 1934, the Investment Company Act of1940, and state securities laws. Participants and beneficiaries are not afforded the protection of those laws withrespect to their interest in the DCRA.Applicant SignatureDate / /If the applicant is a spouse, this Form must also be signed by the employee/former employee:Employee/Former Employee SignatureDate / /SEND FORM(S) WITH CHECK OR BANK INFORMATION TO:Pension Fund of the Christian ChurchP.O. Box 6251, Indianapolis, IN 46206-6251Toll Free Phone: 1.866.495.7322 Phone: 317.634.4504 Fax: 317.634.4071E-mail: [email protected] Website: www.pensionfund.orgAccount NumberIRA Enrollment Form 11-21Enrollment Date / /Initial Contribution [Do not write in this box – for Pension Fund use only]Page 4 of 44843-7479-7784.9
IRA DISCLOSURE STATEMENTPension Fund of the Christian Church (Disciples of Christ) adopted a deemed IRA program as part of the DefinedContribution Retirement Accounts of the Pension Fund of the Christian Church (Disciples of Christ) ("DCRA"), inaccordance with Section 408(q) of the Internal Revenue Code ("Code"). The IRA program meets the requirements ofCode Sections 408 and 408A, as applicable.This Disclosure Statement is required by federal regulations. It is intended to provide you with an outline of the basicrules that apply with respect to the Traditional IRAs and Roth IRAs available to eligible persons under the DCRA. Thereare two additional important documents provided at the end of this Disclosure Statement for your review: Provisions of the DCRA governing the IRA program IRA Financial Disclosure StatementThis Disclosure Statement and the attached documents may be updated from time to time. You may always access thecurrent version at www.pensionfund.org.REVOCATION OF YOUR IRAYou have the right to revoke your IRA within seven days after the IRA has been established. The IRA is considered to beestablished as of the date your IRA Enrollment Form, Inherited IRA Enrollment Form, or Spousal Inherited IRARedesignation Form, as applicable, is received by Pension Fund. In order to revoke your establishment of an IRA, youwill need to deliver or mail a written notice to Pension Fund at:Pension Fund of the Christian ChurchP.O. Box 6251Indianapolis, IN 46206-6251If mailed, the notice must be post-marked by the seventh day after the IRA has been established. Upon receipt of a timelyrevocation, Pension Fund will refund any contributions you have made, without adjustment for earnings or fees.ELIGIBILITYA. Current Employees and SpousesYou and your spouse are each eligible to establish an IRA if you are employed by an eligible employer under the DCRA,provided that if your spouse is establishing an IRA, you and your spouse must file a joint tax return. You can makecontributions to your own IRA, and your spouse can make contributions to his or her own IRA, for each year that you andyour spouse have taxable compensation and you remain employed by an eligible employer.Your taxable compensation includes wages, salaries, tips, professional fees, bonuses, and other amounts received forproviding personal services, as well as self-employment income, nontaxable combat pay, military differential pay, andtaxable alimony and separate maintenance payments. Taxable compensation also includes any amount paid to you whichis included in your gross income to aid in your pursuit of graduate or postdoctoral study. Taxable compensation does notinclude earnings and profits from property (rental, interest or dividend income), income from partnerships, any amountsnot included in income (other than combat pay), or retirement plan payments (distributions from 403(b), 401(a), or 457plans or from IRAs) or any other type of deferred compensation payments. Special rules allow you to consider the taxablecompensation of your spouse as your own, excluding the IRA contributions made by your spouse, so that you may be ableto contribute to an IRA even if you do not have taxable compensation.B. Former Employees and SpousesYou and your spouse are no longer eligible to make regular contributions to an IRA when your employment with youremployer ends, unless you are reemployed by another eligible employer. However, you each can continue to makeIRA Disclosure Statement 11-21Page 1 of 94843-7479-7784.9
rollover contributions to your respective IRAs. In addition, you and your spouse may still establish an IRA after yousever employment with an eligible employer in order to receive rollover contributions to the IRA. You and your spousecan each make rollover contributions to your own IRA from retirement plans or IRAs held in your own name only.C. Surviving SpousesIf you are an employee or former employee, upon your death, your surviving spouse may continue to make rollovercontributions to his or her IRA established prior to your death, but he or she will no longer be eligible to make regularcontributions to the IRA. Your surviving spouse may also establish an IRA after your death by redesignating your IRA ashis or her own or by establishing an inherited IRA in order to receive rollover contributions to which he or she is entitledas your designated beneficiary under the DCRA.Throughout the remainder of this Disclosure Statement, "you" refers to the employee, former employee, spouse, orsurviving spouse who is eligible to establish an IRA under the DCRA.TYPES OF IRA CONTRIBUTIONSA. Regular ContributionsYou can make a regular contribution to your IRA if you are eligible as a current employee or spouse of a currentemployee and you have taxable compensation. Regular contributions are subject to annual limits that are discussed in thefollowing section.B. Rollover ContributionsYou can make a rollover contribution to your IRA, even if you are not eligible to make a regular contribution to your IRA. Rollovers to your Traditional IRA. You can rollover funds to your Traditional IRA from anothertraditional IRA or a pre-tax account held under an eligible retirement plan. An eligible retirement planincludes a 401(k) plan, a 403(b) plan, or a governmental 457(b) plan. For example, if you are eligible for adistribution, you can rollover your TDRA balance to your Traditional IRA. You cannot rollover funds from aRoth IRA or from a Roth account held under an eligible retirement plan to your Traditional IRA. Rollovers to your Roth IRA. You can rollover funds to your Roth IRA from another Roth IRA or from aRoth account held under an eligible retirement plan (as defined above). You can also rollover funds from atraditional IRA or from a pre-tax account held under an eligible retirement plan to your Roth IRA. Forexample, if you are eligible for a distribution, you can rollover your TDRA balance to your Roth IRA. Thistype of rollover is often called a "conversion."A rollover from an eligible retirement plan may be paid directly to your IRA (called a "direct rollover"), or it may be paidto you, after which you will have 60 days to complete the rollover transaction to your IRA (called an "indirect rollover").A rollover from another IRA will always be paid to you first, after which you will have 60 days to complete the rollovertransaction to your IRA. You may be eligible to rollover a distribution from an eligible retirement plan or IRA to yourIRA after the 60-day deadline if you qualify for a waiver. See Certification for Late Rollover Contribution Form.C. Transfer ContributionsYou can also transfer funds directly from another IRA to your IRA through a trustee-to-trustee transfer. This type oftransaction is similar to a direct rollover from an eligible retirement plan because the payment is made directly to thereceiving IRA trustee instead of to you. If the transfer is made from a traditional IRA to a Roth IRA, it is called a"conversion."MAXIMUM CONTRIBUTIONSA. Limitation on Regular ContributionsIf you are under age 50 for all of calendar year 2022, you may contribute up to 6,000 to an IRA in regular contributions.IRA Disclosure Statement 11-21Page 2 of 94843-7479-7784.9
If you are age 50 or over or will reach age 50 by the end of calendar year 2022, you may contribute up to 7,000 to anIRA in regular contributions. These limits may be increased after 2022 for any cost of living adjustment.Your maximum contribution cannot exceed 100% of your taxable compensation, except that if you file a joint return andyour taxable compensation is less than that of your spouse, the amount you can contribute to an IRA is the lesser of thespecified dollar limit for the year or the total taxable compensation for both you and your spouse for the year, reduced byyour spouse's contribution for the year to an IRA.Your contributions to all your IRAs are aggregated for purposes of these dollar limits and, therefore, any contribution youmake to another IRA will reduce the contribution that you can make to your Roth IRA or Traditional IRA. Yourcontributions are not limited by participation in a retirement plan other than a traditional or Roth IRA.B. Income-Based Contribution Limit for Roth IRAsYour maximum contribution to a Roth IRA may be reduced below the general limit described above based on yourmodified adjusted gross income (AGI) and your tax filing status.If your filing status isAnd your modified AGI isThen you can makeSingle, head of household, ormarried filing separately and youdid not live with your spouse at anytime during the yearLess than 129,000A full contributionAt least 129,000 but less than 144,000A partial contribution 144,000 or moreNo contributionLess than 204,000A full contributionAt least 204,000 but less than 214,000A partial contribution 214,000 or moreNo contributionMarried filing jointly or qualifiedwidowerMarried filing separately and you 0lived with your spouse at any timeduring the yearMore than 0 but less than 10,000 10,000 or moreA full contributionA partial contributionNo contributionThese modified AGI limits may be increased after 2022 for any cost of living adjustment. For more information on thesecontribution limits, please see IRS Publication 590-A.Your maximum contribution to a Traditional IRA is not affected by your modified adjusted gross income (AGI) or yourtax filing status.DEDUCTIBILITY OF CONTRIBUTIONSContributions to a Roth IRA are not tax deductible.Contributions to a Traditional IRA are fully tax deductible if both you and your spouse were not covered for any part ofthe year by an employer retirement plan. An employer retirement plan includes a defined contribution plan and a definedbenefit plan. Generally, you are covered by a defined contribution plan, such as the TDRA, if amounts are contributed orallocated to your account for the plan year. You are covered by a defined benefit plan, such as the Pension Plan, for anyyear in which you accrue a pension benefit.IRA Disclosure Statement 11-21Page 3 of 94843-7479-7784.9
If either you or your spouse was covered for any part of the year by an employer retirement plan, you may be entitled toonly a partial (reduced) deduction or no deduction at all, depending on your income and your filing status. If you are covered by an employer retirement plan, use the following table:If your filing status isAnd your modified AGI isThen you can makeSingle, head of household, ormarried filing separately and youdid not live with your spouse at anytime during the year 68,000 or lessA full deductionMore than 68,000 but less than 78,000A partial deduction 78,000 or moreNo deduction 109,000 or lessA full deductionMore than 109,000 but less than 129,000A partial deduction 129,000 or moreNo deductionMarried filing jointly or qualifiedwidowerMarried filing separately and you Less than 10,000lived with your spouse at any time 10,000 or moreduring the year A partial deductionNo deductionIf you are not covered by an employer retirement plan, but your spouse is covered by an employerretirement plan, use the following table:If your filing status isAnd your modified AGI isThen you can makeMarried filing separately and youdid not live with your spouse at anytime during the yearAny amountA full deductionMarried filing jointly 204,000 or lessA full deductionMore than 204,000 but less than 214,000A partial deduction 214,000 or moreNo deductionMarried filing separately and you Less than 10,000lived with your spouse at any time 10,000 or moreduring the yearA partial deductionNo deductionThe above tables are applicable to regular contributions made to a Traditional IRA during 2022 only. The modified AGIlimits shown in the tables above may be increased by the IRS after 2022 for any cost of living adjustment. In addition, ifyou received social security retirement benefits for the tax year, your deductible limits will be determined differently. Formore information on these deductible limits, please see IRS Publication 590-A.DEADLINES FOR IRA CONTRIBUTIONSYou may establish and make contributions to your IRA any time from January 1 of the current year until the tax filingdeadline of the following year (generally April 15). If you make a contribution after the end of the tax year but before thetax filing deadline, you may designate which tax year for which you are making the contribution.You may establish and make regular contributions to an IRA for the prior year even if you (or your spouse, if applicable)are no longer employed by an eligible employer, so long as you were eligible to establish and make regular contributionsto the IRA in the prior year. In that case, the regular contributions must be designated for the prior year.IRA Disclosure Statement 11-21Page 4 of 94843-7479-7784.9
TAX-DEFERRED EARNINGSThe investment earnings on your IRA account are not subject to federal income tax as they accumulate. Distributions ofTraditional IRA earnings are taxable at the time of distribution. Distributions of Roth IRA earnings will be tax free ifyour distribution is qualified, as discussed below.EXCESS CONTRIBUTIONSIf your regular contributions to an IRA exceed the contribution limits, a 6% excise tax may apply to the portion of thecontribution that is an excess contribution. This excise tax will apply each year that the excess contribution remains inyour IRA. If you withdraw an excess contribution along with any applicable earnings prior to your deadline for makingIRA contributions (your tax filing deadline for the year, generally April 15), the excise tax does not apply.LIMITATION ON IRA ROLLOVERSYou are limited to making one rollover from an IRA to another IRA in a 12-month period. However, this restriction doesnot apply to a conversion of a traditional IRA to a Roth IRA, or to a trustee-to-trustee transfer from one IRA trustee toanother IRA trustee.CONVERSIONSA conversion occurs when you move funds from your Traditional IRA to a Roth IRA. A conversion can occur by rolloveror by a direct trustee-to-trustee transfer. The amount of the conversion attributable to deductible contributions isincludible in your gross income and subject to ordinary income tax, but the 10% early distribution tax penalty (discussedbelow) does not apply. The limitation of one rollover per 12-month period that applies to IRA-to-IRA rollovers does notapply to conversions.RECHARACTERIZATIONSA recharacterization occurs when you move funds contributed to one IRA to a second IRA in the same tax year, in orderto treat the contribution as having been made to the second IRA from the start. A recharacterization occurs by trustee-totrustee transfer and must be completed prior to your tax filing deadline plus extensions. There are two types ofrecharacterizations: You can request a transfer of a contribution made to a traditional IRA, adjusted by earnings or losses, to yourRoth IRA prior to your tax filing deadline plus extensions. You can request a transfer of a regular contribution made to a Roth IRA, adjusted by earnings or losses, to yourTraditional IRA prior to your tax filing deadline plus extensions. A rollover or conversion from a traditional IRAor a pre-tax account to a Roth IRA cannot be recharacterized.TAXATION OF DISTRIBUTIONS FROM AN IRAYou may request a distribution of your funds in your IRA at any time. The taxation of your distributions depends on thetype of IRA, the type of distribution, and the timing of the distribution.A. Traditional IRAIf only deductible contributions were made to your Traditional IRA, your distributions are fully taxable unless you rollover your distribution to another traditional IRA or eligible retirement plan. If nondeductible contributions were made toyour Traditional IRA, the portion of your distribution that represents the nondeductible contributions will not be taxed.All earnings are taxable when received.IRA Disclosure Statement 11-21Page 5 of 94843-7479-7784.9
B. Roth IRAIf your distribution is a qualified distribution, both your Roth IRA contributions and earnings will be distributed to you taxfree. A qualified distribution is a distribution that is made after the end of a five-year period beginning with the first dayof the year in which you made your initial contribution to a Roth IRA and that meets one of the following requirements:1.2.3.4.the distribution is made after you are at least 59½ years old,the distribution is made after you become disabled,you are the beneficiary of the deceased IRA owner, orthe distribution is for a first time home purchase.If your distribution is not a qualified distribution, the earnings will be included in your gross income (and may also besubject to the early distribution penalty tax discussed next). However, if you request a partial distribution of your account,your annual contributions will be treated as distributed first, then your conversion contributions, and then your earnings.Therefore, your non-qualified distribution will not be taxable unless your distribution exceeds your annual contributionsplus conversions.If you take a distribution from your Roth IRA before the end of the five-year period beginning with the first day of theyear in which you converted an amount from a traditional IRA or eligible retirement plan to the Roth IRA, you mustgenerally pay a 10% early distribution penalty tax on the portion of the distribution that you had to include in incomebecause of the conversion. A separate five-year period applies to each conversion. This penalty tax is not applicable ifthe distribution meets one of the exceptions to the early distribution tax penalty set forth below.C. Early Distribution Penalty TaxIf you receive a distribution from your IRA before you are age 59½, you must generally pay a 10% penalty tax on theamount
IRA Enrollment Form 11-21 Page 2 of 4 4843-7479-7784.9 . Indicate contribution type below (check one or more as applicable): Rollover/Transfer (including a conversion or recharacterization). Complete and return Application for Rollover/Transfer to IRA unless requesting a transfer (conversion) from a Traditional IRA underto a Roth IRA the DCRA.
