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This form is used to request the rollover of funds into a HealthEquity HSA from another custodian.
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How to fill out rollover request form

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How to fill out Rollover Request Form

01
Obtain the Rollover Request Form from your retirement account provider or the appropriate financial institution.
02
Fill in your personal information, including your name, address, and Social Security number.
03
Provide details about the current retirement account you wish to roll over, including the account number and the name of the financial institution.
04
Specify the type of rollover you are requesting (e.g., direct rollover or indirect rollover).
05
Indicate the destination account where the funds will be rolled over, including its account number and financial institution.
06
Review the form for accuracy and ensure all required fields are completed.
07
Sign and date the form to confirm your request.
08
Submit the form as directed by your financial institution, either online, by mail, or fax.

Who needs Rollover Request Form?

01
Individuals looking to transfer funds from one retirement account to another without tax penalties.
02
Account holders of 401(k), IRA, or other retirement plans seeking to consolidate their retirement savings.
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People Also Ask about

A rollover is a tax-deferred transfer of property. In the corporate context, a rollover involves the transfer of one asset (for example, shares in corporation A or assets of A) in exchange for another (for example, shares in corporation B)
The basics As you switch jobs or retire, an IRA rollover allows you to keep potential tax benefits and move funds to an account that can offer more investment options and flexibility than many employer-sponsored retirement plans.
Direct rollover – If you're getting a distribution from a retirement plan, you can ask your plan administrator to make the payment directly to another retirement plan or to an IRA. Contact your plan administrator for instructions.
A rollover occurs when you withdraw cash or other assets from one eligible retirement plan and contribute all or part of it, within 60 days, to another eligible retirement plan.
For direct IRA rollovers: The 401(k) plan administrator will send you IRS Form 1099-R.
A rollover is when you move funds from one eligible retirement plan to another, such as from a 401(k) to a Traditional IRA or Roth IRA. Rollover distributions are reported to the IRS and may be subject to federal income tax withholding.
Rollover means to extend a particular financial agreement. In the context of retirement accounts, rollover often refers to transferring funds from one Individual Retirement Account (IRA) to another traditional IRA or Roth IRA, or from a qualified retirement plan into an IRA.
A rollover is the process of keeping a position open beyond its expiry. The term is commonly used in forex, where it is used to explain the possible interest that may be earned or incurred for holding a position over night. However, rollover has a variety of meanings in finance.

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The Rollover Request Form is a document used to request the transfer of funds from one retirement account to another, typically without incurring tax penalties.
Individuals who wish to transfer their retirement savings from one plan to another, such as from a 401(k) to an IRA, are required to file a Rollover Request Form.
To fill out the Rollover Request Form, provide your personal information, the details of the accounts involved, the amount to be transferred, and any necessary signatures.
The purpose of the Rollover Request Form is to formally request the movement of retirement funds from one account to another while ensuring compliance with IRS regulations.
The information required on the Rollover Request Form typically includes your name, address, Social Security number, the details of the current and receiving accounts, and the amount being rolled over.
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