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Direct Rollover/
Transfer Request Form
Use this form to request your previous trustee/custodian to transfer all or a portion of assets from another HSA, Archer
MSA, or IRA into your UPMC FlexAdvantage
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How to fill out direct rollover transfer request

How to fill out direct rollover transfer request
01
Gather all the necessary documents and information needed for the direct rollover transfer request.
02
Contact the financial institution that currently holds your retirement funds and inquire about their direct rollover transfer process.
03
Obtain the necessary forms and paperwork from the financial institution and carefully review them.
04
Fill out the direct rollover transfer request form, ensuring that each section is completed accurately and legibly.
05
Double-check all the provided information for any errors or missing details.
06
Include a copy of your identification documents, such as driver's license or passport, as required by the financial institution.
07
If necessary, enclose any additional documents or information that may be requested by the financial institution.
08
Submit the completed direct rollover transfer request form and all supporting documents to the financial institution via mail or electronically, following their specified instructions.
09
Wait for confirmation from the financial institution regarding the acceptance and processing of your direct rollover transfer request.
10
Monitor your retirement account to ensure that the direct rollover transfer has been successfully completed.
Who needs direct rollover transfer request?
01
Individuals who are changing jobs and want to transfer their retirement funds from their previous employer's retirement plan to a new plan.
02
Those who are retiring and wish to roll over their retirement funds to an individual retirement account (IRA) or another retirement plan.
03
Individuals who have inherited retirement funds and want to transfer them to their own retirement account.
04
Anyone who is consolidating multiple retirement accounts into a single account for better management and easier tracking of funds.
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What is direct rollover transfer request?
A direct rollover transfer request is a request to transfer funds from one retirement account to another retirement account without the funds being distributed to the individual in between.
Who is required to file direct rollover transfer request?
Individuals who are moving funds from one retirement account to another retirement account are required to file a direct rollover transfer request.
How to fill out direct rollover transfer request?
To fill out a direct rollover transfer request, individuals must provide the necessary information requested by the financial institution or retirement plan provider handling the transfer.
What is the purpose of direct rollover transfer request?
The purpose of a direct rollover transfer request is to transfer retirement funds between accounts in a tax-efficient manner, without triggering any tax consequences.
What information must be reported on direct rollover transfer request?
The direct rollover transfer request must include information such as the account numbers of the sending and receiving accounts, the amount to be transferred, and the reason for the transfer.
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