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Appendix B: Forms
479
copy of which is attached hereto], to be held and administered for the benefit of such person
as provided therein. The name and address of the current Trustee are: [INSERT].
4. Regardless of who is named as beneficiary above, you shall provide to the executor,
administrator, or other duly appointed representative of my estate such information regarding
me, my account, and/or my beneficiary(ies) as such representative may reasonably request in
connection with the performance of his, her, or its duties as such representative.
Signed this _____ day of ____________________, 20 _____.
________________________________________
Signature of Participant
2.
MASTER BENEFICIARY DESIGNATION FORMS
These Master Beneficiary Designation Forms are meant to provide a starting “boilerplate”
form, which will be modified by the estate planner when used for a particular client. The
modifications will consist of: (1) inserting the names of the beneficiary(ies) in Article II (see
sample inserts in Part 3 of this
Appendix B ); (2) deleting superfluous provisions and/or adding
clauses from Form 2.3 if needed; and (3) such other modifications as are necessary or desirable to
reflect applicable state law, the client’s intent, and the requirements of the plan. See also the
“Checklist: Drafting the Beneficiary Designation,” at page 457.
Form 2.1 is meant to be used with IRAs (traditional and Roth). Form 2.2 is for QRPs. Form
2.3 contains add-on clauses for both forms.
A particular IRA provider or QRP administrator may not be willing to accept some or all
of these provisions, or any modifications to its printed beneficiary designation form. In such cases,
the client will have to decide whether to move the benefits to another plan (if that is possible) or
compromise his estate planning goals.
2.1 Master Beneficiary Designation: Traditional or Roth IRA
DESIGNATION OF BENEFICIARY
TO:
__________________________________________
Name of Custodian or Trustee of the Account
FROM: __________________________________________
Name of Participant
RE:
Account No. ______________________________
I.
Definitions
The following words, when used in this form and capitalized, shall have the meaning
indicated in this Section.