486
Life and Death Planning for Retirement Benefits
at the time of my death such Beneficiary’s share shall not be paid to such Beneficiary outright,
but shall instead be paid to the trustee then serving as such under the separate trust established
for such Beneficiary’s benefit under Article [NUMBER] of the [TRUST NAME] Trust, dated
[TRUST DATE], a copy of which is attached hereto, to be held, administered, and distributed
for the benefit of such Beneficiary as provided therein.
3.7 Different Beneficiaries for Roth, Traditional, Accounts
See
¶ 5.8.06 (A) for why a client may want to name different beneficiaries (or different contingent
beneficiaries, as in this Form 3.7) for his “traditional” and “designated Roth” (DRAC; see
¶ 5.7 )accounts in a single 401(k), 403(b), or 457 plan at his place of employment. This form provides
an example of such a bifurcated beneficiary designation. Be aware, however, that the plan may not
be willing to accept this type of split beneficiary designation, since it increases the burden on the
plan administrator.
This form is not suitable for an IRA. With an IRA, the
entire account
is either a traditional or a
Roth IRA. You need a separate beneficiary designation form for
each IRA
, but you could not have
different beneficiary designations for different portions of a single IRA.
II. Designation of Beneficiary
I hereby designate my Primary and Contingent Beneficiaries for my “Roth” and
“traditional” accounts in the Plan:
A. I hereby designate, as my Primary Beneficiary with respect to my “designated Roth
account” in the plan, to receive 100% of the Death Benefit with respect to said account, my
spouse [SPOUSE NAME], if my said spouse survives me, and as my Contingent Beneficiary
(to take said account if my said spouse does not survive me, or to the extent my said spouse
disclaims the benefits), my issue surviving me, by right of representation.
B. I hereby designate, as my Primary Beneficiary with respect to any and all other accounts
I have in the plan, to receive 100% of the Death Benefit with respect to said accounts, my
spouse [SPOUSE NAME], if my said spouse survives me, and as my Contingent Beneficiary
(to take said account(s) if my said spouse does not survive me, or to the extent my said spouse
disclaims the benefits), [NAME OF CHARITY], for its general charitable purposes.
3.8 Formula Gift with Reference to Outside Fiduciary
See the “Checklist: Drafting the Beneficiary Designation,” Question 4(C), p.
475.Pair this with
Form 5.2.
II. Designation of Beneficiary
I hereby designate as my Primary Beneficiaries, to receive 100% of the Death Benefit,
the following persons in the following proportions:
To the trustee then serving of the [NAME OF TRUST], under Agreement of Trust
dated _______________, a copy of which is attached hereto (hereinafter, the “Trust”), I leave




