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Get Fidelity Investments IRA Beneficiary Distribution Request 2023-2024

Fidelity Advisor IRA Beneficiary Distribution Request Use this form to initiate a distribution from your Fidelity Advisor IRA Beneficiary Distribution Account BDA or Fidelity Advisor Roth IRA BDA. If I am a nonresident alien I have attached with this Fidelity Advisor IRA Beneficiary Distribution Request form an IRS Form W-8BEN and included my U.S. taxpayer identification number in order to claim tax treaty benefits if applicable. If you need to list additional S funds attach a separate sheet of paper with instructions. The Fidelity Advisor IRA Systematic Withdrawal Program will be activated in accordance with your instructions 10 days after your request is accepted. If the requested distribution date falls on a weekend or holiday the issuing date will generally become the preceding business day. If you are establishing systematic distributions to deplete the account by 12/31 of the year containing the 5th anniversary of the Decedent s death you are responsible for ensuring that the account is in fact depleted by that date. A Form 1099-R will be sent to you in January of the year following the year you took Section 6 istribution Instructions Choose a distribution method from the list of methods available to you as the beneficiary of a Fidelity Advisor IRA. Read the following instructions carefully. Helpful to Know f you do not have an existing Fidelity Advisor IRA BDA I you may use this form to initiate a full distribution of your portion of the assets from a Decedent s existing Fidelity Advisor IRA including a spousal beneficiary s election to treat the inherited assets as his or her own* A copy of the death certificate will also be required* omplete this form only if you are requesting a current C distribution or establishing scheduled periodic distributions that will begin within 12 months of the current date. f you would like to open a Beneficiary Distribution Account complete a Fidelity Advisor IRA Application for Beneficiaries. If you would like to open a Fidelity Advisor IRA complete a Fidelity Advisor IRA Application* Required Distribution MRD complete the Fidelity Advisor IRA or Roth IRA Beneficiary Distribution Account Minimum Required Distribution form* f you have questions call one of our Retirement Specialists at 800-248-4253 option 3. Instructions Section 1 Account Information must be completed in full* Section 2 riginal Depositor Information Complete this section only if you have not established a Fidelity Advisor IRA BDA and are requesting O a full distribution of your portion of the assets directly from the Decedent s Original Depositor s Fidelity Advisor IRA. This includes spousal beneficiaries electing to treat the inherited IRA assets as their own* You will also need to enclose a copy of a death certificate. Provide the original depositor s full name account number if known and your relationship to him or her. If you are inheriting assets from an IRA the deceased IRA owner is the original depositor. If you are inheriting assets from an IRA Beneficiary Distribution Account the first IRA owner is the original depositor.

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