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NOTE: The original 403(b)(7) owner is the initial/first owner of the 403(b)(7). If you inherited this 403(b)(7) from a previous beneficiary, do not provide that beneficiary's information; provide the initial owner's information above. Include a copy of the decedent's death certificate if not already on file with Victory Funds.
If non-resident alien, please call 1-800-235-8396.
If you are a non-resident alien, please call 1-800-235-8396 for assistance with completing this form.
Transfer assets to a designated beneficiary. Transfer mutual fund positions in kind from the deceased original 403(b)(7) account number:
Transfer mutual fund positions in kind from the original 403(b)(7) account number:
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If your account receives employer contributions or is otherwise subject to the Employee Retirement Income Security Act (ERISA), spousal consent may be required in certain circumstances. Please check with your employer about spousal consent requirements and any additional beneficiary requirements specific to your plan. If you are married and designating someone other than your spouse as the primary beneficiary, a Consent of Spouse Acknowledgement must be completed, signed by your spouse, and witnessed by a notary public. You will be able to print this application after completion.
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Name: Not provided
SSN: Not provided
Date of Birth: Not provided
Date of Death: Not provided
Relationship: Not provided
Employer Name: Not provided
Plan ID: Not provided
Name: Not provided
Marital Status: Not provided
SSN: Not provided
Date of Birth: Not provided
Address: Not provided
City/State/Zip: Not provided
Phone: Not provided
Email: Not provided
Employment Status: Not provided
U.S. Citizen: Not provided
Funding Type: Not selected
Account Numbers: Not provided
To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents. If your identity cannot be verified, we may not be able to open your account or process transactions.
I hereby appoint and designate the named primary beneficiary(ies) for my 403(b)(7). The 403(b)(7) shall be paid to the primary beneficiary(ies) who survives you. If you appoint more than one primary beneficiary, such primary beneficiaries who survive you shall share in your 403(b)(7) equally, unless you state below a specific percentage of distribution to each primary beneficiary. (Note that all such specific percentages of distribution when added together must total 100%.) If for any reason the percentages do not total 100%, any remaining assets shall be divided equally among the surviving primary beneficiaries. If your account is distributable to multiple beneficiaries and, after allocating any remainder in accordance with the preceding sentence, the allocations total at least 99% but less than 100%, the remainder shall be allocated to the first beneficiary designated. If your account is distributable to multiple beneficiaries and, due to rounding or fractional shares, your account cannot be fully allocated to all such beneficiaries, any portion of your account that is not fully allocated due to such rounding or fractional shares shall be allocated to the beneficiary whom you have designated to receive the largest share or, if more than one beneficiary has been designated to receive the same largest share, to the first such beneficiary so designated. Allocation percentages may be specified or established in intervals of no smaller than .01%.
I hereby appoint and designate the named secondary beneficiary(ies) for my 403(b)(7). The 403(b)(7) shall be paid to the secondary beneficiary(ies) who survive you only if you survive the primary beneficiary (or all of the primary beneficiaries, if you designate multiple primary beneficiaries). In that event, surviving secondary beneficiary(ies) shall share in the 403(b)(7) assets equally, unless you state below a specific percentage of distribution to each secondary beneficiary. (Note that all specific percentages of distribution when added together must total 100%.) If for any reason the percentages do not total 100%, any remaining assets shall be divided equally among the surviving secondary beneficiaries. If your account is distributable to multiple beneficiaries and, after allocating any remainder in accordance with the preceding sentence, the allocations total at least 99% but less than 100%, the remainder shall be allocated to the first beneficiary designated. If your account is distributable to multiple beneficiaries and, due to rounding or fractional shares, your account cannot be fully allocated to all such beneficiaries, any portion of your account that is not fully allocated due to such rounding or fractional shares shall be allocated to the beneficiary whom you have designated to receive the largest share or, if more than one beneficiary has been Page 3 of 5designated to receive the same largest share, to the first such beneficiary so designated. Allocation percentages may be specified or established in intervals of no smaller than .01%.
BOKF NA dba Bank of Texas hereby accepts appointment as Custodian of the Victory Funds 403(b)(7) Custodial Account for the benefit of the Employee named above.
The Employee hereby appoints BOKF NA dba Bank of Texas as Custodian and agree to pay the Custodian Fees as follows:
I hereby agree to the terms and conditions set forth in the Victory Funds 403(b)(7) Custodial Account Agreement and Application and acknowledge receipt of the current prospectus(es) of the fund(s) in which an investment is being made.
I certify that the Social Security Number/Taxpayer Identification Number provided on this application is correct. I understand I have exchange privileges on my 403(b)(7) Custodial Account as set forth in the prospectus(es) of the appropriate funds.
The Employee named below hereby establishes a Retirement Plan and Custodial Account under Internal Revenue Code Section 403(b) (7) in accordance with the terms of the Agreement for Salary Reduction between the Employee and the Employer and also according to the terms of the Victory Funds Custodial Account Agreement. The Employee certifies that he/she has received, read and accepts in accordance with the terms thereof and with the following additional terms and conditions.
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