Traditional/Roth IRA Plan

SunTrust Bank, N.A. Beneficiary Distribution Election Form

1. DECEASED DEPOSITOR INFORMATION
Depositor’s Name Social Security Number (Optional)

Date of Birth Plan Number

Date of Death Plan Type

Traditional IRA Roth IRA
SunTrust Bank, like all financial institutions, is required by the USA PATRIOT ACT to obtain, verify, and record information that identifies each beneficiary of
an IRA account with us. When you are a beneficiary of an IRA account with us, we will ask you for your name, address and other information that will allow
us to identify you. The information we gather is for your protection and the country’s against terrorist activity and illegal money laundering schemes.
2. BENEFICIARY INFORMATION
Beneficiary Name Social Security Number

Daytime Telephone Number Date of Birth Relationship to Depositor

Physical Street Address, City, State, Zip Source of Income: Employment Investment
Inheritance Retirement/Social Security
Mailing Address (If different) Employer Name (If Employment Selected)

Country of Citizenship Country of Residency Occupation (If Employment Selected)

Non U.S. Citizen Required Information Senior Political Figure and Politically Exposed Persons
# of Days Present in U.S. This Year Have you or any of your immediate family ever been elected, appointed or assumed any political position in
a National, State, or Provincial government? (Y/N) If yes, describe the position.
# of Days Present in the U.S. Last Year

# of Days Present in the U.S. During Previous Year

3. DISTRIBUTION INSTRUCTIONS
SUNTRUST BANK RECOMMENDS YOU CONTACT YOUR TAX ADVISOR BEFORE MAKING YOUR ELECTION
A beneficiary of an IRA Plan should elect how to receive the proceeds of the IRA Plan no later than 30 days of application. Any separate
beneficiary accounts must be established following the IRA Plan Depositor’s death. Available options depend on the age of the IRA Plan
Depositor, the relationship of the beneficiary to the IRA Depositor, and the type of IRA Plan.

SELECT ONLY ONE OF THE PAYMENT OPTIONS BELOW.

Lump Sum Distribution I elect to receive my entire portion of the IRA Plan in a single lump sum payment.
Deposit into my personal account Checking Savings
Mail check to the address above. State I elect to receive my entire portion of the IRA Plan by
Life Expectancy taking payments over the longer of my own life expectancy or the remaining life expectancy of the
Option A. Payments deceased IRA Plan Depositor.
Always Specific Amount I elect to receive my entire portion of the IRA Plan by taking payments of
Available
Specific Term I elect to receive my entire portion of the IRA Plan by taking payments over year
I elect to receive my entire portion of the IRA Plan by 12/31 of the year containing the 5 anniversary
th
5-Year Payout
of the IRA Plan Depositor’s death. (Only available if the deceased IRA Plan Depositor was under the
age of 70½ on the date of death)

Spouse Treat as Own I am the spouse of the deceased IRA Plan Depositor and I elect to treat the assets of the IRA Plan as
Option B. my own IRA.
Additional Options
Spousal Exception I am the spouse of the deceased IRA Plan Depositor and I elect to delay taking distributions until the
for Spouse Only year my spouse would have reached age 70½. Date:

NOTE: Under both options, additional amounts may be withdrawn at any time.
4. RMD PAYMENT INSTRUCTIONS
You are responsible for taking your annual Required Minimum Distribution (RMD) from the IRA Plan. The Bank will not distribute your RMD unless you give the
Bank timely written distribution instructions. The Specific Start Date is limited to any date between January 7th and December 28th. If date selected is a non-business
day, the distribution will be processed on the first business day following the date.

Select One: Monthly Quarterly Semi-Annually Annually Specific Start Date

Select One: Mail check to the address above. Deposit into my Bank Account Checking Savings

Form 09-89-1289NjkW–Version 0001712

5. TAX WITHHOLDING ELECTION
Notice of Withholding Election: Distributions you receive from your Individual Retirement Account are subject to Federal income tax
withholding and may be subject to State income tax withholding and/or Local income tax withholding based on your state and municipality of
residence unless you elect not to have withholding apply.

You are liable for Federal, and applicable State and Local income taxes on the taxable portion of your distribution. If you elect not to have withholding
apply to your distribution, or if you do not have enough tax withheld from your distribution, you may be responsible for payment of estimated taxes.
You may also incur penalties under the estimated tax rules if your withholding and estimated tax payments are not sufficient.
Withholding Election: You MUST indicate your withholding election below.

Complete if you are providing a U.S. Address:

Federal Withholding:
Important: Please note that if you do not make a withholding election, federal income tax will be automatically withheld from your
distribution at a rate of 10%.

Do not withhold federal income tax from my distribution.

Withhold federal income tax from my distribution (check one):
At a rate of 10% At a rate of % (must be greater than 10%)

State Withholding:
Important: State withholding may also be required in certain states when you elect federal income tax withholding. North Carolina
residents are required to use form NC-4P (Withholding Certificate for Pension or Annuity Payments) for all North Carolina state
withholding elections.

The minimum required for the state of is .

Do not withhold state income tax from my distribution.

Withhold state income tax for the state of from my distribution at the rate of %, or amount of $ .

Local Withholding:
Important: Local withholding may also be required in certain states.

The minimum required for the municipality of is .

Do not withhold local income tax from my distribution.

Withhold local income tax for the municipality of from my distribution at the rate of %, or amount of $ .

6. BENEFICIARY’S ACKNOWLEDGMENT
I acknowledge that I have read and completed this Form. I further acknowledge that neither the Bank nor its agents or employees have made any
representations to me regarding tax or any other effects of my elections/instructions on this Form, and the Bank has advised me to speak to my tax
advisor regarding my elections/instructions. I direct the Bank to effect the elections/instructions I have made on this Form and agree that the Bank and its
agents and employees have no liability for any action or inaction taken by them in reliance upon such elections/instructions.

BENEFICIARY SIGNATURE (REQUIRED) DATE

Form 00-59-1289NSBW – Version 042412