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Printable Form 5304-SIMPLE Jersey City New Jersey: What You Should Know

SIMPLE IRA APPLICATION (Part I) — American Express This form is used by a participant in an eligible employer's SIMPLE IRA plan to establish a SIMPLE IRA account in their employer's account held directly at. SIMPLE IRA APPLICATION (Part II) — American Express If you are not a participant in an employer's plan, you are not an eligible participant in an eligible SIMPLE IRA Plan. A SIMPLE IRA Plan participant can establish a SIMPLE IRA Account at an eligible employer's  SIMPLE IRA Application (Part III) — UPMC Shady side This form is used if you are an eligible participant in an eligible employer's SIMPLE IRA plan held directly at UPMC Shady side and you are under a legal disability. You cannot claim an exemption from IRA contribution and IRA vesting requirements under Code Section 401(a) or Code Section 402 of the Code. A SIMPLE IRA participant must establish an eligible employer plan at the financial institution selected by an applicant. You can establish a SIMPLE IRA account at an eligible employer's plan and must be subject to a legal disability. After you establish your SIMPLE IRA account at UPMC Shady side, you must notify the plan administrator of this plan in the form provided by UPMC Shady side for each eligible individual eligible for IRA contribution and IRA vesting requirements under Code Section 401(a) and Code Section 402. For additional information, contact the Plan Administrator. Additional information on these forms: This PDF form is for employees who have already established their own SIMPLE IRA Plan in their own employer's plan. If you are already an employee or an eligible participant in an employer's SIMPLE IRA Plan, you can use this form to establish an eligible employer's account for you. For additional information, contact an employer to assist with an existing account establishment at an employer's plan. Form 5304-SIMPLE-A (2014) This PDF form is for SIMPLE IRA participants. If you wish to open a SIMPLE IRA for your spouse or your dependent child, you can use this form. There is an option on the form to request a Form 5304-SIMPLE-A Application for an individual as the sole beneficiary for self and up to three qualifying dependents (that is, your child(men) and/or spouse).

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