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IRA Club LLC
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29
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1
What type of Self Directed account would you like to establish?
*
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Traditional IRA
Roth IRA
SEP IRA
SIMPLE IRA
Youth Account (17 Yrs or Younger)
HSA
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2
Name
*
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First Name
Middle Name
Last Name
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3
Date of birth
*
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4
Street Address
*
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5
City
*
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6
State
*
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7
Zip Code
*
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8
Social Security Number
*
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9
Phone Number
*
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10
EMAIL ADDRESS
*
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example@example.com
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11
How will you Fund Your Account?
*
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(Please note, each account requires a $500 minimum cash balance)
IRA to IRA Transfer
Old Employer Plan (401k, 403b, 457, TSP)
Contribution (Powered by Plaid)
Pension/Annuity
IRA to IRA Transfer
Old Employer Plan (401k, 403b, 457, TSP)
Contribution (Powered by Plaid)
Pension/Annuity
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12
Here is a guide to help you with your rollover.
This guide will also be attached in your email as a link.
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13
Firm Name
*
This field is required.
American Funds
Edward Jones
E-Trade
Fidelity
LPL Financial
Pershing
Charles Schwab
TD Ameritrade
Vanguard
Other
American Funds
Edward Jones
E-Trade
Fidelity
LPL Financial
Pershing
Charles Schwab
TD Ameritrade
Vanguard
Other
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14
Enter Other Firm Name
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15
Transfer Amount (approximately)
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16
Optional: Please upload your current custodian’s (Fidelity, Vanguard, TD, Schwab, etc.) statement to expedite the transfer process.
(Optional)
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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of
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17
Old Employer's Firm Name
*
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18
Rollover Amount (approximately)
*
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19
Tax Year for Contribution
*
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20
Contribution Amount
*
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21
Would you like to add a beneficiary?
Yes
No
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22
Beneficiary's Full Name
*
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23
Beneficiary's Date of birth
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24
Beneficiary's Social Security Number
No Spaces or Dashes
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25
Name The Share Percentage For This Beneficiary (ex: 100%)
*
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26
Relationship to Account Owner
*
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27
How Did You Hear About Us?
*
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28
Please Use Promo Code (Youth) to Waive your Set Up Fee
Please Use Promo Code (Youth) to Waive your Set Up Fee
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29
Select Name of LLC
*
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30
Where will the client maintain LLC records?
*
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Home Address
Another location
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31
If another location please give address
*
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32
The default state for the LLC is Illinois. Would you prefer another state?
*
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Illinois
Other State
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33
If other state please specify
*
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34
If you selected Illinois, IRA Club will act as your Registered Agent. If you selected a state, who will act as the Registered Agent?
*
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Client
Someone Else
IRA Club will identify as Registered Agent (For Illinois only)
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35
If someone else please state name and address
*
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36
Please choose a payment method for your IRA Club fees
*
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Credit Card (Preferred Method)
Deduct from IRA
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37
Expedited?
*
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Yes
No
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38
Initials
*
This field is required.
By signing this application, I acknowledge, on behalf of myself and all users authorized by me, that: I agree to accept electronic statements and notices via email and online to my IRA Club portal. IRA Club will provide a unique Contact ID to set up a User ID, Password, and Security Questions. Online access registration will be sent to the email address above within five business days after the account is active. The password chosen will be kept confidential. If a User ID or Password is lost or stolen, I will attempt to reset it or call IRA Club to obtain assistance. I agree to hold IRA Club harmless from all losses, liability, demands, judgments, claims, and expenses from my use of my email address listed above, the IRA Club website, and the IRA Club Portal IRA Club provides. I provide the indemnification without regard as to whether your claim is against my authorized representative or me.
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39
Signature Date
*
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40
Signature
*
This field is required.
This application consists of three parts provided for review. By signing this application, I hereby establish an IRA under the provided Custodial Agreement (Form 5305) and Account Disclosure Statement. I designate IRA Club as my IRA Administrator. I agree to the terms outlined in the application and have read and examined the IRA Custodial Account Agreement (5305), Account Disclosure, and IRA Club
Fee Schedule
. I have retained a copy of my account documents, including a copy of this completed application. Please note, each account requires a $500 minimum cash balance.
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41
Contribute to your IRA Club Account
*
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Sign here to start the process and acknowledge your deposit.
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42
LLC Signature
*
This field is required.
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43
Membership Fee
*
This field is required.
If you would like the LLC fee to come out of the credit card please add it to cart
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ORDER SUMMARY
Total cost
USD
IRA Checkbook LLC set up fee
Annual Fee
$
325.00
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LLC Set up fee
$
995.00
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44
Payment Methods
Debit Or Credit Card
Select PayPal Method
Choose from one of the PayPal options to
make your payment.
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