Direct Conversion Form

OVERVIEW 

• This form processes the conversion of funds from a Traditional or SEP IRA to a Roth IRA.
• The latest version of the form is available HERE. 

Instructions 

• Roth IRA Account Holder’s Information
  • Complete this section with your full legal name and Social Security Number 

• Accepting Roth IRA Trustee or Custodian
  • This segment should include the information for the custodian we utilize, Apex Clearing Corp.
    • Trustee: Apex Clearing Corp
    • Address Line 1: 350 N St Paul Street
    • City/State/ZIP: Dallas, TX 75201

• Current IRA Trustee or Custodian
  • This segment should include the information for the custodian we utilize, Apex Clearing Corp.
    • Trustee: Apex Clearing Corp
    • Address Line 1: 350 N St Paul Street
    • City/State/ZIP: Dallas, TX 75201

• Account Information
  • Complete this section with the receiving Roth IRA and delivering Traditional IRA account number
  • Check the box for Traditional IRA

• Federal Withholding
  •  Specify the percentage you'd like to withhold for federal taxes.
    • If you wish not to withhold you may enter zero. 

• State Income Tax Withholding
  •   Specify the percentage you'd like withheld for state taxes.
    • Some states may require withholding and/or provide a method for opt-out
    • We encourage you to speak with your qualified tax professional regarding your unique circumstances.

• Direct Conversion Instructions
  • Indicate your conversion instructions.
    • If you wish to convert the full Traditional IRA, only complete the Total Account Conversion row.
    • If you wish to process a partial conversion, only complete the Partial Account Conversion row and indicate the cash and/or securities to be converted. 

• Signature
  • Electronically or physically sign your name.

• A typed name is insufficient for a signature.

Important Notes 

• Roth Conversions may trigger tax consequences. We encourage you to speak to a qualified tax professional about your unique circumstances.
• You can submit your completed form to an Investment Specialist via chat.
• Form example below - The highlighted segments must be completed.