Yes! You can use AI to fill out Beneficiary Account Withdrawal Request Governmental 457(b) Plan
This form, the Beneficiary Account Withdrawal Request for a Governmental 457(b) Plan, is used by individuals who have inherited a retirement account to request a withdrawal of funds. It allows the beneficiary to specify how they wish to receive the money, such as a one-time payment, a direct rollover, or periodic installments, while also handling tax withholding elections. Today, this form can be filled out quickly and accurately using AI-powered services like Instafill.ai, which can also convert non-fillable PDF versions into interactive fillable forms.
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Form specifications
| Form name: | Beneficiary Account Withdrawal Request Governmental 457(b) Plan |
| Number of pages: | 1 |
| Language: | English |
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Follow these steps to fill out your STD FBTOWR form online using Instafill.ai:
- 1 Navigate to Instafill.ai and upload or select the Beneficiary Account Withdrawal Request form.
- 2 Complete Section A with your information as the Beneficiary Account Holder, including your name, SSN/TIN, and relationship to the decedent.
- 3 Provide the deceased participant's information in Section B.
- 4 In Section C, choose your withdrawal election, such as a one-time payment, rollover, or installment payments, and specify the payee details in Section D.
- 5 Select your preferred delivery method for the proceeds in Section E, like check by mail or electronic deposit (ACH).
- 6 Fill out Section G to indicate your federal and state income tax withholding preferences for the distribution.
- 7 Review the entire form for accuracy, sign and date it in the presence of a Notary Public as required in Section H, and submit it using the instructions in Section I.
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Frequently Asked Questions About Form STD FBTOWR
This form is used by a beneficiary to request a withdrawal from a Beneficiary Account that has already been established for them from a Governmental 457(b) Plan. It is not used for making the initial death benefit claim.
You should fill out this form only if a Beneficiary Account has already been created in your name. If an account has not been established yet, you must first complete the Death Benefit Claim Request form.
You will need to provide the decedent's full name, U.S. Social Security Number, date of birth, and date of death. This information is required for the first withdrawal request you submit from the account.
You can request a one-time payment, set up periodic installment payments, or choose a direct rollover to another retirement account like an IRA. You can also elect a combination of a partial payment to yourself and a rollover for the remaining balance.
Your request is subject to an administrative review period that may take several business days. After processing, delivery time depends on your choice: ACH takes 2-3 business days, regular mail up to 5 business days, and express delivery 1-2 business days.
Yes, a $50.00 fee is deducted for one-time withdrawals. For periodic installment payments, there is a one-time $50.00 set-up fee and an ongoing quarterly fee of $6.25.
Yes, you must sign and date the form in the presence of a notary public. Failing to get the form properly notarized will cause a significant delay in processing your request.
A 'Gross Amount' is the total you request before taxes and fees are deducted, meaning you will receive less than that amount. A 'Net Amount' is the exact amount you wish to receive after all applicable taxes and fees have been withheld.
Do not write the new address on the form, as this will cause delays. You must call the service provider at 1-800-551-4218 to update your address before you submit the form.
You can upload the form electronically on empowermyretirement.com, fax it to 1-866-745-5766, or send it via regular or express mail to the addresses listed in Section I.
For payments eligible for rollover, a mandatory 20% is withheld for federal taxes unless you choose a higher rate. For other payments, the default is 10%, but you can elect a different rate; direct rollovers have no tax withheld at the time of transfer.
Yes, services like Instafill.ai use AI to accurately auto-fill form fields, which can save you time and help reduce errors. This is especially helpful for complex forms requiring detailed information.
Simply upload the PDF to the Instafill.ai platform, and its AI will make the document fillable and guide you in entering your information. After reviewing for accuracy, you can download the completed form to print for your required handwritten signature and notarization.
Services like Instafill.ai can convert flat, non-fillable PDFs into interactive forms. This allows you to easily type your information into the correct fields online before printing the completed document for submission.
Compliance STD FBTOWR
Validation Checks by Instafill.ai
1
Beneficiary Type and Rollover Eligibility
This check ensures that the rollover options selected in Section C are legally permissible for the beneficiary type selected in Section A. For example, a 'Non-spouse' beneficiary cannot roll funds into a new Traditional IRA but must use an 'Inherited IRA'. This validation prevents the selection of invalid rollover destinations, which would result in a rejected transaction and require the beneficiary to resubmit the form.
2
Decedent's Date of Death vs. Date of Birth
This validation verifies that the 'Date of Death' provided in Section B is chronologically after the 'Date of Birth' in the same section. This is a basic logical check to ensure data integrity and prevent obvious data entry errors. If the date of death is before the date of birth, the form submission is considered invalid and must be corrected.
3
Required Minimum Distribution (RMD) Rollover Prohibition
This check confirms that if a rollover is requested and an RMD is due for the current year, the RMD amount is not included in the rollover. IRS rules prohibit the rollover of RMDs, so the system must calculate and distribute the RMD amount separately before processing the rollover request. Failure to do so would violate tax law and result in processing failure.
4
Beneficiary Signature and Notary Date Consistency
This validation ensures the date entered next to the beneficiary's signature in Section H is the exact same date as the notarization date in the 'Statement of Notary'. Mismatched dates can invalidate the notarization, which is a critical anti-fraud measure. This check is vital for legal and security compliance, and a failure would require the form to be re-signed and re-notarized.
5
SSN/TIN/EIN Format and Completeness
This check validates that the U.S. Social Security Number, Taxpayer Identification Number, or Employer Identification Number fields in Section A (Beneficiary) and Section B (Decedent) are not empty and contain exactly 9 digits. This is essential for correct tax reporting to the IRS (e.g., on Form 1099-R). An incorrect or missing number will halt processing until corrected.
6
Conditional Requirement of Non-Resident Alien Certification
This validation enforces the rule that Section F ('Non-Resident Alien or Other Certification') must be fully completed if, and only if, the beneficiary selected 'I am a Non-Resident Alien or Other' in Section A. This ensures the correct tax withholding and reporting status is documented as required by law. If the condition is not met, the form is incomplete and cannot be processed.
7
Withdrawal Amount Specification Exclusivity
For any withdrawal or rollover amount specified in Section C, this check ensures that either a percentage OR a dollar amount is provided, but not both for the same line item. Ambiguous instructions could lead to incorrect distribution amounts. If both are filled, the form should be rejected to force the user to provide a clear, single instruction.
8
RMD Payment Amount Format
This validation confirms that if a one-time withdrawal is intended to satisfy a Required Minimum Distribution (RMD), the request is for a specific dollar amount. The form explicitly states that percentages are unavailable for this purpose. This check prevents ambiguity and ensures the precise RMD amount calculated by the provider is withdrawn.
9
Completeness of External Rollover Payee Information
If a rollover to 'Another Retirement Provider' is selected in Section C, this check validates that Section D is completed with the required 'Name of Trustee/Custodian/Provider' and 'Account Number'. Without this information, the rollover check cannot be correctly issued to the receiving institution. An omission here would make the request unfulfillable and cause processing delays.
10
ACH Delivery Pre-conditions
If 'Electronic Deposit (ACH)' is selected as a delivery method in Section E, this check verifies two conditions: that the withdrawal is not a Direct Rollover and that a valid ACH instruction has been on file for at least 15 days. This 15-day waiting period is a security measure to prevent fraudulent withdrawals immediately after changing bank information. If these conditions are not met, the request defaults to a check by mail to protect the account holder.
11
Spousal RMD Treatment Election Logic
This check confirms that the checkbox 'I am eligible, and choose to treat this account as my own for RMD purposes' in Section A is only selected if the 'Beneficiary is' field is marked as 'Spouse'. This election has significant tax implications and is only available to spousal beneficiaries. An incorrect selection would lead to improper account setup and tax reporting issues.
12
Federal Tax Withholding Rate for Rollover-Eligible Payments
In Section G, if a custom federal withholding rate is entered for a payment that is eligible for rollover (but not directly rolled over), this check validates that the rate is 20% or greater. The form and IRS rules mandate a minimum 20% withholding on such distributions. This validation prevents users from electing a non-compliant withholding rate, which would violate federal tax law.
13
Periodic Payment Setup Completeness
If 'Periodic Installment Payments' is chosen in Section C, this validation ensures that a 'First Payment Processing Date' (with a day between 1 and 28), a 'Frequency', and a 'Payment Type' (with its corresponding amount or period) are all provided. Missing any of these components makes it impossible to set up the installment plan correctly. The form would be rejected as incomplete.
14
Beneficiary Name and Address Verification
This check cross-references the beneficiary's name and mailing address from Section A against the information on file. The form explicitly warns that mismatches will cause delays and that address changes must be made by phone before submission. This validation is a key security step to ensure payments are sent to the correct, verified individual and address, preventing fraud and misdelivery.
Common Mistakes in Completing STD FBTOWR
The form requires a notarized signature, and the instructions are very specific. Mistakes include the beneficiary's signature date not matching the notary's date, the notary using the form's built-in block when their state requires a separate certificate, or the separate certificate missing required details like the plan name and number. An incorrect notarization is a common reason for immediate rejection, causing significant processing delays and requiring the form to be re-signed and re-notarized.
The form clearly states it is for requesting a withdrawal from a Beneficiary Account that has *already* been established. Beneficiaries making their first claim on a decedent's account often use this form by mistake, when they should be using the 'Death Benefit Claim Request' form. This fundamental error results in an automatic rejection of the request, delaying access to funds during a sensitive time.
Section A explicitly instructs beneficiaries NOT to write a new address on the form if they need to make a change, but to call a specific phone number first. Many people overlook this and write their new address, assuming it will be updated. This leads to processing delays as the address on the form conflicts with the address on file, and the check or documents may be sent to the old, incorrect address.
The form requires that the beneficiary's and decedent's names 'MUST match the name on file with Service Provider.' Applicants often enter a common nickname, a married name not yet on file, or make a minor spelling error. Any discrepancy between the name provided and the official record will flag the form for manual review and likely cause processing delays until the identity can be verified.
In Section C, when requesting a one-time withdrawal, applicants must specify if the amount is 'Gross' (before taxes/fees) or 'Net' (the final amount they receive). People often misunderstand this, selecting 'Gross' and then being surprised when the check they receive is smaller than the amount they wrote down due to mandatory tax withholding. If neither is selected, the form defaults to 'Gross,' which can lead to confusion and dissatisfaction.
The rollover rules in Section C are complex and differ for spousal and non-spousal beneficiaries. A common error is a non-spousal beneficiary attempting to roll funds into a standard Traditional IRA instead of a required 'Inherited Traditional IRA.' This mistake will cause the rollover portion of the request to be rejected, potentially creating unintended tax consequences and requiring a corrected form to be submitted.
When rolling funds to an IRA or plan at another provider (Sections C and D), the applicant must provide the receiving institution's name and the specific account number. People frequently forget to include the account number or write it illegibly, making it impossible to process the rollover. This forces the service provider to halt the request and contact the beneficiary for the missing information, delaying the entire transaction.
Section G on tax withholding is often overlooked or left blank, causing default rules to apply (e.g., 20% mandatory withholding on eligible rollover distributions). This default may not be appropriate for the beneficiary's individual tax situation, potentially resulting in a significant and unexpected tax bill or an unnecessarily large refund. To avoid this, beneficiaries should consult a tax advisor and carefully complete this section, attaching IRS Form W-4R/W-4P if necessary.
In multiple places, particularly the Beneficiary Consent section, the form specifies that a 'handwritten signature is required' and that 'an electronic signature will not be accepted.' In an increasingly digital world, people may be tempted to use a digital signature for convenience. Submitting a form with a non-handwritten signature will result in a significant delay, as the form will be considered invalid and returned.
In Section E, selecting Electronic Deposit (ACH) is only valid if the bank account has been on file for at least 15 days. Beneficiaries who recently added their bank information or assume they can add it with this form will have their delivery method defaulted to a paper check sent by regular mail. This can delay receipt of funds by several business days compared to the expected 2-3 day ACH timeline. AI-powered tools like Instafill.ai can help by cross-referencing account data to ensure such prerequisites are met before submission.
In the withdrawal election section (Section C), fields are provided to request a withdrawal as either a percentage or a specific dollar amount. A frequent mistake is filling in both fields for the same transaction, creating ambiguity for the processor. This conflict requires the service provider to either guess the user's intent or, more likely, halt processing and contact the beneficiary for clarification, causing delays. Since this form is a non-fillable PDF, a tool like Instafill.ai could convert it to a smart, fillable version with logic to prevent such contradictory entries.
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