Yes! You can use AI to fill out Fidelity Advisor IRA Distribution Request for Automatic Rollover Accounts
This form is used by an account holder to request a complete distribution of funds from their Fidelity Advisor Rollover IRA or Roth IRA, which was set up on their behalf by a former employer. It is essential for accessing retirement savings, allowing for cash withdrawals or direct rollovers to other eligible retirement plans. 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: | Fidelity Advisor IRA Distribution Request for Automatic Rollover Accounts |
| Number of pages: | 4 |
| Filled form examples: | Form Fidelity IRA Distribution Request Examples |
| Language: | English |
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How to Fill Out Fidelity IRA Distribution Request Online for Free in 2026
Are you looking to fill out a FIDELITY IRA DISTRIBUTION REQUEST form online quickly and accurately? Instafill.ai offers the #1 AI-powered PDF filling software of 2026, allowing you to complete your FIDELITY IRA DISTRIBUTION REQUEST form in just 37 seconds or less.
Follow these steps to fill out your FIDELITY IRA DISTRIBUTION REQUEST form online using Instafill.ai:
- 1 Navigate to Instafill.ai and upload the Fidelity Advisor IRA Distribution Request form or select it from their template library.
- 2 Use the AI assistant to accurately fill in your personal and account information in Section 1, including your name, SSN, IRA account number, and contact details.
- 3 In Section 3, select the appropriate reason for your distribution, such as a normal distribution, early distribution, or direct rollover.
- 4 Provide your distribution instructions in Section 4, specifying whether the check should be sent to your address of record or an alternate address.
- 5 Complete Section 5 to make your federal and state income tax withholding elections, choosing whether to withhold taxes and at what rate.
- 6 Carefully review all the information you've entered for accuracy, then digitally sign and date the form in Section 6.
- 7 Download, print, or submit the completed form electronically as per the instructions provided on the document.
Our AI-powered system ensures each field is filled out correctly, reducing errors and saving you time.
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Frequently Asked Questions About Form Fidelity IRA Distribution Request
This form is used to authorize a full distribution from a Fidelity Advisor Rollover IRA or Roth IRA that was automatically established on your behalf by a former employer.
You should use this form if you want to withdraw all the funds from an automatic rollover IRA account that was created for you from a previous employer's retirement plan.
Your account number is on the confirmation statement you received when the account was opened. If you cannot locate it, you can call a Fidelity representative at 800-248-4253 for assistance.
Do not use this form for that purpose. To initiate a transfer of assets to an IRA with another institution, you must contact that new institution to start the process.
Yes, withdrawals made before age 59½ are generally subject to a 10% early withdrawal penalty from the IRS, in addition to any applicable income taxes. You may need to file IRS Form 5329.
For traditional IRAs, Fidelity is required to withhold 10% for federal taxes unless you elect a different rate or choose no withholding in Section 5. State tax withholding rules vary and may be mandatory.
If you do not make an election for a traditional IRA distribution, Fidelity is required to withhold federal income tax at the default rate of 10%. For Roth IRAs, no federal tax will be withheld by default.
You can submit the form by uploading it online via your Fidelity account, faxing it to 888-321-7349, or mailing it to the address listed in Section 6. Note that forms requiring an original signature guarantee must be mailed.
Yes, you can request to have the check sent overnight for a $20 fee, which will be deducted from the proceeds. This option is only available if the check is being sent to your address of record.
Yes, you can select option D in Section 3 for a direct rollover. The check will be made payable to the trustee of your new employer's plan and mailed to you for delivery.
By signing the form, you agree to receive all account-related communications, such as statements and trade confirmations, electronically via the email address you provide. You can manage these preferences in your Fidelity account settings.
Yes, services like Instafill.ai use AI to accurately auto-fill form fields with your personal information, which can save you time and help reduce errors.
Simply upload the PDF of the form to the Instafill.ai platform. The AI will identify the fields, allowing you to automatically populate your information before downloading the completed document.
You can use a service like Instafill.ai, which is designed to convert flat, non-fillable PDFs into interactive forms. This allows you to easily type your information directly into the fields on your computer.
Compliance Fidelity IRA Distribution Request
Validation Checks by Instafill.ai
1
Age and Distribution Reason Consistency Check
This validation cross-references the 'Date of Birth' in Section 1 with the selected 'Reason for Distribution' in Section 3. For example, if the user selects 'Normal Distribution (Code 7)' or 'Distribution (Code T)', their calculated age must be 59.5 or older. This is critical for ensuring compliance with IRS regulations and avoiding incorrect tax reporting. If the age and reason do not align, the form submission should be flagged for review or rejected with an error message explaining the discrepancy.
2
Account Number and Owner Verification
This check verifies that the 'Existing Rollover IRA Account Number' provided in Section 1 is a valid account in Fidelity's system. It should also confirm that the account belongs to the individual identified by the 'Account Owner Name' and 'SSN'. This is a fundamental security and accuracy check to prevent fraud and ensure the distribution is processed against the correct account. A mismatch would result in an immediate rejection of the form.
3
Conditional Trustee Name Requirement
This validation ensures that if the user selects 'Distribution from an IRA to an eligible Retirement Plan (Code G)' in Section 3, the 'Trustee of the Employer Plan' text field is not empty. This information is essential because the distribution check must be made payable to the correct receiving institution for a direct rollover. Failure to provide the trustee name would make it impossible to process the request as intended, so the form would be considered incomplete.
4
Overnight Delivery and Address Update Exclusion
This is a logical consistency check between Section 1 and Section 4. It verifies that if the user checks the 'Overnight check proceeds' box in Section 4, the 'Update the address on my IRA account' box in Section 1 is NOT checked. The form explicitly states this restriction. This prevents operational issues where an overnight delivery is requested to an address that is not yet verified or updated in the system. An invalid combination should trigger an error.
5
State-Specific Tax Withholding Logic
This validation checks the user's state tax withholding election in Section 5 against their state of residence from Section 1 and the rules outlined in the 'State Tax Withholding' notice. For example, a resident of a state where withholding is 'NOT ALLOWED' (e.g., FL, TX) should be prevented from electing any state withholding. This ensures compliance with varying state laws and prevents processing errors. If the election is invalid for the given state, the submission should be rejected with guidance.
6
Federal Tax Withholding Percentage Validation
This check ensures that if the user elects to have federal taxes withheld at a specific rate in Section 5, the corresponding 'Percentage' field contains a valid entry. The value must be a whole number between 1 and 100, inclusive. This prevents invalid data entry and ensures the withholding calculation is performed correctly. An empty field or a value outside the valid range would render the withholding instruction ambiguous and halt processing.
7
Signature and Date Completeness
This is a critical completeness check to verify that the form has been signed and dated in Section 6. The form explicitly states it 'cannot be processed without signature and date.' The signature indicates the account owner's authorization, and the date establishes the request's timeliness. An unsigned or undated form is legally and operationally invalid and must be rejected.
8
Conditional Alternate Address Fields
This validation ensures that if the 'Distribute by check to alternate address' option is selected in Section 4, all associated address fields (Address, City, State, Zip/Postal Code) are filled out. This is a completeness check to ensure the check can be mailed successfully to the requested location. If the primary option is checked but the address fields are empty, the form is incomplete and cannot be processed.
9
SSN Format Validation
This check verifies that the Social Security Number (SSN) provided in Section 1 is in a valid format, such as 9 digits with no letters or special characters. The SSN is a critical piece of personally identifiable information used for tax reporting (Form 1099-R) and account verification. An incorrectly formatted SSN would cause downstream failures in tax reporting and identity confirmation, so the form must be rejected if the format is invalid.
10
Date of Birth Plausibility
This validation ensures the 'Date of Birth' in Section 1 is a realistic and valid date. The check should confirm the date is not in the future and that the calculated age is plausible (e.g., over 18 and under 120). This serves as a basic data quality check and is crucial for the system to correctly calculate age-based rules, such as the 59.5 threshold for early withdrawal penalties. An impossible date would require the user to correct the entry.
11
Mutually Exclusive Option Selection
This validation ensures that for sections with a 'Check one' instruction, only one option is selected. This applies to 'Reason for Distribution' (Section 3) and 'Distribution Instructions' (Section 4). Selecting multiple options creates ambiguity and makes it impossible to determine the user's intent. The system should reject a form where multiple mutually exclusive options are chosen, instructing the user to select only one.
12
Email Address Format and Presence
This check validates that the 'Email Address' field in Section 1 is not empty and conforms to the standard email format (e.g., [email protected]). The form explicitly states this information is required for transaction verification and electronic delivery consent. An invalid or missing email address would prevent critical communications and consent confirmation, so the form should be considered incomplete without it.
Common Mistakes in Completing Fidelity IRA Distribution Request
Users often misunderstand the complex IRS rules and select the wrong distribution code in Section 3, such as choosing 'Normal Distribution (Code 7)' when they are under age 59½. This happens due to not reading the detailed notes on page 1. The consequence is incorrect tax reporting on Form 1099-R, which can trigger an IRS inquiry and potential early withdrawal penalties. To avoid this, carefully review the definitions for each code in Section A and consult a tax advisor if you are unsure which reason applies to your situation.
Applicants frequently leave the 'Existing Rollover IRA Account Number' field blank or enter an incorrect number because they cannot easily locate their confirmation statement. Without the correct account number, Fidelity cannot identify the specific account to liquidate, leading to an automatic rejection of the form and significant processing delays. Before submitting, locate your account confirmation statement or call the Fidelity representative number provided on the form to verify your exact account number.
In Section 5, people often make partial elections, such as checking the box to withhold at a specific rate but forgetting to enter the actual percentage. If no election is made, Fidelity is required to apply a default 10% federal withholding, which may not align with the applicant's financial plan. This can result in an unexpectedly smaller distribution check or a large tax bill later. To prevent this, double-check that you have either elected 'NOT to withhold' or have both checked the box and entered a specific whole number percentage for your withholding.
A surprising number of forms are submitted without a signature or date in Section 6. This is a simple oversight that renders the entire document legally invalid. An unsigned or undated form cannot be processed under any circumstances and will be immediately returned, delaying your access to funds by days or even weeks. Always perform a final review of the completed form, making sure you have provided a valid signature and the current date in the MM-DD-YYYY format before submission.
A common misunderstanding is using this distribution form to move funds to an IRA at another institution. This form initiates a taxable distribution, not a direct transfer, as explicitly warned in Note 4. This action can create a taxable event and requires the user to complete a complicated 60-day indirect rollover to avoid taxes and penalties. To correctly transfer assets, you must contact the receiving institution and have them initiate a direct transfer request on your behalf.
Applicants who have moved often enter their new address in Section 1 but forget to check the 'Update the address on my IRA account' box. They then select 'Distribute by check to address of record' in Section 4, causing the check to be mailed to their old, invalid address. This can lead to lost funds and significant delays in receiving the money. If you have moved, ensure you both enter the new address and check the update box in Section 1 to prevent this critical error.
Section 3 has two distinct subsections for different IRA types, but their layouts are similar, causing confusion. An individual with a Roth IRA might accidentally check a box in the 'Normal Distribution' section for traditional IRAs, or vice-versa. This leads to the distribution being processed with incorrect tax coding and reporting, potentially creating tax liabilities. Carefully verify your account type (Rollover/Traditional vs. Roth) and ensure you are filling out the correct part of Section 3.
The form is a non-fillable PDF, prompting many to print and complete it by hand, often with illegible writing. Poorly written numbers in the SSN, account number, or address fields can be misread during data entry, causing the request to fail verification or the check to be sent to the wrong place. To avoid this, use the 'Type on screen' feature if your PDF viewer supports it, or use a tool like Instafill.ai which can convert the flat PDF into an easily fillable version, ensuring all entries are clear and legible.
The state tax withholding rules detailed in the 'Notice of Withholding' are complex and vary widely by state. Applicants often ignore this section or make an election that is not permitted in their state of residence (e.g., electing 'no withholding' in a mandatory state). This results in Fidelity overriding the incorrect election to comply with state law, leading to a different net distribution amount than the applicant expected. Review the state tax table carefully to understand the requirements for your specific state before making an election in Section 5.
The form explicitly requires a mobile phone number and email address in Section 1 for transaction verification and authorization. Some users omit this information due to privacy concerns or provide a landline number instead of a mobile number. This will cause the form to be rejected, as Fidelity cannot proceed without the ability to contact you for security and authorization purposes. Always provide a current mobile number and a valid personal email address to ensure your request can be processed smoothly.
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