Yes! You can use AI to fill out Housing Agency Retirement Trust Transfer/Rollover Form

This form facilitates the transfer or rollover of funds from other eligible retirement plans, such as a 457(b) Plan, 403(b) Tax-Sheltered Annuity, 401(k), or an IRA, into a Housing Agency Retirement Trust (HART) Plan account. It is essential for consolidating retirement savings and ensuring your funds are managed under your current plan's provisions. 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: Housing Agency Retirement Trust Transfer/Rollover Form
Number of pages: 1
Language: English
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How to Fill Out HART Transfer/Rollover Form #180 Online for Free in 2026

Are you looking to fill out a HART TRANSFER/ROLLOVER FORM #180 form online quickly and accurately? Instafill.ai offers the #1 AI-powered PDF filling software of 2026, allowing you to complete your HART TRANSFER/ROLLOVER FORM #180 form in just 37 seconds or less.
Follow these steps to fill out your HART TRANSFER/ROLLOVER FORM #180 form online using Instafill.ai:
  1. 1 Navigate to a service like Instafill.ai and upload the HART Transfer/Rollover Form or select it from their template library.
  2. 2 Use the AI assistant to automatically fill in your personal information, including your name, address, and Social Security Number.
  3. 3 Enter the total dollar amount of the transfer or rollover and indicate whether it is a full or partial transfer.
  4. 4 Specify the source of the funds by checking the appropriate box (e.g., §457 Plan, §403(b) Annuity, Qualified Plan, IRA).
  5. 5 Provide the name of the company or plan that is issuing the check and your account number with them.
  6. 6 Carefully read the acknowledgment section, then electronically sign and date the form to certify the information.
  7. 7 Download the completed form to send along with your certified check and any required verification documents to the specified address.

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 HART Transfer/Rollover Form #180

This form is used to transfer or roll over funds from a previous eligible retirement plan, such as a 401(k) or an IRA, into your Housing Agency Retirement Trust (HART) Plan account.

Any employee who wants to move money from a prior retirement account into their current HART Plan account should use this form.

You must submit the completed form, a certified or bank check for the rollover amount, and written verification of the rollover source from your previous plan administrator.

No, you must use a certified or bank check made payable to HART. The form explicitly states that handwritten checks will be returned, delaying your transaction.

You can roll over funds from eligible plans including a 457(b), 403(b), 401(a), 401(k), IRA, SEP-IRA, or a SIMPLE IRA that has been open for at least two years.

If you have not previously enrolled in the plan, you must complete and enclose Enrollment Form #110 along with this Transfer/Rollover form.

You must complete the rollover within 60 days of receiving the distribution from your prior plan. This 60-day rule does not apply in the case of a direct rollover where funds are sent directly between institutions.

Yes, the HART plan accepts rollovers of after-tax contributions. However, you must provide signed verification of the after-tax amount from your prior recordkeeper.

The form provides two addresses: one for regular mail to Newark, NJ, and another for overnight mail to Cherry Hill, NJ. Choose the one that best suits your needs.

Your rollover contribution will be invested according to the investment election you already have on file. If you are a new participant, your investment choices will be based on your Enrollment Form #110.

Yes, services like Instafill.ai use AI to accurately auto-fill form fields, which can save you time and help prevent errors.

To use Instafill.ai, you upload a digital copy of the form to their website. The AI makes the form interactive, allowing you to type your information directly into the fields and then download the completed document.

You can use a service like Instafill.ai, which can convert flat, non-fillable PDFs into interactive forms that you can easily complete on your computer.

Compliance HART Transfer/Rollover Form #180
Validation Checks by Instafill.ai

1
Validates Social Security Number Format and Presence
This check ensures the Social Security # field is not empty and follows the standard ###-##-#### format. The SSN is a critical unique identifier for the participant's account and for tax reporting purposes. A missing or incorrectly formatted SSN will prevent account setup and transaction processing, leading to form rejection.
2
Ensures Full Employee Name is Provided
Verifies that the 'Employee Name' field is populated, ideally following the 'Last, First, Middle' format indicated on the form. A complete legal name is essential for correctly identifying the participant and establishing the legal ownership of the account. An empty name field would make the form impossible to process.
3
Validates Rollover Amount is a Positive Currency Value
This check confirms that the dollar amount entered for the transfer/rollover is a positive numeric value greater than zero. This amount is the basis of the financial transaction and must match the accompanying check. A missing, zero, negative, or non-numeric value will cause the form to be rejected as the transaction cannot be completed.
4
Requires Selection of At Least One Rollover Source
Ensures that at least one checkbox is selected in Section II.B to identify the source of the funds (e.g., §457 Plan, IRA, §403(b), etc.). This information is a legal requirement to determine the tax status and eligibility of the rollover funds. The form cannot be processed without a specified source, as it would violate compliance rules.
5
Verifies Employee/Participant Signature Presence
Confirms that the 'Signature of Employee/Participant' field has been signed. A signature is a legal attestation that the participant agrees to the plan's provisions and that the information provided is accurate. An unsigned form is legally invalid and will be immediately rejected.
6
Validates Signature Date is Present and Logical
Checks that the 'Date' field next to the signature is filled with a valid, non-future date. This date establishes when the legal acknowledgment was made and is crucial for compliance, especially concerning the 60-day rollover rule. A missing, invalid, or future date would render the signature ineffective and cause the form to be returned.
7
Validates Completeness of the Mailing Address
This validation ensures that the Street, City, State, and Zip Code fields are all populated. A complete and accurate mailing address is essential for all official correspondence, including account statements, tax forms, and other legal notices. An incomplete address will lead to processing delays and returned mail.
8
Ensures Name of Issuing Company/Plan is Provided
Verifies that the 'Name of Company/Plan Issuing Check' field is not empty. This information is critical for the plan administrator to track the origin of the funds and reconcile the transaction with the received check. Without this data, the source of the rollover cannot be verified, and the funds may be rejected.
9
Confirms Acknowledgment of 60-Day Rollover Window
Validates that the checkbox certifying 'I received the distribution from the source indicated above within the last 60 days' is checked. This is a critical IRS requirement for indirect rollovers to maintain their tax-deferred status. Failure to certify this could have significant tax implications for the participant and may render the rollover ineligible.
10
Confirms Acknowledgment of No Hardship Distribution
This check ensures the participant has certified that 'No portion of this rollover contribution represents amounts received as a hardship distribution'. Hardship distributions are generally not eligible for rollover, so this acknowledgment is required for regulatory compliance. The form would be rejected without this certification to avoid accepting ineligible funds.
11
Ensures Employer Relation is Specified for Qualified Plans
If the 'Qualified Plan' checkbox is selected as the source, this validation ensures that one of the sub-options ('an Unrelated Employer' or 'a Related Employer') is also checked. This distinction is necessary for plan compliance, administration, and proper tracking of funds. An ambiguous selection would require manual follow-up and delay processing.
12
Validates Daytime Phone Number Format
This check ensures the phone number provided follows a standard US format (e.g., 10 digits, possibly with parentheses or hyphens). A valid phone number is crucial for the plan administrator to contact the participant if there are any questions or issues with the rollover form. An invalid format would hinder communication and delay processing.
13
Validates State Field is a Standard Abbreviation
Checks if the 'State' field contains a valid two-letter US state or territory abbreviation. Using a standardized format prevents data entry errors, ensures the address is valid for mailing, and maintains data quality in the system. An invalid entry would require manual correction and could delay account setup.
14
Requires Selection of Transfer/Rollover Type
Verifies that the participant has selected either 'This is a Full Transfer/Rollover' or 'This is a Partial Transfer/Rollover'. This information is important for the previous plan administrator and the receiving plan to ensure records are reconciled correctly. An unselected option creates ambiguity about the participant's intent.

Common Mistakes in Completing HART Transfer/Rollover Form #180

Mismatched Rollover Amount and Check

The dollar amount entered in Section II.A does not match the amount on the enclosed certified or bank check. This often happens due to a simple typo or last-minute changes to the rollover amount without updating the form. This discrepancy will cause the entire submission to be rejected, leading to processing delays and the risk of missing the 60-day rollover window. To avoid this, carefully verify that the amount written on the form is identical to the amount on the check before mailing.

Submitting an Invalid Check Type

The form explicitly requires a pre-printed certified or bank check, but participants sometimes submit a personal or handwritten check. This mistake occurs when filers overlook the specific payment instructions in the fine print. Submitting an incorrect check type will result in the immediate return of the application, delaying the investment and potentially causing tax consequences if the 60-day rollover deadline is missed. Always obtain a certified or bank check from your financial institution for the exact rollover amount.

Missing Rollover Source Verification

Participants often fail to enclose the required written verification from their previous plan administrator confirming the source of the funds (e.g., 401(k), 457(b)). This documentation is crucial for the plan administrator to ensure the rollover is eligible and compliant with IRS regulations. Forgetting this document will halt the processing of the rollover until the verification is received, creating significant delays. Before submitting, contact your prior plan administrator to obtain this verification and include it with your form.

Forgetting the Enrollment Form for New Participants

Individuals who do not yet have an account with the HART Plan are required to submit a separate Enrollment Form #110 along with this rollover form. Many new participants miss this instruction, assuming the rollover form is sufficient to open an account. This omission prevents the creation of the new account, leaving the rollover funds in limbo and causing the entire package to be rejected. If you are new to the plan, ensure you download, complete, and enclose Form #110.

Missing Verification for After-Tax Funds

The form notes that rollovers can include after-tax contributions, but this requires signed verification of the after-tax amount from the prior recordkeeper. Participants may be unaware of this requirement or forget to request the necessary documentation. Without this proof, the entire contribution may be treated as pre-tax, leading to incorrect tax basis tracking and potential double taxation upon future withdrawal. Always request a statement from your previous provider detailing the after-tax portion of your rollover and include it with your submission.

Forgetting to Sign or Date the Form

Forgetting to sign and date the acknowledgment in Section III is one of the most frequent and critical errors. An unsigned form is legally invalid and cannot be processed, regardless of how perfectly the rest of it is filled out. This oversight requires the plan administrator to return the form for a signature, which can cause critical delays, especially if the 60-day rollover deadline is approaching. Always perform a final review of the form, specifically checking for your signature and the current date, before mailing.

Incorrect Personal Information Formatting

The form specifies formats like 'Last, First, Middle' for the name and '###-##-####' for the Social Security Number, but people often enter data in a different order or format. These data entry errors can cause identity verification failures and mismatches with existing records, delaying account processing. AI-powered form filling tools like Instafill.ai can automatically format this data correctly, preventing such errors and ensuring compliance with the form's requirements.

Incomplete Prior Plan Information

In Section II.B, participants are required to provide the full name, address, and account number of the company or plan issuing the check. This information is often left incomplete because the participant doesn't have the information readily available and forgets to look it up. Missing details will trigger a follow-up request from the administrator and delay the rollover process. Gather all necessary statements from your old plan before you begin filling out the form.

Missing Agency Plan Number on Check

A specific instruction asks the participant to include their Agency Plan Number on the rollover check itself. This detail is easily missed but is vital for the receiving institution to correctly associate the funds with the right employer plan. Forgetting this number can lead to the check being misapplied or placed in a suspense account, requiring manual intervention and causing significant delays. Before mailing, double-check that your Agency Plan Number is clearly written on the memo line of your certified check.

Submitting an Illegible Handwritten Form

This form appears to be a non-fillable PDF, leading many people to print it and fill it out by hand. This often results in illegible handwriting, which can cause data entry errors, misinterpretations of names or numbers, and processing delays. To avoid this, it's best to use a tool like Instafill.ai that can convert flat PDFs into fillable forms, allowing you to type your answers clearly and ensure legibility and accuracy.
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