Custodian Blank Forms

Use these blank forms, as applicable, if your fiduciary type is "Custodian".

We are continuing to update our blank forms library. These are the current blank forms available if your financial organization's fiduciary type is "Custodian".

Individual Retirement Account (IRA) Custodian Blank Forms Revision Date      
Traditional IRA Custodial Application 11/20/2023      
Roth IRA Custodial Application 11/20/2023      
IRA Deposit Form 01/03/2023      
IRA Deposit Eligibility Checklist 02/28/2023      
Traditional/SEP/SIMPLE IRA Distribution Form 12/20/2024      
Roth IRA Distribution Form 12/20/2024      
Inherited Traditional IRA Distribution Form 12/20/2024      
Inherited Roth IRA Distribution Form 12/20/2024      
Traditional, SEP, or SIMPLE IRA Transfer Request 09/30/2024      
Roth IRA Transfer Request

09/30/2024

     
Roth IRA Direct Conversion Request

09/30/2024

     
IRA Direct Rollover Request

09/30/2024

     
RMD Election (Traditional, SEP, or SIMPLE IRA) 

12/20/2024

     

 

Coverdell Education Savings Account (SA) Custodian Blank Forms Revision Date
ESA Custodial Application 11/20/2023

 

Health Savings Account (HSA) Custodian Blank Forms Revision Date
HSA Custodial Application 01/03/2025
HSA Mistaken Distribution 05/17/2024
HSA Transfer Request 07/31/2024

 

Any Account Type Custodian Blank Forms Revision Date
Beneficiary Designation 11/08/2024
W-4R, Federal Income Tax Withholding Certificate for Nonperiodic IRA Distributions 12/20/2024