Fill a Valid Maryland 193 Template

Fill a Valid Maryland 193 Template

The Maryland 193 form is a Trustee-to-Trustee Distribution Form used for rollovers of retirement funds. This form allows individuals to direct their retirement account distributions to another eligible financial institution or plan. If you need to complete this form, please click the button below for assistance.

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The Maryland 193 form serves as a critical tool for individuals looking to manage their retirement funds through trustee-to-trustee distributions. This form is specifically designed for rollovers and must be completed by the payee before being sent to their financial institution. Key sections of the form require personal information, such as the payee's name, Social Security number, and contact details. Additionally, it outlines the type of distribution being requested, which can range from withdrawals of accumulated contributions to death benefits for surviving spouses. Payees must also indicate their payment selection, choosing between a flat dollar refund or a distribution of non-taxable funds. Notably, the form emphasizes the importance of ensuring that checks are directed to the appropriate IRA or eligible employer plan, reinforcing that the Maryland State Retirement Agency will issue checks accordingly. It is essential for payees to understand their responsibilities in delivering these checks to the designated accounts. For any questions or assistance, the Maryland State Retirement Agency provides contact information for retirement benefits specialists who can guide individuals through the process.

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MARYLAND STATE RETIREMENT AGENCY

120 EAST BALTIMORE STREET

BALTIMORE, MARYLAND 21202-6700

TRUSTEE-TO-TRUSTEE DISTRIBUTION FORM

 

 

 

 

 

 

 

 

FOR ROLLOVERS

 

RETIREMENT USE ONLY Form 193 (REV. 4/13)

 

 

SECTION I

 

 

 

 

 

 

 

To be completed by Payee and forwarded to Payee’s financial institution

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

First

M.I.

Social Security

#

 

 

 

 

 

 

 

 

-

-

 

 

 

 

 

 

 

 

 

 

 

MISCELLANEOUS:

 

 

Day Time Phone #

 

 

 

( )

-

-

 

 

HOME ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ext

 

 

 

 

CITY:

STATE:

ZIP:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF DISTRIBUTION: Check [4] Distribution Type:

Withdrawal of Accumulated Contributions (Form 5)

Withdrawal of Voluntary Funds (Form 742)

Application for Payment of Lump Sum Deferred Vested Benefit (Form 742.1)

Death Benefit (Surviving Spouse of Employee or Retiree) (Form 745)

Withdrawal of Deferred Retirement Option Program (DROP) Account (Forms 505; 757)

Based on the distribution option I selected on my Withdrawal ofAccumulated Contributions (Form 5), Withdrawal of Voluntary Funds (Form 742), Application for Payment of Lump Sum Deferred Vested Benefit (Form 742.1), Death Benefit Claim Form (Form 745) or Withdrawal of DROPAccount (Forms 505; 757), I direct the SRAto do the following:

Check [4] only one option to indicate payment selection.

Pay to me my designated flat dollar refund amount of $___________________.

OR

Pay to me all federal “NON-TAXABLE” funds to be determined at time of payment.

AND

The account balance will be made payable to your designated IRA or Eligible Employer Plan. (Note: distributions to a 457(b) governmental plan or a 403(b) tax sheltered annuity may not exceed the taxable amount.)

I understand the Agency may issue two checks to me: one payable to my order and the other payable to the order of the IRA or Eligible Employer Plan that is to receive my distribution. I understand that I am responsible for promptly delivering the check for my distribution directly to the IRA or Eligible Employer Plan for processing, and I agree to do so.

SRA will not process more than one trustee-to-trustee distribution. Thus, if you want to move funds between IRA’s and/or Eligible Employer Plans, contact the IRA or Eligible Employer Plan to which you are making the direct rollover to deter- mine whether transfers are allowable.

I understand and agree to the above distribution conditions.

PAYEE (Signature)

DATE

If you need assistance in completing this application, telephone a retirement benefits specialist at 410-625-5555 or toll-free at 1-800-492-5909.

SECOND PAGE ALSO MUST BE COMPLETED

SECTION II

(TO BE COMPLETED BY FINANCIAL INSTITUTION FOR PURPOSE OF ROLLOVER)

Verify Information in Section I.

Send completed form to: State Retirement Agency, 120 East Baltimore Street, Baltimore, Maryland 21202-6700

Payee’s Name: ______________________________________ Payee’s Social Security No. _________________- -

NAME AND ADDRESS OF FINANCIAL INSTITUTION/ACCOUNT

Name: ___________________________________________________________________________________

Address: _________________________________________________________________________________

City: _________________________________________ State: ________________ Zip: __________________

DEPOSITORACCOUNTTITLE:Inordertoproperlypreparethecheck,theRetirementAgencyneedsthenameofthefinancialinsti- tution/account into which the check will be made payable. Enter in the spaces below this information, up to 34 characters.The check payable to your designated financial institution/account will carry the notation “DIRECT ROLLOVER,” and will contain the name for the individual indicated in Section I. For IRA’s, the check will read payable to: [Information Below] as trustee of IND. RET. ACCT of [Payee in Section I]. For Eligible Employer Plans, the check will read payable to: [Information Below] FBO [Payee in Section I].

ENTER THE PAYEE’S ACCOUNT NUMBER (OPTIONAL):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The arrangement selected by the Payee is: (Check [4] one):

 

 

 

 

 

 

 

Check [4] Box to Affirm that Plan Separately

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Traditional IRA

 

 

 

 

 

 

 

Eligible Employer Plan

 

 

 

 

 

 

 

Accounts for After-Tax Contributions & Earnings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Qualified plan under §401(a), including

 

 

 

 

 

 

 

Check indicates plan separately accounts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a 401(k) plan

 

 

 

 

 

 

 

for after-tax contributions and earnings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

§403(a) qualified annuity

 

 

 

 

 

 

 

Check indicates plan separately accounts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Roth IRA

 

 

 

 

 

 

 

 

 

 

 

for after-tax contributions and earnings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

§403(b) tax sheltered annuity

 

 

 

 

 

 

 

Plan may NOT accept after-tax contribu-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tions from a 401(a) qualified plan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

§457(b) governmental plan

 

 

 

 

 

 

 

Plan may not accept after-tax contributions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I confirm that the payee, account number and title are correct. Further, I confirm that the plan designated by the payee is (or is intended to be) an IRA, or an Eligible Employer Plan which includes a plan qualified under section 401(a) of the Internal Revenue Code, including a 401(k) plan, profit sharing plan, defined benefit plan, stock bonus plan, and money purchase plan; a section 403(a) annuity plan; a section 403(b) tax sheltered annuity; or an eligible section 457(b) plan maintained by a governmental employer (governmental 457 plan), that the plan designated may accept such payment (including any after-tax contributions, if applicable) and that I am authorized to act on behalf of the designated plan and will accept the direct rollover for the payee and account for it as required by the Internal Revenue Code.

PRINT OR TYPE REPRESENTATIVE’S NAME

SIGNATURE OF REPRESENTATIVE

DATE

AREA CODE/TELEPHONE #:

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-

 

 

 

 

 

PLEASE READ THIS CAREFULLY

All information on this form, including the individual’s social security number, is required. The information is confidential and will be used only to process payment data from the Maryland State RetirementAgency to the financial institution and its agent. Failure to provide the requested information may prevent or delay release or payment.

If you need assistance in completing this application, telephone a retirement benefits specialist at 410-625-5555 or toll-free at 1-800-492-5909.

FORM 193 (4/13) Pg. 2

Misconceptions

Understanding the Maryland 193 form can be challenging due to various misconceptions. Here are eight common misunderstandings, along with clarifications to help you navigate this important document.

  • Misconception 1: The Maryland 193 form is only for retirees.
  • This form is applicable not only to retirees but also to individuals who are withdrawing funds from their retirement accounts, such as those who have left employment or are beneficiaries of a deceased member's account.

  • Misconception 2: You must complete the form in person.
  • The form can be completed and submitted by mail or electronically, depending on your financial institution's policies. In-person submission is not a requirement.

  • Misconception 3: You can only choose one type of distribution.
  • Misconception 4: The Maryland State Retirement Agency handles all distributions automatically.
  • While the Agency processes the form, it is your responsibility to ensure that any checks issued are delivered to the appropriate financial institution or account for processing.

  • Misconception 5: After completing the form, no further action is needed.
  • After submitting the form, you should follow up with your financial institution to confirm that they have received it and that the distribution is being processed as requested.

  • Misconception 6: You can submit the form without providing a Social Security number.
  • Providing your Social Security number is mandatory. Failure to include this information may lead to delays or rejection of your distribution request.

  • Misconception 7: All distributions are subject to taxes.
  • Not all distributions are taxable. The form allows for the designation of "non-taxable" funds, which can help you avoid unnecessary tax implications. Understanding your distribution type is key.

  • Misconception 8: The form is only valid for a limited time.
  • The Maryland 193 form remains valid as long as it is completed correctly and submitted in accordance with the guidelines. However, it is wise to check for any updates or revisions that may occur over time.

Common mistakes

Filling out the Maryland 193 form can be a straightforward process, but many individuals make common mistakes that can lead to delays or complications in their retirement benefits. Understanding these pitfalls can help ensure that the form is completed accurately and efficiently.

One frequent error occurs when individuals fail to provide their complete social security number. This number is crucial for identifying the payee and ensuring that the distribution is processed correctly. Omitting even a single digit can result in significant delays. Therefore, it is essential to double-check this information before submitting the form.

Another common mistake is not selecting the appropriate type of distribution. The form offers several options, such as withdrawal of accumulated contributions or a death benefit claim. If the wrong box is checked, it may lead to the processing of an incorrect type of payment, which could cause frustration and require additional steps to rectify.

Many people also overlook the requirement to provide a designated dollar amount for their refund. Leaving this section blank can lead to confusion and delays in processing. It is important to clearly indicate the amount being requested to ensure that the distribution is handled as intended.

In addition, individuals sometimes forget to sign and date the form. This oversight can render the application invalid. A signature is a confirmation of understanding the distribution conditions and agreement to the terms outlined in the form.

Another mistake is failing to communicate with the receiving financial institution. It is vital to ensure that the institution is prepared to accept the rollover. Without prior coordination, the funds may not be processed correctly, leading to potential complications in the transfer.

Some individuals may also neglect to complete the second page of the form, which is designated for the financial institution. This page contains essential verification information that is necessary for processing the rollover. Omitting this section can result in delays and additional requests for information.

Lastly, individuals may not fully understand the implications of after-tax contributions. If the chosen plan does not accept after-tax contributions, it could lead to unexpected tax consequences. It is crucial to verify that the selected plan aligns with the individual's financial strategy and tax situation.

By being aware of these common mistakes, individuals can take proactive steps to ensure that their Maryland 193 form is completed accurately, facilitating a smoother transition of their retirement funds.

Key takeaways

Filling out the Maryland 193 form is an important step for individuals seeking to manage their retirement funds effectively. Here are key takeaways to consider:

  • The Maryland 193 form is specifically designed for trustee-to-trustee distributions for rollovers.
  • Section I must be completed by the payee and submitted to their financial institution.
  • Accurate personal information, including the payee's name, social security number, and contact details, is essential.
  • Payees must select one distribution type from the provided options, such as withdrawal of accumulated contributions or death benefits.
  • Payees can choose between receiving a flat dollar refund or having federal non-taxable funds distributed.
  • It is the payee's responsibility to deliver the distribution check to the designated IRA or eligible employer plan.
  • Only one trustee-to-trustee distribution will be processed by the SRA, so plan accordingly.
  • Contact the receiving financial institution beforehand to confirm that they can accept the rollover.
  • Section II of the form must be completed by the financial institution receiving the funds.
  • All information provided is confidential and necessary for processing the distribution correctly.

Understanding these points can facilitate a smoother process when filling out and submitting the Maryland 193 form.

Documents used along the form

The Maryland 193 form is an essential document for individuals looking to manage their retirement funds through trustee-to-trustee distributions. When completing this process, several other forms may be needed to ensure a smooth transaction. Here’s a list of related documents that are often used alongside the Maryland 193 form.

  • Form 5: Withdrawal of Accumulated Contributions - This form is used by members who wish to withdraw their accumulated contributions from the retirement system.
  • Form 742: Withdrawal of Voluntary Funds - Members can use this form to withdraw any voluntary contributions they have made to their retirement account.
  • Form 742.1: Application for Payment of Lump Sum Deferred Vested Benefit - This document is for individuals who are eligible for a lump-sum payment of their deferred vested benefits.
  • Form 745: Death Benefit Claim Form - This form is used by surviving spouses or beneficiaries to claim death benefits from the retirement system.
  • Form 505: Withdrawal of Deferred Retirement Option Program (DROP) Account - Members wishing to withdraw funds from their DROP account will need to complete this form.
  • Tractor Bill of Sale: Essential Document for Purchase - For those involved in buying or selling a tractor, the Missouri Tractor Bill of Sale form can be filled out at https://missouriform.com/ to formalize the transaction.
  • Form 757: Withdrawal of DROP Account - Similar to Form 505, this document is also for withdrawing from the DROP account but may be used in different contexts or situations.
  • Form W-4P: Withholding Certificate for Pension or Annuity Payments - This form helps determine the amount of federal income tax to withhold from pension or annuity payments.

Using these forms correctly can help streamline the process of managing retirement funds in Maryland. Always ensure that you have the appropriate documents ready to avoid any delays in your transactions.

Similar forms

The Maryland 193 form is similar to the IRS Form 5329, which deals with additional taxes on qualified plans. Both forms address the management of retirement funds and distributions. While the Maryland 193 focuses on trustee-to-trustee transfers, Form 5329 is used to report any additional taxes owed on early distributions from retirement accounts. This means that if you take money out of your retirement account before reaching a certain age, you might need to fill out Form 5329 to explain why and calculate any penalties. Each form serves a specific purpose but is ultimately concerned with the proper handling of retirement funds.

Another document similar to the Maryland 193 is the IRS Form 1099-R. This form reports distributions from pensions, annuities, retirement plans, and IRAs. Just like the Maryland 193, it plays a crucial role in the distribution process. When funds are rolled over or withdrawn, the financial institution will issue a Form 1099-R to indicate how much was distributed and whether any taxes were withheld. This is essential for tax reporting and ensures that the IRS is informed about your retirement account transactions.

For those interested in completing a sale or purchase of a trailer, a Trailer Bill of Sale form is essential as it provides a clear record of the transaction, including pertinent details about the trailer and the parties involved. This legal document serves not only as proof of purchase but also outlines the terms of the sale. If you're ready to move forward with your trailer transaction, you can get the document to ensure everything is in order.

The Maryland 193 form also shares similarities with the IRS Form 4506-T, which is used to request a transcript of tax returns. While it may seem unrelated at first glance, both forms can be involved in the process of managing retirement accounts. When you roll over funds, you may need to provide proof of prior contributions or distributions. Form 4506-T allows you to obtain that information from the IRS, ensuring that your rollover is documented correctly and complies with tax regulations.

Additionally, the Maryland 193 form is akin to the IRS Form 8606, which is used to report non-deductible contributions to traditional IRAs. Both forms help individuals manage their retirement savings and ensure that they comply with tax laws. When rolling over funds, especially if they involve non-deductible contributions, Form 8606 is necessary to track the basis in your IRA. This helps prevent double taxation on those contributions when you eventually withdraw funds.

Finally, the Maryland 193 form is comparable to the IRS Form W-4P, which is used to determine withholding for pension and annuity payments. Both documents are essential for managing distributions from retirement accounts. When you receive a distribution, you may need to specify how much tax should be withheld. The Maryland 193 allows you to indicate your payment preferences, while Form W-4P helps ensure that the correct amount of tax is withheld from your pension or annuity payments. This coordination helps you avoid surprises come tax season.