Retirement & Wealth Forms

SDIRA Forms

Name	Transfer On Death Registration Form
Type	individual
Description	This form should be used to designate your account to be registered for Transfer on Death (TOD) to a beneficiary.
Category	Account Maintenance

Name	Futures/Forex Authorization and Initial Funding Direction
Type	individual
Description	The Futures Forex Authorization and Initial Funding Direction form is used to initiate the initial investment into a Futures investment.
Category	Inv Direction

Name	Futures/Forex Subsequent Funding Direction
Type	individual
Description	The Futures Forex Subsequent Funding Direction form is used to initiate subsequent investments into a Futures investment.
Category	Inv Direction

Name	Self-Certification for a Waiver of the 60- Day Rollover Requirement
Type	individual
Description	Use this form to direct a rollover contribution to your IRA or retirement plan after the 60-day rollover period has passed if you claim eligibility for the IRA 60-day rollover waiver.
Category	Miscellaneous Forms

Name	Designation of Advisor
Type	individual
Description	Designation of Advisor
Category	Account Maintenance

Name	Beneficiary Designation Change
Type	individual
Description	Used by IRA clients to add or update beneficiaries on their account. This form may be emailed, faxed, or mailed in.
Category	Account Maintenance

Name	Waiver of Right of Revocation
Type	individual
Description	Waive the right to revoke a new account within the seven (7) day revocation period.
Category	Miscellaneous Forms

Name	Affidavit for Power of Attorney
Type	individual
Description	The form is completed by the Investment Advisors, registered representatives of Broker Dealers that would like to accept certain authorities over their client accounts. These advisor can grant other authorized Indiv at their firm access to client accounts at Inspira. These firms also gain access to MAP (Advisor Portal) as well as MT Online and Data feeds.
Category	Account Maintenance

Name	Third Party Authorization
Type	individual
Description	Allows a third party to view or discuss transactions on a client's behalf.
Category	Account Maintenance

Name	Address Change Form
Type	individual
Description	Provides authorization to update the address, phone number, and/or email address of all account types. These changes can also be made in the Inspira Investment Platform or via phone call to Investor Services upon identity verification. This form may be emailed, faxed, or mailed in.
Category	Account Maintenance

Name	Asset Assignment
Type	individual
Description	Needed to either rollover an alternative asset into an IRA or to deposit an alternative asset in a taxable account.
Category	Account Open/Fund

Name	60 Day Asset Rollover Request
Type	individual
Description	Form used to initiate a 60-day rollover of assets previously distributed from an employer plan or IRA account.
Category	Account Open/Fund

Name	Custodial Account Transfer Authorization
Type	individual
Description	Initiates a transfer of cash and/or assets from another custodial account for deposit to a custodial account held at Inspira. This form may be emailed, faxed, or mailed in. The contra custodian should be contacted before emailing or faxing to confirm an original signature is not required.
Category	Account Open/Fund

Name	IRA-to-IRA Account Transfer Authorization
Type	individual
Description	Initiates a transfer of cash and/or assets from another IRA custodian for deposit to an IRA held at Inspira. This form may be emailed, faxed, or mailed in. The contra custodian should be contacted before emailing or faxing to confirm an original signature is not required.
Category	Account Open/Fund

Name	Qualified Plan Direct Rollover
Type	individual
Description	Authorizes or requests a direct rollover of cash or assets from the participant's qualified plan to an IRA or qualified plan at Inspira. This form may be emailed, faxed, or mailed in. The plan administrator should be contacted to determine if they have their own required rollover or distribution paperwork or if they will accept Inspira's form.
Category	Account Open/Fund

Name	Internal Transfer Authorization
Type	individual
Description	Initiates an internal transfer of cash and/or assets from one Inspira account to another. The account owner must be the same on both accounts and the account types must be compatible for transfer. This form may be emailed, faxed, or mailed in.
Category	Account Open/Fund

Name	Open New Account
Type	individual
Description	Open New Account.
Category	Account Open/Fund

Name	Deposit Form
Type	individual
Description	Required for depositing cash contributions, direct rollovers, or 60-day rollovers to IRA accounts. This form indicates how the funds should be deposited to ensure proper tax reporting for the deposit. This form may be emailed, faxed, or mailed in.
Category	Account Open/Fund

Name	Distribution Form - Custody Account
Type	individual
Description	Required to initiate a distribution of cash or assets from a custody (taxable) account. Distributions are not able to be initiated in the Inspira Investment Platform for any accounts on the CS side. This form may be emailed, faxed, or mailed in.
Category	Distribution

Name	Qualified Retirement Plan Distribution Request
Type	individual
Description	Required to initiate a distribution of cash or assets from a 401(k) or Profit Sharing Plan (PSP). Distributions cannot be initiated in the Inspira Investment Platform for any accounts on the CS Side. This form may be emailed, faxed, or mailed in.
Category	Distribution

Name	IRA Distribution Request
Type	individual
Description	Required to initiate a distribution of cash or assets from an IRA (non-taxable) account. Distributions cannot be initiated in the Inspira Investment Platform for any accounts on the CS side. This form may be emailed, faxed, or mailed in.
Category	Distribution

Name	Required Minimum Distribution (RMD)
Type	individual
Description	Required for clients aged 73 and over to remove cash or assets from their Traditional IRA to meet their required minimum distribution (RMD). Distributions cannot be initiated in the Inspira Investment Platform for any accounts on the CS side.
Category	Distribution

Name	Private Placement Purchase Direction
Type	individual
Description	Initiate an online purchase of an investment in a hedge fund, private equity, or private debt through your Inspira Account.
Category	Inv Direction

Name	Private Placement Purchase/Sale
Type	individual
Description	Initiate a purchase, exchange, or sale of an investment in a hedge fund, private equity, or private debt through your Inspira account.
Category	Inv Direction

Name	Perth Mint Investment Direction
Type	individual
Description	Direct Inspira to purchase, sell, or deliver precious metals through The Perth Mint. All Perth Mint Certificates must be purchased, sold or delivered throughout the dealer ASI.
Category	Inv Direction

Name	Marketplace Lending Account Authorization and Initial Funding Direction
Type	individual
Description	Direct Inspira to open and invest in a marketplace lending investment account on behalf of the Account Owner’s self-directed IRA or other custodial account.
Category	Inv Direction

Name	Marketplace Lending Account Subsequent Funding Direction
Type	individual
Description	Authorize/Direct Inspira to transfer additional funds to an existing marketplace lending investment account previously established on behalf of the Account Owner’s self-directed IRA or other custodial account.
Category	Inv Direction

Name	Prosper Account Authorization and Initial Funding Form
Type	individual
Description	Direct Inspira to open and invest in a Prosper marketplace lending account on behalf of the Account Owner’s self-directed IRA or other custodial account.
Category	Inv Direction

Name	Prosper Subsequent Funding Direction
Type	individual
Description	Authorize/Direct Inspira to transfer additional funds to an existing Prosper marketplace lending investment account previously established on behalf of the Account Owner’s self-directed IRA or other custodial account.
Category	Inv Direction

Name	UBTI Filing & Payment Direction
Type	individual
Description	Form used for clients to direct Inspira to make Federal/State payments/filings related to 990T.
Category	Miscellaneous Forms

Name	Asset Impairment Notification
Type	individual
Description	Form used by clients to notify Inspira that an asset in their account(s) is impaired and no longer has value. The client may request Inspira to investigate the asset and declare it as impaired, or the client will provide backup along with the form to show the impairment of the asset.
Category	Alt Asset

Name	Promissory Note Servicing Terms Agreement (PNSTA)
Type	individual
Description	Agreement providing the terms and conditions related to the custody of a promissory note.
Category	Miscellaneous Forms

Name	Mortgage/Deed of Trust Note Servicing Terms Agreement (MNSTA)
Type	individual
Description	Agreement providing the terms and conditions related to the custody of a promissory note secured by a mortgage or deed of trust.
Category	Alt Asset

Name	ROTH IRA Conversion Certification
Type	individual
Description	Complete this form to authorize the conversion or reconversion of all or part of your existing Inspira Financial IRA to your existing Inspira Financial Roth IRA.
Category	Miscellaneous Forms

Name	IRA Recharacterization Request
Type	individual
Description	Complete this form to recharacterize contributions made to a Roth IRA or Traditional IRA, or remove an excess Traditional IRA or Roth IRA contribution.
Category	Miscellaneous Forms

Name	Election Of Payment by Beneficiary
Type	individual
Description	The beneficiary(ies) of a deceased Inspira account owner must complete this form to request how payment of the IRA account should be made. This form may be emailed, faxed, or mailed in.
Category	Death

Name	IRA Beneficiary Testimonial
Type	individual
Description	This form is used in the absence of a valid beneficiary designation on file with Inspira at the time of the account owner's death. In this event, the beneficiary is determined by the beneficiary hierarchy as stated in the Custodial Agreement. This form may be emailed, faxed, or mailed in.
Category	Miscellaneous Forms

Name	Delivery Instructions
Type	individual
Description	Provides instructions for the numerous ways Inspira can receive cash or assets. Instructions provided for submitting funds via check, ACH, international or domestic wire, DTC eligible securities, book-entry bonds, foreign securities, physical securities, and private placements.
Category	Miscellaneous Forms

Name	ACH Election For Monthly Contributions
Type	individual
Description	Complete this form to establish monthly ACH contributions.
Category	Miscellaneous Forms

Name	Payment Of fees Authorization
Type	individual
Description	Update payment information for fees.
Category	Miscellaneous Forms

Name	Real Property Servicing Agreement
Type	individual
Description	Agreement between Account Owner and Servicing Agent to accept all duties and responsibilities of administering the terms of the real estate property to be held in the Inspira account.
Category	Real Estate Property

Name	Rental Payment Coupon
Type	individual
Description	Submit a rental payment to a Inspira account.
Category	Real Estate Property

Name	Real Estate Remittance Form
Type	individual
Description	Submit a rental payment to a Inspira account.
Category	Real Estate Property

Name	Real Estate Sale Direction
Type	individual
Description	Direct Inspira to the sale of real property held in your Account. Only Inspira may execute the Contract for Sale for Property held in the Account.
Category	Real Estate Property

Name	Real Estate Prepaid Debit Card Direction
Type	individual
Description	Direct Inspira to move funds in or out of a prepaid debit card used for expenses directly related to Real Estate held in the Inspira IRA or other qualified retirement account. Only properties with 100% ownership within the Inspira Account will be eligible for this debit card option.
Category	Real Estate Property

Name	Rental Income Form
Type	individual
Description	Inform Inspira how to record and track rental income being deposited into the account for a rental property.
Category	Real Estate Property

Name	Real Estate Investment Direction
Type	individual
Description	Authorize Inspira to release funds from your account for a real estate investment (earnest money, additional funds required per contract, contract upgrades, final closing costs).
Category	Real Estate Property

Name	Real Estate Valuation
Type	individual
Description	Provide Inspira with a valuation of real estate held in account.
Category	Real Estate Property

Name	Real Estate Expense Payment Form
Type	individual
Description	Direct Inspira to make expense payments or cancel recurring payments directly related to Real Estate held in the Inspira account.
Category	Real Estate Property

Name	Real Estate Account Ledger for Property Managers
Type	individual
Description	Ledger for Property Manager to report deposits, expenses, manager fees and all other transactions recorded by the Property Manager related to real estate owned in a Inspira account.
Category	Real Estate Property