IRA Transfer/Direct Rollover Form Group Code: RIRA

RIRA FTR 05/16
Franklin Templeton
IRA Transfer / Direct Rollover Form
Use this form to request a transfer or direct rollover of retirement assets held at another institution to an IRA with Fiduciary Trust International of
the South (“FTIOS”) as Custodian.
Only designated Roth assets can be transferred to a Roth IRA. If you intend to convert a Traditional IRA to a Roth Conversion IRA, do not use
this form. Instead, please use the Franklin Templeton Roth Conversion Request Form available at franklintempleton.com.
1
ACCOUNT OWNER INFORMATION
First name
M.I.
Last name
Primary phone number
( )
2
Suffix
SSN/ITIN
Date of birth (mm/dd/yyyy)
Alternate phone number
( )
TRANSFER/DIRECT ROLLOVER INSTRUCTIONS
Identify the type of account you intend to transfer/directly roll over (FROM CURRENT INSTITUTION) and the type of Franklin Templeton IRA retirement plan
(TO FRANKLIN TEMPLETON) into which the funds are to be invested. Please include a copy of your account statement from the current institution.
FROM CURRENT INSTITUTION
TO FRANKLIN TEMPLETON
Transfer from:
Transfer/Direct Rollover to:
Traditional IRA
Traditional IRA
SIMPLE IRA1
Rollover IRA
Rollover IRA
SEP IRA
Roth IRA
Roth IRA
SARSEP IRA
Roth Conversion IRA
Roth Conversion IRA
SIMPLE IRA1
Inherited Beneficiary Information
SEP IRA
Check this box if the above-checked IRA has been (or is being) opened as an
“Inherited IRA” by the beneficiary of the original participant. Please also provide
the information below:
Name of decedent
First name, middle initial, last name
SARSEP IRA
Direct Rollover from*:
401(k)2
Profit Sharing2 (with no salary deferral option)
Money Purchase Pension Plan2
Relationship to Beneficiary:
403(b)
Beneficiary Required Minimum Distribution (RMD) information: To establish
systematic withdrawals to satisfy your RMD, complete a Beneficiary Distribution
Request Form available at franklintempleton.com.
2
Other (specify) ____________________
Spouse
Non-Spouse
* If your employer-sponsored plan contains after-tax (e.g. Roth) contributions and you are directly rolling over your after-tax proceeds to a Roth IRA and the pretax portion to a Rollover IRA (or Traditional IRA), please use two separate forms and ensure clear instructions regarding the handling of your pre-tax and after-tax
portions are provided to your plan administrator or employer.
3
CONTACT INFORMATION FOR CURRENT IRA CUSTODIAN OR PLAN TRUSTEE
Check here if you have already initiated this request and this form is not required by the current IRA custodian or plan trustee. Proceed to Section 4.
Please provide contact information for the current IRA custodian plan or trustee below.
Franklin Templeton will forward this document to transfer/directly roll over retirement assets to your Franklin Templeton IRA. If you do not know the correct address,
please verify with the current IRA custodian or plan trustee before you submit this form.
Current IRA custodian or plan trustee
Phone number
( )
Address
City
State
ZIP
1. SIMPLE IRAs may only be transferred or directly rolled over to another type of IRA after two years from the date of the first SIMPLE IRA contribution. Before two years, you may only transfer to another SIMPLE IRA.
2. This transaction will be considered a direct rollover. Additional forms may be required if the account you intend to roll over is currently held within certain retirement plans provided by a former
employer. Please contact the employer-plan sponsor or the plan administrator for more information regarding rollover requirements.
franklintempleton.com
Questions? Please call your financial advisor or Franklin Templeton Retirement Services at (800) 527-2020.
page 1 of 4
4
TRANSFER/DIRECT ROLLOVER AMOUNT
Choose only one option.
100% Transfer/Direct Rollover
Check here to move the entire balance from your current retirement account to an IRA with Franklin Templeton.
Investment/fund name and share class
Account number at current institution
Partial Transfer/Direct Rollover
Check here to move a portion of your current retirement account to an IRA with Franklin Templeton.
Investment/fund name and share class
Account number at current institution
Amount to transfer/directly roll over
% or $
% or $
% or $
Current Trustee/Custodian:
Franklin Templeton mutual fund shares should be transferred in kind. All other securities should be liquidated in accordance with instructions provided above and
proceeds sent to FTIOS via check.
5
SPECIAL INSTRUCTIONS FOR CDs
For certificates of deposit (CDs) only: If you would like to transfer assets on specific maturity dates, please provide those dates here.
Please note that Franklin Templeton must receive this form at least two weeks, but not more than three months, prior to the CD maturity date.
Date 1
6
Date 2
Date 3
INVESTMENT ALLOCATION
Please indicate the allocation for your transfer/direct rollover, providing the amount to be invested in each fund ($) or the percentage of the total allocation (%).
If no dollar amount or percentage is indicated below, your transfer/direct rollover will be apportioned equally among all selected funds. Class A shares will be
purchased if no class of shares is selected.
CLASS A & CLASS C SHARES
ADVISOR CLASS & CLASS Z SHARES
• Class A and Class C shares are the most widely used share classes for
individual investors.
• $250 minimum initial investment for most funds. See prospectus section
titled “Buying Shares” for more information.
• You must have a broker-dealer to purchase Class C shares.
• Advisor Class and Class Z shares are available only to certain, eligible investors.
Please see prospectus section titled “Qualified Investors” for more information.
• Class Z Only: Franklin Mutual Series fund investors who were shareholders
of record on 10/31/1996 (and other entities subject to the terms and
conditions as set forth in the prospectus) can purchase Class Z shares in any
Franklin Mutual Series Fund.
Invest the transfer or rollover proceeds in my existing account(s) as indicated below:
Existing Accounts:
Fund number
Account number
Allocation amount
OR
Percentage
$
%
$
%
$
%
Invest the transfer or rollover proceeds in accordance with the fund selection provided in the attached Franklin Templeton IRA Application.
I have an existing Franklin Templeton account, but would like my transfer or rollover proceeds directed to the fund and share class listed below:
INVESTMENT
Class (fund number)3
$ Amount or %
VALUE FUNDS
Franklin Balance Sheet Investment
A (150) C (250) Adv (650)
Franklin MidCap Value
A (422) C (522) Franklin Mutual Beacon
A (476) C (576) Z (076)
Franklin Mutual Quest
A (475) C (575) Z (075)
Franklin Mutual Shares
A (474) C (574) Z (074)
Franklin Small Cap Value
A (482) C (582) Adv (682)
BLEND FUNDS
A (443) C (543) Adv (600)
Franklin Focused Core Equity
Franklin Rising Dividends
A (158) C (258) Adv (658)
INVESTMENT
Class (fund number)3
$ Amount or %
GROWTH FUNDS Franklin DynaTech
A (108) C (208) Adv (628)
Franklin Flex Cap Growth
A (180) C (280) Adv (683)
Franklin Growth
A (106) C (206) Adv (606)
Franklin Growth Opportunities
A (462) C (562) Adv (662)
Franklin Small-Mid Cap Growth
A (198) C (298) Adv (698)
SECTOR FUNDS
A (402) C (242) Adv (042)
Franklin Biotechnology Discovery
Franklin Global Listed Infrastructure A (997) C (267) Adv (947)
Franklin Global Real Estate
A (495) C (595) Adv (695)
Franklin Gold and Precious Metals
A (132) C (232) Adv (632)
Franklin Mutual Financial Services
A (479) C (579) Z (079)
Franklin Natural Resources
A (403) C (503) Adv (613)
Franklin Real Estate Securities
A (192) C (292) Adv (692)
Franklin Utilities
A (107) C (207) Adv (607)
SEE NEXT PAGE FOR ADDITIONAL INVESTMENT ALLOCATIONS
3. If you are opening a Rollover IRA with a distribution from an employer-sponsored retirement plan (as defined in the Fund’s prospectus) for which FTIOS was the plan trustee or custodian, your investments
will be made into Class A shares without a sales charge.
page 2 of 4
Questions? Please call your financial advisor or Franklin Templeton Retirement Services at (800) 527-2020.
franklintempleton.com
6
INVESTMENT ALLOCATION (cont’d.)
­INVESTMENT
Class (fund number)4
$ Amount or %
GLOBAL FUNDS
Franklin Mutual Global Discovery
A (477) C (577) Z (077)
Templeton Global Opportunities Trust A (415) C (515) Adv (678)
Templeton Global Smaller Companies A (103) C (203) Adv (603)
Templeton Growth
A (101) C (201) Adv (601)
Templeton World
A (102) C (202) Adv (602)
INTERNATIONAL FUNDS
A (141) C (241) Adv (644)
Franklin India Growth
Franklin International Growth
A (429) C (248) Adv (649)
Franklin Mutual European
A (478) C (578) Z (078)
Franklin Mutual International
A (373) C (573) Z (073)
Templeton China World
A (188) C (288) Adv (680)
Templeton Developing Markets Trust A (711) C (791) Adv (611)
Templeton Emerging Markets
Small Cap
A (426) C (526) Adv (626)
Templeton Foreign
A (104) C (204) Adv (604)
HYBRID FUNDS
A (424) C (517) Adv (624)
Franklin Balanced
Franklin Convertible Securities
A (137) C (237) Adv (637)
Franklin Equity Income
A (139) C (239) Adv (639)
Franklin Income
A (109) C (209) Adv (609)
Templeton Emerging Markets Balanced A (080) C (211) Adv (011)
Templeton Global Balanced
A (325) C (225) Adv (625)
ASSET ALLOCATION FUNDS
A (470) C (570) Adv (670)
Franklin Corefolio Allocation
Franklin Founding Funds Allocation
A (481) C (282) Adv (671)
Franklin Conservative Allocation
A (484) C (584) Adv (641)
Franklin Moderate Allocation
A (485) C (585) Adv (642)
Franklin Growth Allocation
A (486) C (586) Adv (643)
Franklin LifeSmart™
Retirement Income
A (427) C (527) Adv (627)
Franklin LifeSmart™ 2020
Retirement Target
A (052) C (552) Adv (082)
Franklin LifeSmart™ 2025
Retirement Target
A (445) C (545) Adv (645)
­INVESTMENT
$ Amount or %
ASSET ALLOCATION FUNDS (cont’d.) Class (fund number)4
Franklin LifeSmart™ 2030
Retirement Target
A (047) C (553) Adv (083)
Franklin LifeSmart™ 2035
Retirement Target
A (446) C (546) Adv (646)
Franklin LifeSmart™ 2040
Retirement Target
A (049) C (255) Adv (081)
Franklin LifeSmart™ 2045
Retirement Target
A (451) C (551) Adv (651)
Franklin LifeSmart™ 2050
Retirement Target
A (059) C (259) Adv (098)
Franklin LifeSmart™ 2055
Retirement Target
A (959) C (289) Adv (999)
ALTERNATIVE FUNDS
Franklin K2 Alternative Strategies
A (068) C (520) Adv (010)
Franklin K2 Long Short Credit
A (948) C (547) Adv (998)
Franklin Pelagos Commodities
A (995) C (295) Adv (015)
Strategy
FIXED INCOME FUNDS
Franklin Adjustable
U.S. Government Securities
A (138) C (238) Adv (638)
Franklin Flexible Alpha Bond
A (953) C (283) Adv (983)
Franklin Floating Rate Daily Access
A (489) C (589) Adv (689)
Franklin Global Government Bond
A (058) C (508) Adv (048)
Franklin High Income
A (105) C (205) Adv (605)
Franklin Low Duration Total Return
A (401) C (501) Adv (621)
Franklin Real Return
A (423) C (213) Adv (623)
Franklin Strategic Income
A (194) C (294) Adv (694)
Franklin Strategic Mortgage Portfolio A (357) C (957) Adv (057)
Franklin Total Return
A (460) C (560) Adv (660)
Franklin U.S. Government Securities A (110) C (210) Adv (610)
Templeton Emerging Markets Bond
A (072) C (572) Adv (012)
Templeton Global Bond
A (406) C (506) Adv (616)
Templeton Global Total Return
A (407) C (507) Adv (696)
Templeton Hard Currency
A (412)
Adv (612)
Templeton International Bond
A (447) C (247) Adv (647)
MONEY FUND
Franklin U.S. Government
Money Fund
A (111)
4. If you are opening a Rollover IRA with a distribution from an employer-sponsored retirement plan (as defined in the Fund’s prospectus) for which FTIOS was the plan trustee or custodian, your investments
will be made into Class A shares without a sales charge.
franklintempleton.com
Questions? Please call your financial advisor or Franklin Templeton Retirement Services at (800) 527-2020.
page 3 of 4
7
SIGNATURE
I have established an IRA (as indicated in Section 2) with Fiduciary Trust International of the South (“FTIOS”). Please accept this as your authorization to transfer/
directly roll over the assets specified in Sections 4 and 5 to FTIOS, as custodian for my IRA. If any of the assets listed are currently invested in Franklin Templeton
fund shares, I authorize that they be transferred/directly rolled over in kind, not redeemed. I certify that none of the assets to be transferred/directly rolled over
include any minimum required distribution amounts under IRC Section 401(a)(9) for the current year.
I have previously completed or am including a Franklin Templeton IRA Application or SIMPLE IRA/SEP IRA Application.
SignatureDate
X
MEDALLION SIGNATURE GUARANTEE:
(If required by the current custodian, not required by FTIOS)
IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT: Me My financial advisor
Financial advisor name
Phone number of financial advisor
( )
FOR RESIGNING TRUSTEE/CUSTODIAN ONLY
NOTE: All amounts to be transferred/directly rolled over should be sold (liquidated) except for Franklin Templeton fund shares, which shall be transferred/directly
rolled over in kind.
Make checks payable to FTIOS and remit to the nearest address below.
Fiduciary Trust International of the South (“FTIOS”) hereby accepts the transfer or direct rollover of assets requested herein as custodian for the type
of IRA shown in Section 2 for benefit of the account owner. This acceptance extends only to cash and Franklin Templeton fund shares. Please
make the check(s) (if applicable) payable to FTIOS custodian for (IRA type from Section 2) of (account owner’s name)—“Transfer”/“Direct Rollover”
and mail the check(s) with a copy of this request to one of the addresses listed below.
Authorized Signature – Fiduciary Trust International of the South
X
Gail E. Cohen, President and CEO
BEFORE YOU SUBMIT…
SECTION 3
SECTION 1
Did you provide your date of birth and Social Security number (or ITIN)?
SECTION 2
Did you provide contact information for the current trustee or custodian of
your retirement plan?
SECTION 6
• If requesting a rollover from a 401(k), 403(b), Profit Sharing or Money
Purchase Plan, did you contact the plan trustee regarding additional forms
needed to complete the rollover?
Did you check the appropriate share class for the fund or funds you want to
invest in and indicate the amount of your investment in each fund?
• Did you indicate the type of account into which the transfer or direct
rollover will be deposited?
Did you provide your signature?
Please mail to
Overnight
© 2016 Franklin Templeton Investments. All rights reserved.
SECTION 7
WEST COAST
EAST COAST
FTIOS
c/o Franklin Templeton Investor Services, LLC
P.O. Box 997153
Sacramento, CA 95899-7153
FTIOS
c/o Franklin Templeton Investor Services, LLC
P.O. Box 33033
St. Petersburg, FL 33733-8033
3344 Quality Drive
Rancho Cordova, CA 95670-7313
100 Fountain Parkway N.
St. Petersburg, FL 33716-1205
RIRA FTR 05/16