Self-Directed ROTH IRA

  • SECTION 1: Type of Account and Title

  • ROTH: Preferred Trust Company, LLC FBO (For the Benefit Of) Jane Doe, Roth IRA or INHERITED: Preferred Trust Company, LLC FBO Jane Doe, Inherited Roth IRA John Doe
  • SECTION 2: IRA Account Owner Information

  • Enter referring company, advertisement, individual or resource code.

  • Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. When you open an account, we are required to obtain your name, address, date of birth, social security number or tax identification number and other information that will allow us to identify you. This information will be verified to ensure the identity of all persons opening an account. Documents provided in connection with your application will be used solely to establish and verify a customer's identity, and Preferred Trust Company shall have no obligation with respect to the terms of any such document.
  • (Upload copy of Drivers License, Passport or state issued identification card)
    Accepted file types: pdf, jpg, gif, png, tiff.
  • Section 4: Payment Method

    The IRA Account Owner gives the custodian the right to charge the IRA Account Owner's credit card or debit cash from their IRA Account.
  • Select preferred payment method for initial Establishment Fee.
  • Section 5: Automatic Contribution

    Preferred Trust Company accepts automatic cash contributions to an IRA account. There is no fee associated with automatic contribution transactions. Funds are deducted from a checking or savings account. The financial institution must be a member of the Automated Clearing House (ACH). Deductions will be processed on or about the 5th and/or the 20th of each month. The minimum automatic contribution is $25.00 and the maximum is dependent on the allowable maximum amount in accordance with IRS rules and regulations of Publication 590 for the current year. Preferred Trust Company reserves the right to cancel an automatic contribution should the ACH deduction be rejected due to insufficient funds or incorrect account information.
  • Bank Information

    Preferred Trust Company requires a copy of a VOIDED check for Automatic Contributions to be setup. Notify Preferred Trust Company if the bank information changes. An ACH that is rejected will be assessed a $30.00 ACH Automatic Contribution Rejection Fee.
  • Section 6: Beneficiary Designation Information

    At the time of my death, the primary beneficiaries named below will receive my IRA assets. If all of my primary beneficiaries die before me, the contingent beneficiaries named below will receive my IRA assets. In the event a beneficiary dies before me, such beneficiaries share will be reallocated on a pro-rata basis to the other beneficiaries that share the deceased beneficiaries classification as a primary or contingent beneficiary. If all of the beneficiaries die before me, my IRA assets will be paid to my estate. If no percentages are assigned to beneficiaries, the beneficiaries will share equally. If the percentage total for each beneficiary classification does not equal 100%, any remaining percentage will be divided equally among the beneficiaries within such class. This designation revokes and supersedes all earlier beneficiary designations which may apply to this IRA.
  • Please DO NOT include “%” in your field. Please enter percentage as a number only: example: 100
  • Maximum of 30 characters per field
  • Please DO NOT include “%” in your field. Please enter percentage as a number only: example: 100
  • Maximum of 30 characters per field
  • Please DO NOT include “%” in your field. Please enter percentage as a number only: example: 100
  • Maximum of 30 characters per field
  • Section 7: Spousal Consent

    This section should be reviewed if either the trust or the residence of the account owner is located in a community or marital property state and the account owner is married. Due to the important tax consequences of giving up one's community property interest, the individual signing this section should consult with a tax or legal professional. I am the spouse of the above-named account owner. I acknowledge that I have received a fair and reasonable disclosure of my spouse's property and financial obligations. Due to the important tax consequences of giving up my interest in this account, I have been advised to see a tax or legal professional. I hereby give the account owner any interest I have in the funds or property deposited in this account and consent to the beneficiary designations(s) indicated above. I assume full responsibility for any adverse consequences that may result. No tax or legal advice was given to me by Preferred Trust Company.
  • Section 8: Interested Party Designation

    Complete the information below only if you wish to authorize an individual to receive information on your account. I herby designate the below-mentioned Interested Party Designee subject to all applicable terms and provisions stated in the Custodial Agreement. I authorize this Interested Party Designee to receive statements and other account information from Preferred Trust Company as Custodian via written, telephonic or electronic communications. I agree that Preferred Trust Company as Custodian is under no duty to investigate or inquire about the Interested Party Designee. I understand that this individual is not authorized to execute transactions on my behalf. I understand that I may revise this information at any time by giving written notice to Preferred Trust Company. If an IRA Account Owner would like to grant an Interested Party Agent authorization to execute transactions on their behalf, Preferred Trust Company as Custodian requires a Limited Power of Attorney on file.
  • Section 9: Disclosures & Agreements

    You must read and agree to the following documents before you can successfully complete this application.
  • Privacy Policy

  • Company Disclosure Statement

  • Custodial Agreement
  • Fee Schedule

  • Section 10: Signatures