Get Gp5479Us Form

Get Gp5479Us Form

The Gp5479Us form is a document designed for individuals seeking to request a cash distribution from their retirement plan. This form outlines the necessary steps and options available for withdrawing funds, including potential tax implications and penalties. For those considering a cash distribution, it is essential to understand your choices and the impact on your savings; click the button below to fill out the form.

Structure

The GP5479US form is an essential document for individuals considering cash distributions from their retirement plans managed by John Hancock. This form provides a structured approach to navigating the complexities of retirement savings, particularly when it comes to withdrawals and rollovers. It outlines various options available to participants, whether they are changing jobs or retiring, and emphasizes the importance of understanding potential tax implications and penalties that may arise from cash distributions. With this form, users can indicate their desired withdrawal amount, specify how they want their funds allocated, and choose between keeping their money in the plan, rolling it over to an IRA, or taking a cash distribution. The process is designed to be user-friendly, with clear instructions on completing the necessary sections and returning the form to the plan representative. Additionally, the form highlights the availability of support from John Hancock’s Rollover Specialists, who are ready to assist participants with their decisions. By carefully reviewing the GP5479US form, individuals can make informed choices that align with their financial goals and retirement strategies.

Gp5479Us Preview

If you’re thinking about a cash distribution, know that taxes and penalties may apply. Visit www.JHCashOutCalculator.com to see how cashing out could affect your savings.

Includes: Withdrawal – Eligible for Rollover Form

Same goal. New choices.

Whether you’re changing jobs or retiring, it’s important to understand your options so you can make an informed decision about what to do with your retirement plan savings at John Hancock. Read more about your choices and next steps, then complete the attached form – or give us a call. We’re here to help.

You have two ways to take action:

Call John Hancock at 1-888-695-4472

Our Rollover Specialists will help answer questions about the options available to you:*

-Keep your money in the Plan

- Roll over to a John Hancock IRA - Roll over to another IRA

- Roll over to new employer-sponsored plan

-Take a cash distribution (see box at right)

We’ll introduce you to your plan’s financial representative if applicable

We’ll help you complete the process, including filling out any paperwork

Work with your financial representative or do-it-yourself

Review your options with your financial representative*

Fill out the attached Withdrawal – Eligible for Rollover Form

Return it based on the instructions provided to you by your plan administrator

Our Rollover Specialists are here to make your

transition a smooth one. Call us at 1-888-695-4472.

*Each distribution option has its own potential advantages, disadvantages and tax consequences. Anyone interested in these transactions or topics should seek advice based on his or her particular circumstances from independent professional advisors. There may be additional distribution options that are available only under your specific plan. Please check with your plan administrator for more information.

John Hancock Personal Financial Services, LLC, also referred to as “John Hancock”, is an affiliate of John Hancock Retirement Plan Services.

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

NOT FDIC INSURED | MAY LOSE VALUE | NOT BANK GUARANTEED

© 2019 All rights reserved.

GP5479US (2/2021)

G-P 37398-GE 01/19-37398

Reset Form

Withdrawal - Eligible for Rollover

Important Information about this Form

Your plan may require you to provide supporting documents or additional information before your request can be processed.

As the participant, you complete Sections 1 - 7 of this form and return it to your Plan Representative.

As the Plan Representative, you review Sections 1 - 7, and complete Sections 8 - 10 of this form.

If the participant address provided below is new or different than what is currently on record with John Hancock Retirement Plan Services, we will update our records accordingly. Ensure your next census submission includes revised employee information to avoid your file superseding the information supplied on this form.

A 1099R form will be issued for each distribution and loan default (if applicable) by January 31 of the following year.

This request is subject to the processing and procedure guidelines contained in John Hancock’s Administrative Guidelines for Financial Transactions (“AGFT”). The latest AGFT is available on the John Hancock plan sponsor website or you may contact your John Hancock representative for a copy.

All changes must be initialed in pen (including numbers crossed out or changed using correction fluid).

1. General Information

The Trustee of

{Contractholder_name}

Plan (“the Plan”)

{ContractNum2}

Contractholder Name

 

 

 

 

 

Contract Number

{Participant_name}

 

 

 

{SSN}

 

Participant Name as displayed on your Social Security Card (Last Name, First Name, Initial)

 

 

Participant Social Security Number (Full SSN Required)

 

 

 

 

Date

 

{ppt_address}

 

 

 

of Birth {DCCIASec3EffectiveDate}

Participant Address – Street Address

 

 

 

 

 

 

 

Participant

{PhoneNumber}

 

{ppt_cszip}

 

Phone No.

 

City, State, Zip Code, Country

2. What is the reason for your withdrawal? – Select ONE option only

It is the responsibility of the Plan Administrator, and not of John Hancock Retirement Plan Services, to ensure that the participant is permitted under the terms of the Plan to receive the distribution selected below.

TE

Termination date

RE

Retirement date

IR

Employee Money Transferred into Plan

DI

Disability

 

(Must complete Section 3B)

 

 

VC

Employee Voluntary Money

PD

Early/Pre-Retirement

 

(Must complete Section 3B)

 

(If permitted by the Plan)

Information about Deferred Distributions

Section 1102 of the Pension Protection Act of 2006 requires plans to notify participants that they have the right to defer distributions as well as the consequences of making that choice. The investment options available under your group annuity contract as well as the fees related to the investment options are part of this consideration.

For a description of the investment options available under your group annuity contract, including fees:

Log onto www.johnhancock.com/myplan.

Select: Your contract reports - Investments - Contract investment options and view Selected investment options only. Alternatively, participants may obtain this information by calling our toll free service line at 1-800-395-1113.

You should also review your plan's Summary Plan Description (SPD) which may contain special provisions that may materially affect your decision to defer a distribution. For a copy of the SPD, please contact your Plan Administrator.

GP5479US (2/2021)

Page 1 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

3. How much do you want to withdraw? Select ONE option only

If no option is selected a TOTAL withdrawal will be processed.

The amount or percentage below will be withdrawn as a gross withdrawal before income tax withholding.

A - Withdraw 100% of my vested account value

OR

B - Withdraw only a portion of the funds in my plan as follows - Tell us how much to withdraw from each eligible money type (Amount or Percentage). Completing the Investment Fund Code is not mandatory. If the Investment Fund Code is left blank, John Hancock Retirement Plan Services’ standard withdrawal order will be used.

Money Type

Investment Fund

Amount

 

Percentage

(Mandatory)

Code (Optional)

 

 

 

 

{PortionType1}

{PortionFund1}

${PortionAmt1}

OR

{PortionPct1}%

{PortionType2}

{PortionFund2}

${PortionAmt2}

{PortionPct2}%

 

{PortionType3}

{PortionFund3}

${PortionAmt3}

 

{PortionPct3}%

4. What do you want to do with your money?

Complete Section A if you wish to make your distribution payable to only a single destination. For multiple destinations, complete Section B.

A - Send my payment to ONE destination only - Select ONE option only.

Direct Rollover to an IRA or Roth IRA - Complete Section 5A or 5B

Direct Rollover to Employer Sponsored Qualified Plan - Complete Section 5C Payment Directly to Me - Complete Section 5D

Pay to the Plan Trustee for Deposit into the Plan’s Trust Account - A check will be mailed to the Trustee address on record with John Hancock Retirement Plan Services unless EFT instructions are provided in Section 5C. Taxes will not be withheld and a 1099R Form will not be issued. The Plan Trustee will be responsible for implementing the participant's direction and performing the applicable withholding and reporting obligations. Continue to Section 6.

Leave my money in the Plan. You may defer your distribution to a later date. Consult your Plan Administrator. Continue to Section 6.

OR

B - Send my payments to MULTIPLE destinations - If applicable, you may provide separate instructions for the taxable and non taxable money that make up your requested withdrawal.

IRC § 402(c)(2) will apply to any request withdrawing only a portion of the funds in your plan (Section 3B).

Payments directly to you will be deemed to come first from non-taxable amounts (from Non-Roth After-Tax contributions then Roth contributions followed by taxable amounts) in the following order: Non-Roth After-Tax earnings, Roth earnings and Pre-Tax accounts.

Payments directly to you will be processed first. Any remaining funds will be directly rolled over to the appropriate rollover vehicle indicated below.

Your withdrawal will be processed in accordance with the time frame described in our Administrative Guidelines.

GP5479US (2/2021)

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Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

Split my payment - Select all the applicable options below and then complete the next Section.

{F34}

{F36}

{F45}

Pay directly to me $ {TaxDollar}

(Section 5D)

Pre-Tax and Non-Roth After-Tax:

 

 

{F37}

Non Taxable balance directly rolled over to:

 

 

{F38}

Traditional IRA

{F39}

Roth IRA

{F40}

Employer Sponsored Qualified Plan

 

 

(Section 5A)

 

(Section 5B)

 

(Section 5C)

{F41}

Taxable balance directly rolled over to:

 

 

 

{F42}

Traditional IRA

{F43}

Roth IRA

{F44}

Employer Sponsored Qualified Plan

 

 

(Section 5A)

 

(Section 5B)

 

(Section 5C)

Roth:

 

 

 

 

 

Directly rolled over to:

 

 

 

 

 

{F46}

Roth IRA

{F47}

A Designated Roth Account

 

 

(Section 5B)

 

in an Employer-Sponsored Qualified Plan

(Section 5C)

5. Where do you want your money sent?

Select and complete option(s) A, B, C, and/or D (as applicable)

Federal law requires that 20% of the taxable amount of an eligible rollover distribution be withheld, unless payment is directly rolled over to an eligible retirement plan. The amount withheld may not represent your entire tax bill. The rollover will be reported to the IRS and you are responsible for the payment of the income tax(es) that apply in connection with the rollover. Please refer to the Special Tax Notice provided by your Plan Administrator regarding these tax rules. Contact your tax advisor or Plan Administrator if you have any questions.

A - Traditional IRA

{F51} Direct Rollover to the following John Hancock product. Your funds will be transferred automatically by wire. You must provide the account number. For more information contact John Hancock at 1-888-695-4472.

Elect one:

{F49}

{F53}

{F52}

John Hancock Investments Rollover IRA

Account Number: {AccNum1}

 

 

 

John Hancock Managed IRA

Account Number: {AccNum2}

 

 

 

John Hancock GIFL Rollover Variable Annuity IRA

Account Number: {AccNumG1}

 

 

 

OR

 

 

 

{F55} Direct Rollover to another Financial Institution

Account Number: {AccNum3}

 

 

{RO_ Inst_Name}

 

 

 

 

Financial Institution Name

 

 

 

 

{RO_ Inst_Addr}

 

 

 

 

Financial Institution Address – Street, City, State, Zip Code, Country

 

 

 

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions on file with John Hancock Retirement Plan Services, as established by the Plan Trustee.

 

Expected Delivery: •

Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

 

Electronic Fund Transfer Details

 

 

 

 

Direct Deposit

OR

Wire – Verify with receiving bank if they accept wires and/or charge a fee

 

Provide Domestic Bank details:

 

 

 

{BankName}

 

 

 

 

 

Bank Name

 

 

 

 

 

{BankABA}

 

 

{BankAcctNo}

 

 

Bank ABA/Routing (9 digits)

 

 

Bank Account No.

 

{F64}

For international banks, complete and attach the International Banking Instructions form.

GP5479US (2/2021)

 

 

 

Page 3 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

B - Roth IRA

{F62} Direct Rollover to the following John Hancock product. Your funds will be transferred automatically by wire. You must provide the account number. For more information contact John Hancock at 1-888-695-4472.

Elect one:

{F66}

{F68}

{F69}

John Hancock Investments Rollover IRA

Account Number: {AccNumR1}

 

 

 

John Hancock Managed IRA

Account Number: {AccNumR2}

 

 

 

John Hancock GIFL Rollover Variable Annuity IRA

Account Number: {AccNumRG1}

 

 

 

OR

 

 

 

{F72} Direct Rollover to another Financial Institution

Account Number: {AccNumR3}

 

 

{RO_ Inst_NameR}

 

 

 

 

Financial Institution Name

 

 

 

 

{RO_ Inst_AddrR}

 

 

 

 

Financial Institution Address – Street, City, State, Zip Code, Country

 

 

 

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions on file with John Hancock Retirement Plan Services, as established by the Plan Trustee.

Expected Delivery: •

Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

Electronic Fund Transfer Details

 

 

 

Direct Deposit

OR

Wire – Verify with receiving bank if they accept wires and/or charge a fee

Provide Domestic Bank details:

 

 

{BankNameR}

 

 

 

 

Bank Name

 

 

 

 

{BankABAR}

 

 

{BankAcctNoR}

 

Bank ABA/Routing (9 digits)

 

 

Bank Account No.

{F82}

For international banks, complete and attach the International Banking Instructions form.

C - Employer Sponsored Qualified Plan

The Trustee of {Trustee_Name}

 

{PContractNum}

 

Plan Name

 

Plan Account Number

{RO_ Inst_NameEP}

 

 

Financial Institution Name

 

 

{RO_ Inst_AddrEP}

 

 

Financial Institution Address – Street, City, State, Zip Code, Country

 

 

GP5479US (2/2021)

Page 4 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions on file with John Hancock Retirement Plan Services, as established by the Plan Trustee.

Expected Delivery: •

Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

Electronic Fund Transfer Details

 

 

 

Direct Deposit

OR

Wire – Verify with receiving bank if they accept wires and/or charge a fee

Provide Domestic Bank details:

 

 

{BankNameEP}

 

 

 

 

Bank Name

 

 

 

 

{BankABAEP}

 

 

{BankAcctNoEP}

 

Bank ABA/Routing (9 digits)

 

 

Bank Account No.

{F93}

For international banks, complete and attach the International Banking Instructions form.

D - Payment Directly to Me – All applicable taxes will be withheld

Federal Tax

A taxable distribution (and, if applicable, each outstanding loan balance) is subject to 20% mandatory minimum federal tax withholding for a U.S. person (including a U.S. resident alien).

To request a higher tax rate, specify a whole number above 20%: {TaxPercent} % (refer to DOL Field Assistance Bulletin 2004-02 for details).

OR {F96} I am neither a U.S. person nor a U.S. resident alien. Country of residence: {CountryRes}

Unless I have attached a completed IRS Form W-8BEN, withholding federal tax of 30% will apply.

GP5479US (2/2021)

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Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

State Tax Withholding Instructions

State of

Enter state of residence at time of withdrawal if state tax withholding should be taken for a state

Residence

other than the state provided to us.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State of Residence

 

Options for State Tax Withholding

 

 

 

 

 

 

 

 

 

 

 

 

AR, DC, KS, MA, MD, ME, NC, NE,

You may not opt out. Since your distribution was subject to federal income tax, these states

OK, VA, VT

 

require mandatory state withholding based on the states’ applicable minimum requirements.

 

 

 

 

 

 

 

 

 

 

 

 

Generally, state tax withholding will be applied to your taxable distribution at the rate of

 

 

6.99%. However, if you elected a partial withdrawal, a flat dollar amount may be withheld

 

 

instead, but the amount must be calculated based on a completed CT-W4P form provided to

CT

 

the Plan Administrator. If no amount is indicated, 6.99% will be withheld.

 

 

{F100}

I elected a partial distribution on this form and provided a completed CT-W4P to my

 

 

 

Plan Administrator. The calculated amount to be withheld is: ${TaxDollar6}

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State tax withholding will be applied to your taxable distribution unless one of the following

 

 

boxes is checked below:

 

 

 

 

 

{F98}

I elect to opt out of withholding. (This option is only available for residents of Michigan.)

MI, IA

 

{F99}

I am eligible to claim exemption of $ {TaxDollar2}

; withhold tax only on the

 

 

 

 

 

 

 

 

 

 

 

 

 

taxable, distributed amount that is in excess of the exempt amount.

 

 

If you check one of the boxes above, you are required to return a completed Form W-4P to

 

 

your Plan Administrator. Ensure that the election made above is consistent with the election

 

 

made on your completed Form W-4P.

 

 

 

 

 

 

 

 

 

 

CA, OR

 

You may opt out of the mandatory state withholding by checking here. {F101}

 

 

 

 

 

 

 

AL, CO, DE, GA, ID, IL, IN, KY, LA,

You may elect voluntary state income tax withholding by providing a percentage or whole

dollar amount to be applied for state tax withholding here. Some states mandate a minimum

MN, MO, MT, ND, NJ, NM, OH,

and/or maximum percentage.

 

 

 

SC, UT, WV, WI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

{TaxPercent2} % or $ {TaxDollar3}

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions on file with John Hancock Retirement Plan Services, as established by the Plan Trustee.

Expected Delivery: • Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

Electronic Fund Transfer Details

 

 

 

Direct Deposit – My personal bank account is

Checking

OR

Savings

OR

 

 

 

Wire – Verify with receiving bank if they accept wires and/or charge a fee

Provide domestic bank details:

{BankName4}

Bank Name

{BankABA4}

 

{BankAcctNo4}

 

 

 

Bank ABA/Routing (9 digits)

 

Bank Account No.

{F111}For international banks, complete and attach the International Banking Instructions form.

6. Waiver of Waiting Period

In general, you have a right to a period of at least 30 days to consider the decision of whether to elect a withdrawal from the day that you receive the Special Tax Notice from your Plan Administrator. However, if your plan permits, you may elect to waive this 30-day waiting period and have your benefit paid earlier. To waive the waiting period, check below:

I wish to waive the 30-day waiting period

The information provided in this section shall not be maintained or acted upon by John Hancock Retirement Plan Services.

GP5479US (2/2021)

Page 6 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

7. Participant Signature

If my withdrawal is made from Funds with the Guaranteed Income feature, I acknowledge that I have read and reviewed the Guaranteed Income feature brochure and fully understand the consequences and impact that my withdrawal will have on my Benefit Base and other benefits provided by this feature. I understand that a brief outline of the terms and conditions governing my withdrawal is also contained in the summary entitled “Important Information about the Guaranteed Income Feature” which can be found on the John Hancock Retirement Plan Services participant website or obtained from my Plan Administrator.

John Hancock Retirement Plan Services may charge a fee for this withdrawal request. Other charges or fees may also apply. Please refer to your plan’s 404a-5 Plan & Investment Notice available on the participant website at www.johnhancock.com/myplan for further details.

For participants under a contract issued by John Hancock Life Insurance Company of New York, any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claims for each such violation. For all other states, civil penalties may apply.

Certification required of U.S. persons only (including U.S. citizens or U.S. resident aliens).

Under penalties of perjury, I certify that:

1.The number shown in Section 1 of this form is my correct taxpayer identification number, and

2.I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and

3.I am a U.S. citizen or other U.S. person, including a U.S. resident alien (as defined in the IRS Form W-9 instructions).

Certification Instructions

You must check the box below if you have been notified by the IRS that you are currently subject to backup withholding because you failed to report all interest and dividends on your tax return.

{FCB1} I am subject to backup withholding as a result of a failure to report all interest and dividends.

Since the Plan is an account held in the United States, you are not required to provide a code indicating that you are exempt from FATCA reporting.

The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

Please note that, by signing this form, you declare that you make the above certifications under penalties of perjury. Under penalties of perjury, I certify the above statements.

 

 

{FNamePrint}

 

{FSigDate}

Signature of Participant

 

Name - please print

 

Date

The following sections are to be completed by the Plan Representative.

8. Withdrawal Details

Has the final contribution been submitted for this participant?

If the final payroll for this participant has not been submitted

to John Hancock Retirement Plan Services, provide the final payroll ending date.

If a date is provided, John Hancock Retirement Plan Services will coordinate processing of this distribution with receipt of the final payroll to avoid additional contribution payouts that often remain uncashed.

Is the participant withdrawing In-Plan Roth Rollover (IRR) assets?

For a total withdrawal, we will report the original rollover amount processed as the amount allocable to IRR assets. For a partial withdrawal, provide the amount allocable to IRR assets $ {TaxDollar4}

Note: All Roth assets held by the participant would need to be taken into consideration when calculating the amount allocable to the IRR. If left blank, we will report the amount requested as being first allocable to the IRR assets.

GP5479US (2/2021)

Page 7 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

It is important that information on the allocable amount be provided to John Hancock Retirement Plan Services if this allocation order is not consistent with the terms of your Plan.

IRS Distribution Code

The applicable IRS distribution code will be based on the type of distribution and/or age of the participant.

If the early distribution exception code applies check here.

(Code 2 will be applied)

Code B will be included with the applicable code if the distribution includes Designated Roth contributions and the combination is valid.

Loans

If a loan is active at time of distribution (Termination, Retirement or Disability), we will apply the applicable age dependent loan distribution code.

Loans can only be rolled over to an employer sponsored qualified plan.

If the loan rollover code applies check here.

(Code G will be applied)

Vesting percentage(s)

Vesting is mandatory for partial and total termination, retirement, disability and total early/pre-retirement withdrawals.

The unvested money will be forfeited using instructions given in the Employer Unvested Money section below. For all other withdrawals vesting is not required.

% for ALL Employer money types

OR

Vesting varies by money type as indicated below

Money Type

%

 

 

ER Match

{VestPct}

Profit Sharing

{VestPct2}

Employer Unvested Money

Other ER Money

%

 

 

{PortionTypeER1}

{VestPct3}

{PortionTypeER2}

{VestPct4}

Other ER Money

%

 

 

{PortionTypeER3}

{VestPct5}

{PortionTypeER4}

{VestPct6}

If no box is selected below, direction for forfeitures previously provided to John Hancock will be applied to any unvested money in the participant’s account. If no direction for forfeitures has been provided and no box is selected below, any unvested money will remain in the participant’s account invested according to the current investment instructions.

If you determine the unvested portion of the account is not forfeitable, then you may wish to select leave in participant’s account as invested so that the participant continues to have the ability to direct the investment of the full balance of his/her account (including any unvested money).

Transfer to Cash Account

Pay outstanding John Hancock charges

Refund to Plan Trustee

Leave in Participant account and transfer to default fund

 

Leave in Participant account as invested

9. Third Party Administrator (TPA) Withdrawal Fee

${TaxDollar5}

OR

{TaxPercent4}%

 

 

 

 

 

Flat Fee Amount

 

Percentage of

 

 

 

Invested Balance

John Hancock Retirement Plan Services is not responsible for any uncollected fee amounts as a result of insufficient funds. These shortages will be reported on the transaction and summary confirmations.

No Fee will be applied if this section is not completed.

GP5479US (2/2021)

Page 8 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

10. Trustee/Authorized Signer Signature

If the participant fails to sign the Signature section, the Trustee/Authorized Signer below certifies, under penalties of perjury, that based on the plan sponsor's record, (i) the name shown on this form is the legal name of the participant; (ii) the number shown on this form is the correct taxpayer identification number (Social Security Number) of the participant; and, (iii) the participant is a U.S. person (including a U.S. resident alien) unless indicated otherwise above. I acknowledge that John Hancock Retirement Plan Services will rely on this certification in determining the tax withholding and reporting requirements applicable to the requested distribution and agree to hold John Hancock Retirement Plan Services harmless for any errors made in reliance upon this certification.

I hereby authorize John Hancock Retirement Plan Services to rely and act upon the instructions provided on this form. I understand that it is my responsibility to ensure that the withdrawal(s) requested herein are permitted by law and, if applicable, consistent with the terms of the Plan. If the amount withdrawn is paid directly to the Plan Trustee, I also agree and acknowledge that I am responsible for the proper handling of the funds in accordance with the requirements of the law.

I certify that all the above information is complete and correct, that the required participant elections and consent and, if applicable, spousal consent for married participants as required by IRC Sec. 417, have been properly obtained, and that the funds being withdrawn are not for the purpose of prohibited transactions as defined in IRC Sec. 4975. I also certify that all necessary and applicable information required to be furnished to the participant under IRC Sec. 417 and an explanation of the direct rollover option and related tax rules required by IRC Sec. 402 have been provided. I also certify that, if applicable, (i) the participant has waived the 30-day waiting period; and (ii) the Withholding Certificate for Pension or Annuity Payments (Form W-4P) for the states of Michigan and Iowa have been properly obtained, completed in accordance with Michigan and Iowa law, and that any amount exempt from state tax withholding described above accurately reflects such Withholding Certificate submitted by the participant.

In the event that the participant is under the age of 18, I certify that consent to this request has been obtained from the parent or legal guardian authorized to act on the participant's behalf.

I hereby direct John Hancock Retirement Plan Services to pay to the Third Party Administrator currently on record the above referenced fee (if applicable). I understand that this fee will be deducted from the participant's account balance at the time of the distribution using standard withdrawal protocol and will be held in the general business account of John Hancock Retirement Plan Services until paid to the Third Party Administrator. I hereby represent that this fee is in accordance with the fee schedule that has been approved by the plan's trustee or named fiduciary as reasonable and authorized under the terms of the plan.

On behalf of the Plan Sponsor, the Plan and its related trust, and the Plan Trustee or named Fiduciary, I further agree to indemnify and hold harmless John Hancock Retirement Plan Services, its employees, agents, directors, and officers from any liability, penalties, and taxes that may be incurred as a result of the requested distribution giving rise to one or more prohibited transactions or for implementing requests (including, if applicable, a direct rollover request) based solely on the instructions provided on this form, or if any of the certifications provided on this form are incorrect.

 

 

{FNamePrint}

 

{FSigDate}

Signature of Trustee/Authorized Signer

 

Name - please print

 

Date

GP5479US (2/2021)

Page 9 of 9

Group annuity contracts and recordkeeping agreements are issued by: John Hancock Life Insurance Company (U.S.A.) (“John Hancock USA”), Boston, MA (not licensed in New York) and John Hancock Life Insurance Company of New York (“John Hancock NY”), Valhalla, NY. Product features and availability may differ by state. John Hancock USA and John Hancock NY each make available a platform of investment alternatives to sponsors or administrators of retirement plans without regard to the individualized needs of any plan. Unless otherwise specifically stated in writing, John Hancock USA and John Hancock NY do not, and are not undertaking to, provide impartial investment advice or give advice in a fiduciary capacity.

Document Data

Fact Name Details
Form Purpose The GP5479US form is used for requesting a cash distribution from a retirement plan, specifically for eligible rollovers.
Tax Implications Cash distributions may be subject to taxes and penalties. It's advisable to consult with a tax professional.
Contact Information For assistance, call John Hancock at 1-888-695-4472. Rollover Specialists are available to help with options.
Participant Responsibilities Participants must complete Sections 1-7 of the form and return it to their Plan Representative for processing.
Governing Laws This form is governed by the Employee Retirement Income Security Act (ERISA) and applicable state laws.
Distribution Options Participants can choose to keep their money in the plan, roll it over to an IRA, or take a cash distribution.

How to Use Gp5479Us

Completing the Gp5479Us form is essential for initiating a withdrawal from your retirement plan. Follow the instructions carefully to ensure your request is processed without delays. Make sure to gather all necessary information before starting.

  1. Begin by filling out the General Information section. Include your Contractholder Name, Contract Number, Participant Name, Social Security Number, Date of Birth, Address, and Phone Number.
  2. In the Reason for Withdrawal section, select one option that applies to your situation.
  3. Indicate how much you want to withdraw in the Amount to Withdraw section. Choose either to withdraw 100% or a specific portion of your funds.
  4. Decide what you want to do with your money. Complete either Section A for a single destination or Section B for multiple destinations. Provide the necessary details for each option selected.
  5. In the Where to Send Your Money section, fill out the required information for the destination(s) you selected in the previous step. This includes account numbers and financial institution details.
  6. Review all the information you entered for accuracy. Ensure that all sections are completed and that you have signed where necessary.
  7. Submit the form according to the instructions provided by your plan administrator. Make sure to keep a copy for your records.

Key Facts about Gp5479Us

What is the Gp5479Us form used for?

The Gp5479Us form is primarily used for making a withdrawal from your retirement plan at John Hancock. It allows participants to request a cash distribution or to roll over their funds into another retirement account. This form provides various options, including keeping the money in the plan, rolling it over to an IRA, or taking a cash distribution. Understanding the implications of each choice is crucial, as taxes and penalties may apply to cash distributions.

How do I complete the Gp5479Us form?

To complete the Gp5479Us form, you need to fill out Sections 1 through 7 as the participant. This includes providing personal information, the reason for your withdrawal, and the amount you wish to withdraw. After you have completed your sections, return the form to your Plan Representative. They will then review your information and complete Sections 8 through 10. Make sure to follow any specific instructions provided by your plan administrator to ensure your request is processed correctly.

What options do I have for my withdrawal?

You have several options for your withdrawal. You can choose to withdraw 100% of your vested account value or a portion of it. If you select a partial withdrawal, you must specify the amount or percentage for each eligible money type. Additionally, you can decide whether to roll over your funds to an IRA, another employer-sponsored plan, or take a cash distribution. Each option has its own tax implications, so it's advisable to consult with a financial advisor or your plan administrator.

What happens if I choose a cash distribution?

If you opt for a cash distribution, be aware that taxes and penalties may apply. A 1099R form will be issued for each distribution, which you will need for tax reporting purposes. It's important to visit the provided website, www.JHCashOutCalculator.com, to understand how cashing out could impact your savings. Consulting with a tax advisor is also recommended to navigate the potential tax consequences effectively.

How can I get help with the Gp5479Us form?

If you need assistance with the Gp5479Us form, you can call John Hancock at 1-888-695-4472. Their Rollover Specialists are available to answer your questions and guide you through the options available. Whether you prefer to work with a financial representative or complete the process independently, help is readily accessible to ensure a smooth transition.

Common mistakes

Filling out the GP5479US form can be a straightforward process, but many people make common mistakes that can delay their requests or lead to complications. Understanding these pitfalls can help ensure a smoother experience.

One frequent mistake is failing to provide complete information in the personal details section. It is crucial to enter your name exactly as it appears on your Social Security card, along with your full Social Security number. Any discrepancies can lead to processing delays.

Another common error involves selecting the wrong reason for withdrawal. The form requires participants to select only one option. Choosing multiple reasons can cause confusion and may result in the request being denied or delayed.

People often overlook the importance of specifying the amount they wish to withdraw. If no selection is made, a total withdrawal will automatically be processed. This could lead to unexpected tax implications or leave you without the funds you intended to retain.

In Section 4, individuals sometimes fail to indicate how they want their money sent. Whether opting for a direct rollover or a cash distribution, it is essential to select the correct option. Missing this step can result in funds being sent to an unintended destination.

Another mistake is neglecting to complete the electronic fund transfer details. Providing accurate bank information is vital for ensuring that funds are transferred correctly and promptly. Double-checking these details can prevent unnecessary delays.

Some participants forget to initial any changes made on the form. If any information is crossed out or altered, it must be initialed in pen. Failure to do so can render the form invalid.

Additionally, individuals often fail to review the form thoroughly before submission. Missing signatures or incomplete sections can lead to rejection of the request. Taking the time to double-check can save a lot of hassle later on.

Many people also overlook the requirement to consult with their plan administrator regarding specific distribution options. Each plan may have unique rules that could affect your choices. Ignoring this can lead to misunderstandings about what is permissible.

Lastly, some participants do not consider the tax implications of their withdrawal choices. It is essential to understand how taxes will affect your distribution. Consulting with a tax advisor can provide clarity and help you make informed decisions.

By avoiding these common mistakes, individuals can ensure a more efficient process when filling out the GP5479US form, ultimately leading to better management of their retirement funds.

Documents used along the form

The GP5479US form is an important document for individuals considering a cash distribution from their retirement plan. Alongside this form, several other documents may be required to ensure a smooth process. Each of these documents serves a specific purpose, helping participants navigate their options effectively.

  • Withdrawal – Eligible for Rollover Form: This form is used by participants to request a withdrawal from their retirement plan. It outlines the amount to be withdrawn and the method of distribution, whether it be a direct rollover to another account or a cash distribution.
  • 1099-R Form: This tax form is issued to report distributions from retirement accounts. It provides essential information regarding the amount withdrawn and any taxes withheld, helping individuals understand their tax obligations for the year.
  • Summary Plan Description (SPD): The SPD is a comprehensive document that outlines the features of a retirement plan, including eligibility, benefits, and any special provisions. Participants should review this document to understand their rights and options under the plan.
  • Special Tax Notice: This notice provides important information regarding the tax implications of taking a distribution from a retirement account. It explains the withholding requirements and the potential consequences of not rolling over the distribution to another retirement account.

Understanding these documents can significantly ease the process of managing retirement funds. Participants are encouraged to review each document carefully and consult with financial advisors if needed, ensuring informed decisions about their retirement savings.

Similar forms

  • Withdrawal Form for Retirement Plans: Similar to the GP5479US form, this document facilitates the process of withdrawing funds from a retirement account. It outlines the steps and options available for participants, ensuring they understand the implications of their choices.
  • Distribution Request Form: This form is used to request a distribution from a retirement plan. Like the GP5479US, it requires participants to specify the amount they wish to withdraw and provides options for rolling over funds or taking cash distributions.
  • Rollover Request Form: This document allows individuals to initiate a rollover of their retirement funds to another qualified plan or IRA. It shares the same purpose of managing retirement savings and ensuring tax compliance as the GP5479US form.
  • Hardship Withdrawal Application: This form is specifically designed for participants who need to withdraw funds due to financial hardship. It is similar in that it requires documentation and provides guidance on the tax implications of the withdrawal.
  • Loan Application for Retirement Plans: This document permits participants to borrow against their retirement savings. Like the GP5479US, it outlines eligibility, repayment terms, and tax considerations, ensuring participants make informed decisions.
  • Beneficiary Designation Form: While not a withdrawal form, it is essential for ensuring that retirement assets are distributed according to the participant’s wishes. This document complements the GP5479US by addressing how funds will be allocated upon the participant's death.
  • Plan Change Request Form: This form allows participants to request changes to their retirement plan elections. It aligns with the GP5479US by providing a structured way for participants to manage their retirement options.
  • Account Statement Request Form: Participants use this document to obtain their account statements. It is similar in that it helps individuals track their retirement savings and understand their financial status.
  • Investment Change Request Form: This form enables participants to change their investment allocations within a retirement plan. Like the GP5479US, it requires participants to consider their financial goals and the potential impact on their savings.
  • Tax Withholding Election Form: This document allows participants to specify how much tax should be withheld from their distributions. It is similar to the GP5479US in that it addresses the tax implications of retirement withdrawals.

Dos and Don'ts

When filling out the GP5479US form, here are six important dos and don'ts to keep in mind:

  • Do read all instructions carefully before starting.
  • Do provide accurate personal information, including your Social Security Number.
  • Do consult with a financial representative if you have questions about your options.
  • Do ensure that all required sections of the form are completed before submission.
  • Don't leave any sections blank; this could delay processing your request.
  • Don't use correction fluid to change any information; changes must be initialed in pen.

Misconceptions

Understanding the Gp5479Us form is crucial for making informed decisions regarding retirement savings. However, several misconceptions can cloud this understanding. Below are some common misconceptions about the form, along with clarifications to help clear the air.

  • Cash distributions are penalty-free. Many believe that cashing out their retirement savings incurs no penalties. In reality, taxes and penalties may apply, depending on individual circumstances.
  • All withdrawal options are the same. Not all options carry the same tax implications or consequences. Each choice, such as rolling over to an IRA or taking a cash distribution, has its own advantages and disadvantages.
  • You must withdraw all funds at once. Some think that once they decide to withdraw, they must take all their funds immediately. This is not true; partial withdrawals are possible.
  • Only one type of rollover is available. There is a misconception that you can only roll over funds into a single type of account. In fact, you can choose between a traditional IRA, Roth IRA, or another employer-sponsored plan.
  • John Hancock provides personalized investment advice. Many assume that John Hancock will provide tailored investment advice. However, they do not undertake to offer impartial investment advice or act in a fiduciary capacity.
  • All forms of distribution are processed the same way. Some individuals believe that all distributions are handled uniformly. Each distribution option may have different processing times and requirements.
  • Tax withholding is not necessary for rollovers. There is a common belief that rollovers do not require tax withholding. However, federal law mandates that 20% of the taxable amount be withheld unless directly rolled over to an eligible retirement plan.
  • Once the form is submitted, it cannot be changed. Some think that any submitted request is final and cannot be altered. In reality, changes can be made, but they must adhere to the plan's administrative guidelines.

By addressing these misconceptions, individuals can better navigate their options and make informed decisions about their retirement savings. It is always advisable to consult with a financial advisor to discuss personal circumstances and implications.

Key takeaways

Key Takeaways for Using the GP5479US Form:

  • Understand the implications of cash distributions. Taxes and penalties may apply when withdrawing funds. Utilize tools like the JHCashOutCalculator to assess the impact on your savings.
  • Complete Sections 1-7 of the form as the participant. Ensure that the information is accurate and matches your records with John Hancock. The Plan Representative will handle Sections 8-10.
  • Explore your options thoroughly. You can keep your money in the plan, roll it over to an IRA, or take a cash distribution. Consult with a financial representative if needed.
  • Be aware of potential tax consequences. A 1099R form will be issued for each distribution, and federal law mandates that 20% of taxable amounts may be withheld unless directly rolled over.