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IRA DESIGNATION OF BENEFICIARY (11/2015) RETIRADB PAGE 1 OF 2 NY CS 8393448 11/15 IRA Designation of Beneficiary PARTICIPANT’S NAME Instructions: In the sections below, please indicate the Primary and Contingent Beneficiaries for this account. If additional pages are required, check this box and indicate the number of additional pages here: . Per Stirpes: If you indicate per stirpes (in some states the term used is “Rights of Representation”), it means that the children of a Beneficiary who predeceases you will share equally in that portion of your account originally left to the now-deceased child. For example, if you designate that your three children will share your account equally, but one son predeceases you leaving two children, the two living children would each receive a 1/3 share, but the deceased son’s 1/3 share would be divided equally among his children (your grandchildren), so that each of those two grandchildren would receive a 1/6 share. Per Capita: is method divides your account equally among your children and the descendants of any child who dies before you. For example, if one of your three daughters dies before you leaving two surviving children, each of her two children (your grandchildren) will receive a share equal to that of your other two daughters — splitting the account into four equal shares. Neither: If you do not designate per stirpes or per capita, “neither” is the default. is means, for example, that if you designate two Primary Beneficiaries, and one Primary Beneficiary predeceases you, the other Primary Beneficiary will be entitled to your entire account. If no Primary Beneficiary is surviving at the time of your death, your Contingent Beneficiary(ies) would be entitled to your account. If none is designated or surviving, the “default” beneficiary rules under Definition of “Beneficiary” in Article I of the Morgan Stanley IRA document will apply — that is, (a) spouse, (b) if no spouse, to any surviving children (naturally born or legally adopted) (c) if no children, then to the surviving parent(s) in equal shares or all to the surviving parent, and (d) if no parents, then to your estate. Neither is the default. If the designated Beneficiary is a non-living entity such as a trust or a charity, the stipulation type defaults to “Neither.” 1. Primary Beneficiaries I hereby designate the person(s) named below as Primary Beneficiary(ies) to receive payment of the balance of the account upon my death. NOTE: If the designated Beneficiary is a non-living entity (e.g., trust, charity, etc.) or no stipulation option is selected, the stipulation option defaults to “Neither.” Name Check One Stipulation Option Share Date of Birth (mm/dd/yyyy) Social Security Number Relationship 1. Per Stirpes Per Capita Neither % 2. Per Stirpes Per Capita Neither % 3. Per Stirpes Per Capita Neither % 4. Per Stirpes Per Capita Neither % IRA Type (check one): Traditional IRA SIMPLE IRA Roth IRA SEP/SAR-SEP IRA RETIRADB NAO Branch No. Account No. FA/PWA No. For Internal Use Only

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Page 1: raditional IRAT SIMPLE IRA oth IRAR SEP/SAR-SEP IRA … · IRA Designation of Beneficiary PARtIcIPAnt’s nAme ... raditional IRAT SIMPLE IRA oth IRAR SEP/SAR-SEP IRA RetIRADB nAo

IRA DesIgnAtIon of BenefIcIARy (11/2015) RetIRADB

PAge 1 of 2 ny cs 8393448 11/15

IRA Designation of BeneficiaryPARtIcIPAnt’s nAme

Instructions: In the sections below, please indicate the Primary and Contingent Beneficiaries for this account. If additional pages are required, check this box and indicate the number of additional pages here: .

Per Stirpes: If you indicate per stirpes (in some states the term used is “Rights of Representation”), it means that the children of a Beneficiary who predeceases you will share equally in that portion of your account originally left to the now-deceased child. For example, if you designate that your three children will share your account equally, but one son predeceases you leaving two children, the two living children would each receive a 1/3 share, but the deceased son’s 1/3 share would be divided equally among his children (your grandchildren), so that each of those two grandchildren would receive a 1/6 share.

Per Capita: This method divides your account equally among your children and the descendants of any child who dies before you. For example, if one of your three daughters dies before you leaving two surviving children, each of her two children (your grandchildren) will receive a share equal to that of your other two daughters — splitting the account into four equal shares.

Neither: If you do not designate per stirpes or per capita, “neither” is the default. This means, for example, that if you designate two Primary Beneficiaries, and one Primary Beneficiary predeceases you, the other Primary Beneficiary will be entitled to your entire account. If no Primary Beneficiary is surviving at the time of your death, your Contingent Beneficiary(ies) would be entitled to your account. If none is designated or surviving, the “default” beneficiary rules under Definition of “Beneficiary” in Article I of the Morgan Stanley IRA document will apply — that is, (a) spouse, (b) if no spouse, to any surviving children (naturally born or legally adopted) (c) if no children, then to the surviving parent(s) in equal shares or all to the surviving parent, and (d) if no parents, then to your estate.

Neither is the default.

If the designated Beneficiary is a non-living entity such as a trust or a charity, the stipulation type defaults to “Neither.”

1.  Primary BeneficiariesI hereby designate the person(s) named below as Primary Beneficiary(ies) to receive payment of the balance of the account upon my death. NOTE: If the designated Beneficiary is a non-living entity (e.g., trust, charity, etc.) or no stipulation option is selected, the stipulation option defaults to “Neither.”

Name Check One Stipulation Option Share Date of Birth  (mm/dd/yyyy)

Social Security Number

Relationship

1. Per stirpes Per capita neither

%

2. Per stirpes Per capita neither

%

3. Per stirpes Per capita neither

%

4. Per stirpes Per capita neither

%

IRA Type (check one): Traditional IRA SIMPLE IRA Roth IRA SEP/SAR-SEP IRA

RetIRADB nAo

Branch no. Account no. fA/PWA no.

For Internal Use Only

Page 2: raditional IRAT SIMPLE IRA oth IRAR SEP/SAR-SEP IRA … · IRA Designation of Beneficiary PARtIcIPAnt’s nAme ... raditional IRAT SIMPLE IRA oth IRAR SEP/SAR-SEP IRA RetIRADB nAo

© 2015 morgan stanley smith Barney LLc. member sIPc.

2.  Contingent BeneficiariesIf there is no Primary Beneficiary living at the time of my death, I hereby specify that the balance is to be distributed to the Contingent Beneficiary(ies) listed below. NOTE: If the designated Beneficiary is a non-living entity (e.g., trust, charity, etc.) or no stipulation option is selected, the stipulation option defaults to “Neither.”

Name Check One Stipulation Option Share Date of Birth  (mm/dd/yyyy)

Social Security Number

Relationship

1. Per stirpes Per capita neither

%

2. Per stirpes Per capita neither

%

3. Per stirpes Per capita neither

%

4. Per stirpes Per capita neither

%

SignaturesI understand that upon my death, my interest in the Morgan Stanley Individual Retirement Plan (the “IRA”) described above shall become the property of the Primary Beneficiary or Beneficiaries if any survive me, and if no Primary Beneficiary survives me, then the Contingent Beneficiary or Beneficiaries, and if no Contingent Beneficiary survives me, or the Custodian cannot locate the Beneficiary, then the Custodian shall distribute the amounts payable (a) to the surviving spouse, if any, (b) if no surviving spouse, to any surviving children (naturally born or legally adopted) in equal shares, (c) if no children, then to the surviving parent(s) in equal shares or all to the surviving parent, and (d) if no parents, to your estate.

I reserve the right to revoke or change this Beneficiary designation. All prior designations (if any) of Primary or Contingent Beneficiaries for the IRA described above are hereby revoked and replaced by this Designation of Beneficiary.

sIgnAtuRe of PARtIcIPAnt DAte

When a nonspouse Primary Beneficiary is named, spouse consent is required in community property states, including but not limited to: AK, AZ, CA, ID, LA, NV, NM, TX, WA, and WI. I hereby agree and consent to the Beneficiary set forth above, and along with my agreement and consent, do hereby transmute to my spouse all my community property interest in the IRA described above that I may have. I acknowledge my right to one-half community property in the Account and voluntarily elect to relinquish my rights to the community property interest in the Account.

sIgnAtuRe of PARtIcIPAnt’s sPouse DAte

Designation of a Beneficiary may have significant tax and inheritance consequences for the participant’s estate and the Beneficiary so designated, and the participant should consult his or her attorney or tax advisor with regard to this designation. Morgan Stanley Smith Barney LLC (“Morgan Stanley”), its affiliates and Morgan Stanley Financial Advisors or Private Wealth Advisors do not provide tax or legal advice.

Note: This Designation of Beneficiary form is only valid for the above referenced Morgan Stanley IRA Account Number.

IRA DesIgnAtIon of BenefIcIARy (11/2015) RetIRADB

PAge 2 of 2 ny cs 8393448 11/15RetIRADB nAo

Branch no. Account no. fA/PWA no.

For Internal Use Only