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Unlock Your 401(k)
For Real Estate Investors
About Henry
Contact
Henry Novak
Home
Unlock Your 401(k)
For Real Estate Investors
About Henry
Contact
law offices
Henry J. novak
11782 Jollyville Road Suite 210, Austin, Texas 78759
(512) 765-5450
FAX (512) 532-6008
Retirement Plan Partition Intake
1. How did you hear about us?
2. Are you a Lifestyles Unlimited Member?
Yes
No
If Yes, at what level?
Preferred Investor
Challenge
Financial Freedom
3. Your Information
Full Name
*
Address
*
City
*
County
*
Zip/Postal Code
*
SSN
*
DOB
*
Home Phone
(###)
###
####
Home Email
Cell Phone
(###)
###
####
Work Email
4. Your Spouse's Information
Full Name
SSN
*
DOB
*
Home Phone
(###)
###
####
Home Email
Cell Phone
(###)
###
####
Work Email
5. Date of Your Marriage
*
MM
DD
YYYY
Location of Your Marriage
6. Your Employer's Name
Corp. Headquarters Address
Human Resources/Benefits Phone No.
(###)
###
####
Location/Address Where You Work
Number of Years Employed
Title of your Position:
7. Retirement Plan Information
PLEASE EMAIL ME A COPY OF YOUR MOST RECENT PLAN STATEMENT
Name of Plan (Taken from your quarterly plan statement)
Date you Enrolled
MM
DD
YYYY
Your Plan ID # (if any)
Type of Plan
401(k)
457
403(b)(7)
I need to find out
Value of Your Vested Benefits
If a loan is outstanding from this Plan, what is the current balance?
$
8. Plan Administrator
Many smaller companies, through their H.R. or Benefits departments, act as the administrators of their retirement plans. Larger companies outsource the administration to professional retirement plan administrators. In some but not all cases third-party administrators will also manage the investment decisions for the plan’s assets (See Par. 9, below). If you’re not certain who your plan administrator is, please ask your H.R. or Benefits departments before you submit this form.
Name
Street Address
Contact Phone
(###)
###
####
Fax
(###)
###
####
Admin. Website
9. Plan Assets Manager
Assets of retirement plans are typically managed by institutional money managers such Fidelity, Vanguard, T. Rowe Price, Prudential, J.P. Morgan Asset Management, Mass. Mutual, or others. You can usually find the identity of this company on your quarterly statement.
Name
Street Address
Contact Phone
(###)
###
####
Fax
(###)
###
####
10. Partition of Plan Benefits
You may partition a percentage or a dollar amount of your Plan assets to your spouse.
If a percentage:
50%
75%
95%
100%
If in dollars (If you’re partitioning a former employer retirement account, the amount should be 100%).
$
11. Important Facts About a 401(k), 457 and 403(b)(7) Withdrawals
> NO EARLY WITHDRAWAL PENALTY WILL BE ASSESSED. This procedure is exempt from the IRS’s 10% early withdrawal penalty for persons under 59½ years of age.
> The Plan Administrator must withhold 20% of the amount withdrawn for income tax withholding; and
> The entire amount withdrawn (including the 20% withheld by the plan administrator) must be included in a married couple’s gross income for the year of withdrawal and reported as community income on a married-filing-jointly federal income tax return for Texas residents. (If you and your spouse file separate tax returns, see you accountant for details). Your spouse will receive a Form 1099-R from the plan administrator showing the amount of the disbursement and a coding indicating to the IRS that the disbursement is exempt from the early withdrawal penalty.
12. Upon receipt of this intake form my office will email you my Engagement Letter for you and your spouse to sign. At the same time, we will generate an electronic invoice that will be emailed to you from QuickBooks for the sum of $3,865, representing the legal fee of $3,500, and court filing fee of $340 and the delivery fee, which you may pay by credit card or by electronic check.
Thank you!