Article VI Procedures for Withdrawal—Designated Financial Institution

This form can be used by a SIMPLE IRA custodian/trustee acting as a designated financial institution (DFI) to satisfy Article VI of the plan document. It discloses any penalties or fees that may apply in connection with the employee's SIMPLE IRA. This withdrawal form also discloses the DFI's policy regarding the time and manner for an employee to transfer his/her SIMPLE IRA funds to a custodian/trustee of the employee's choice without cost or penalty.