IRA Transfer Form

Chase Funds

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There may be penalties for withdrawing certain investments before their maturity (i.e., certiﬁcates of deposit or annuities).

Please contact your current custodian or plan administrator prior to submitting this form to determine the applicable time

frames and penalties, if any, or if you need a signature guarantee in Section Six to order this transfer. U.S. Bank Global

Fund Services will initiate your request upon receipt of this form.

Investor Information

FIRST NAME SOCIAL SECURITY NUMBER

ADDRESS CITY / STATE / ZIP

LAST NAMEM.I.

DAYTIME PHONE NUMBER EVENING PHONE NUMBER

Consider this your authorization to redeem my investment and transfer my Traditional IRA, SEP IRA, SIMPLE IRA,

Roth IRA, or Inherited IRA, or to directly rollover my qualiﬁed retirement plan as directed below:*

 All Assets OR  $ or %

Please process this request:*

 Immediately OR  At Maturity (month / day / year)

* If no option is selected, please transfer all assets immediately.

Type of account being transferred/rolled-over:

 Pension  Proﬁt Sharing Plan  401(k)  403(b)  Roth 401(k)  Roth 403(b)  Traditional IRA

 SEP IRA  SIMPLE IRA  Roth IRA  Inherited IRA  Other

Original Roth IRA funding year (if applicable):

Original SIMPLE IRA funding date (if applicable):

Send the check representing the assets payable to “The Chase Funds FBO [Shareholder’s Name]” along with a

copy of this form to the address at the top of page one.

CURRENT CUSTODIAN OR PLAN ADMINISTRATOR

ACCOUNT NUMBER CONTACT PERSON CONTACT NUMBER

Please include a copy of your current account statement.

Instructions to Current IRA Custodian or Plan Administrator

STREET ADDRESS CITY / STATE / ZIP

IRA Transfer Form

[If this is for a new IRA Account, an IRA Application must accompany this form.]

Mail to: Chase Funds

c/o U.S. Bank Global Fund Services

PO Box 701

Milwaukee, WI 53201-0701

Overnight Express Mail To:

Chase Funds

c/o U.S. Bank Global Fund Services

615 E. Michigan St., FL3

Milwaukee, WI 53202-5207

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Investment Selection

 

ACCOUNT # (IF APPLICABLE) AMOUNT %

EXISTINGNEW

A Chase Funds IRA Account Application must be completed to process this transfer if a new account is being established. The Fund(s)

and the allocation(s) speciﬁed on the Application will be used if they are different from those indicated below.

Required Minimum Distribution (“RMD”) Age Information

Check one of the following:

 I am under RMD age and do not reach RMD age at anytime during this calendar year.

 I am RMD age or older and understand that no part of my RMD is eligible for transfer or rollover. I further understand that there may

be signiﬁcant tax penalties if a transfer or rollover of my RMD occurs.

OWNER’S SIGNATURE* DATE (MM/DD/YYYY)

Conversion of Traditional IRA to Roth IRA - Optional

I am converting assets from a Traditional IRA to a Roth IRA. Upon receiving the assets from my current Custodian, I instruct the

Fund’s transfer agent to invest the proceeds into a new or existing Roth IRA account, as indicated in Section Two. I understand this

may be a taxable event. By signing below I agree that I am solely responsible for all tax consequences of this conversion.

*The Fund’s Transfer Agent cannot process the conversion without a signature above.

Chase Growth Fund

 N Class 905  Institutional Class 907

Chase Funds

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Signature and Certiﬁcation

I certify that I have established an IRA with the Chase Funds, of which U.S. Bank, N.A., is the Custodian. I agree to contact my present

Custodian from whom I am transferring to determine if speciﬁc documentation or a signature guarantee is required. I understand that

I am responsible for determining my eligibility for all transfers or direct rollovers. I agree to hold the Custodian harmless against any

and all situations arising from an ineligible transfer or direct rollover. I acknowledge that the Custodian or its agent cannot provide legal

advice and I agree to consult with my own tax professional for advice.

I authorize U.S. Bank Global Fund Services, to act on my behalf in contacting the current custodian or plan administrator to facilitate the

transfer of assets.

IMPORTANT: Please contact your current Custodian to determine if a signature guarantee* is required.

* A signature guarantee may be obtained from any eligible guarantor institution, as deﬁned by the Securities and Exchange Commission. These institutions include

banks, saving associations, credit unions and brokerage ﬁrms. The words “SIGNATURE GUARANTEED” must be stamped or typed near your signature. The

guarantee must appear with the printed name, title, and signature of an ofﬁcer and the name of the guarantor institution. Please note that a Notary Public Seal or

Stamp is not acceptable.

SIGNATURE OF OWNER [OR GUARDIAN IF IRA OWNER IS A MINOR]

SIGNATURE GUARANTEE* (FOR TRANSFERS FROM ANOTHER CUSTODIAN)

DATE (MM/DD/YYYY)

Acceptance / Custodian Authorization

U.S. Bank, N.A., hereby accepts its appointment as Custodian of the above IRA account and upon receipt of assets, will deposit such

assets in a Chase Funds IRA on behalf of the Depositor authorizing this transfer or direct rollover.

U.S. BANK, N.A.

For additional information please call toll-free 888-861-7556 or visit us on the web at www.chaseinv.com.

01/2020

Chase Funds