IRA Distribution Form - Oakmark

IRA Distribution Form

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1. Instructions

Questions? 1-800-OAKMARK

Please complete this form online, then print, sign and mail it to us.

(625-6275)

? Use this form to redeem from your Oakmark traditional, Roth, SEP or SIMPLE IRA account.

Hours:

Monday - Friday

? Use this form to transfer or redeem IRA assets due to death.

8:00am - 6:00pm ET

? To redeem from your Oakmark regular, taxable account, use the Redemption Request Form.

? To take a Required Minimum Distribution (RMD), use the IRA Required Minimum Distribution (RMD) Form.

? The paperclip indicates that additional documentation is required with this form.

Regular Mail: Oakmark Funds P.O. Box 219558 Kansas City, MO 64121-9558

For Overnight Delivery: Oakmark Funds 330 West 9th Street Kansas City, MO 64105-1514

You can also redeem from your IRA account at

2. Existing Account Information

Please see an account statement for this information. To redeem from another account, please complete and attach an additional form.

Account Number Account Owner's Name (First, Middle Initial, Last)

3. Contact Information

Social Security Number/Tax Identification Number Date of Birth (MM/DD/YYYY)

Primary Phone Number

Secondary Phone Number

Email Address

4. Type of Distribution

IRA redemptions can have tax implications. Please consult a tax advisor to ensure you have a full understanding of the tax implications and IRS regulations prior to initiating a redemption. For more information, consult IRS Publication 590.

*If you are age 70 ? or older, you must take your RMD in conjunction with a rollover if you have not already fulfilled your annual RMD.

Select one:

Normal Distribution IRA owner is age 59 ? or older. Go to Section 5.

Early Distribution, No Exception Applies IRA owner is under age 59 ? and no exception to the age 59 ? rule applies. Go to Section 5.

Early Distribution, Exception Applies IRA owner is under age 59 ? and the distribution is for certain expenses, including, but not limited to: a first-time home purchase, qualified higher education expenses, medical insurance, disability, or unreimbursed medical expenses exceeding 7.5% of your adjusted gross income. Go to Section 5.

Participant Rollover* IRA owner is rolling over the proceeds to another qualified retirement plan within 60 days after receipt of the distribution. The distribution will be reflected as Early or Normal on IRS Form 1099-R. The receiving IRA custodian should reflect the rollover contribution on IRS Form 5498. Go to Section 5.

Page 1 of 9

4. Type of Distribution Continued

Substantially Equal Periodic Payments (SEPP) IRA owner is under age 59 ?. Distributions are to be made at least annually using a life expectancy method in Section 5, and payments must generally continue for at least five full years, or if later, until age 59 ?. Go to Section 5.

Excess Contribution(s) IRA owner is removing excess contribution(s) and associated earnings, if any. To avoid a penalty tax, excess contribution(s) and earnings must be withdrawn before the due date, including extensions, of your federal income tax return for the tax year of the excess contribution.

Are you removing the excess contribution(s) and earnings before your tax-filing deadline?

Yes

No

Select one:

Remove

and earnings from FOFuiannkdSmqNaaTrmrkseyFSGIEBnue&olStolnolIebdFSlcaum-FtIARFlnuFuFS6dCdnvsuuenva-dnlndIARpndFd-6dvsAIR-uF-nIAvIAR6ndunsd6dvnvsvv-dIAR-n6IARdvsn6vdvsv

Remove

and earnings from FOFuiannkdSmqNaaTrmrkseyFSGIEBnue&olStolnolIebdFSlcaum-FtIARFlnuFuFS6dCdnvsuuenva-dnlndIARpndFd-6dvsAIR-uF-nIAvIAR6ndunsd6dvnvsvv-dIAR-n6IARdvsn6vdvsv

Remove all contributions and earnings from FOFuiannkdSmqNaaTrmrkseyFSGIEBnue&olStolnolIebdFSlcaum-FtIARFlnuFuFS6dCdnvsuuenva-dnlndIARpndFd-6dvsAIR-uF-nIAvIAR6ndunsd6dvnvsvv-dIAR-n6IARdvsn6vdvsv

for

.

Tax Year

for

.

Tax Year

for

.

Tax Year

Select one:

Invest the excess contribution(s) and earnings in the same IRA for the current year. The amount must be equal to or less than your annual IRA contribution limit. Go to Section 9.

Invest

of the excess contribution(s) and earnings in the same IRA for the current year

and redeem the balance. Go to Section 6.

Redeem the excess contribution(s) and earnings. Go to Section 6.

IRA Recharacterization IRA owner is recharacterizing IRA contribution(s) or conversion(s) and associated earnings, if any, to a different type of IRA.

Are you recharacterizing the contribution(s) and earnings before your tax-filing deadline?

Yes

No

Select one:

Recharacterize

and earnings from FOFuiannkdSmqNaaTrmrkseyFSGIEBnue&olStolnolIebdFSlcaum-FtIARFlnuFuFS6dCdnvsuuenva-dnlndIARpndFd-6dvsAIR-uF-nIAvIAR6ndunsd6dvnvsvv-dIAR-n6IARdvsn6vdvsv

Recharacterize

and earnings from FOFuiannkdSmqNaaTrmrkseyFSGIEBnue&olStolnolIebdFSlcaum-FtIARFlnuFuFS6dCdnvsuuenva-dnlndIARpndFd-6dvsAIR-uF-nIAvIAR6ndunsd6dvnvsvv-dIAR-n6IARdvsn6vdvsv

Recharacterize all contributions and earnings from FOFuiannkdSmqNaaTrmrkseyFSGIEBnue&olStolnolIebdFSlcaum-FtIARFlnuFuFS6dCdnvsuuenva-dnlndIARpndFd-6dvsAIR-uF-nIAvIAR6ndunsd6dvnvsvv-dIAR-n6IARdvsn6vdvsv

for

.

Tax Year

for

.

Tax Year

for

.

Tax Year

Select one:

Recharacterize the contribution(s) and earnings to my existing Oakmark IRA account

.

Go to Section 9.

Recharacterize the contribution(s) and earnings to my new Oakmark IRA. Complete and attach the IRA Application & Adoption Agreement or SIMPLE IRA Application & Adoption Agreement. Go to Section 9.

Page 2 of 9

4. Type of Distribution Continued

Death Distribution to the Spouse or Non-spouse Beneficiary Each beneficiary must complete one form. You must provide your signature in Section 9 and obtain a medallion signature guarantee in Section 10.

I am the spouse beneficiary

Select one:

Transfer my portion of the IRA assets to my existing Oakmark IRA account

.

Complete RMD Election section below, if applicable. Go to Section 9.

Transfer my portion of the IRA assets to a new Oakmark IRA. Complete and attach the IRA Application & Adoption Agreement. Complete RMD Election section below, if applicable. Go to Section 9.

Redeem my portion of the IRA assets. An IRA account will be established in your name in order to redeem the assets. Provide your name, SSN and mailing address below. Go to Section 6.

Name (First, Middle Initial, Last) Mailing Address City

Social Security Number State Zip Code

RMD Election Complete this section if you are transferring the shares to your own IRA and your spouse was required to take RMDs. Unless noted below, we will take the full RMD from the account prior to performing the transfer. The amount will be reported in your name and SSN.

Select one:

Distribute RMD of

prior to transferring.

Distribute full RMD prior to transferring.

Do not distribute RMD. RMD will be fulfilled from another IRA or IRA owner has already fulfilled his or her RMD for the year.

I am a non-spouse beneficiary

Select one:

Transfer my portion of the IRA assets to a new Oakmark Decedent (DCD) IRA. Complete and attach the IRA Application & Adoption Agreement. Go to Section 9.

Redeem my portion of the IRA assets. An IRA account will be established in your name in order to redeem the assets. Provide your name, SSN and mailing address below. Go to Section 6.

Name (First, Middle Initial, Last) Mailing Address City

Social Security Number State Zip Code

Page 3 of 9

4. Type of Distribution Continued

If mandated by the state, the executor must provide a tax waiver.

Death Distribution to an Estate Beneficiary or the Estate There is no beneficiary named on the IRA account. The estate executor must provide a signature in Section 9 and obtain a medallion signature guarantee in Section 10.

Transfer to new Oakmark Decedent (DCD) IRA(s)

Complete and attach an IRA Application & Adoption Agreement for each estate beneficiary. Go to

Section 9.

Percent

% Estate Beneficiary Name (First, Middle Initial, Last)

% Estate Beneficiary Name (First, Middle Initial, Last)

% Estate Beneficiary Name (First, Middle Initial, Last)

% Estate Beneficiary Name (First, Middle Initial, Last)

Distribute to an Estate Beneficiary Each estate beneficiary must complete one form. A conduit account will be established in the beneficiary's name in order to redeem the assets. Provide the beneficiary name, SSN and address below. Both the executor and beneficiary must provide their signatures in Section 9. The executor must obtain a medallion signature guarantee in Section 10. Go to Section 6.

Beneficiary Name (including Trusts or Charities)

Social Security Number/TIN

Name of Trustee/Authorized Party (First, Middle Initial, Last) If beneficiary is a trust or charity

Mailing Address

City

State Zip Code

Distribute to the Estate A conduit account will be established in the estate's name in order to redeem the assets. Provide the estate name, TIN, and address below. The executor must provide a signature in Section 9 and obtain a medallion signature guarantee in Section 10. Go to Section 6.

Estate Name Mailing Address City

Tax Identification Number State Zip Code

Page 4 of 9

4. Type of Distribution Continued

Divorce IRA owner must provide a signature in Section 9 and obtain a medallion signature guarantee in Section 10.

Select one:

Transfer

% of the IRA assets to the existing Oakmark IRA account

.

Go to Section 9.

Transfer

% of the IRA assets to a new Oakmark IRA. Complete and attach the IRA

Application & Adoption Agreement. Go to Section 9.

Redeem

% of the IRA assets. An IRA account will be established in the ex-spouse's name in

order to redeem the assets. Provide the name and SSN below. Go to Section 6. Both you and your

ex-spouse must sign in Section 9.

Name (First, Middle Initial, Last) Mailing Address

Social Security Number

City

State Zip Code

5. Distribution Amount & Frequency

Select one:

One-time Distribution

Redeem the following amounts from the Funds listed below. Go to Section 6.

Redemption

Fund Name

Share Class

Amount

Dollars, Shares or Percent

OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund

DSPheoarlclraernssPtSehracreenst

OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund

DSPheoarlclraernssPtSehracreenst

OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund

DSPheoarlclraernssPtSehracreenst

OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund

DSPheoarlclraernssPtSehracreenst

Ongoing Systematic Withdrawal Plan

Redeem the following amounts from the Funds listed below. Proceeds will be sent according to the payment sched-

ule you specify below. If you choose more than one month, Oakmark will divide the amount into equal payments for

the months chosen.

Redemption

Dollars, Shares

Fund Name

Share Class

Amount

or Percent

OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund

DSPheoarlclraernssPtSehracreenst

OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund

DSPheoarlclraernssPtSehracreenst

OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund

DSPheoarlclraernssPtSehracreenst

Redemptions will occur on the 15th of the month or the next business day, unless otherwise specified below. When choosing a month and date, please allow at least 10 business days from receipt of this form to set up the plan.

Transaction should occur on the

day of the month.

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All Months or Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Page 5 of 9

5. Distribution Amount & Frequency Continued

* Oakmark uses the following formula to calculate the life expectancy distribution: Value of IRA / Life Expectancy Factor = Withdrawal Amount.

The IRA value used to calculate the distribution is equal to the value as of December 31st of the year preceding the distribution year.

Life Expectancy Distributions

Select one:

Distribute based on the Uniform Lifetime Table (for use by unmarried owners, married owners whose spouses are not more than 10 years younger, and married owners whose spouses are not the sole beneficiaries of their IRAs).*

Distribute based on the Single Life Expectancy Table (for use by beneficiaries).*

Distribute based on the Joint Life and Last Survivor Expectancy Table (for use by owners whose spouses are more than 10 years younger and are the sole beneficiaries of their IRAs).* My spouse's birth date is:

MM/DD/YYYY

Select one:

One-time Distribution Go to Section 6.

Ongoing Systematic Withdrawal Plan Proceeds will be sent according to the payment schedule you specify below. If you choose more than one month, Oakmark will divide the amount into equal payments for the months chosen.

Redemptions will occur on the 15th of the month or the next business day, unless otherwise specified below. When choosing a month and date, please allow at least 10 business days from receipt of this form to set up the plan.

Transaction should occur on the

day of the month.

123456789snrt0123456789hdttsnrd2hd5678914td3n2t0123r2h2dt1234567890d3hntsrhtdd

All Months or Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

6. Income Tax Withholding

Income tax withholding does not apply to Roth IRA distributions.

If you do not make an election below, we are required to withhold 10% from the amount distributed for payment of federal taxes.

If you elect not to have withholding apply, you will still be liable to pay federal income tax on the taxable portion of the distribution and may be required to pay estimated taxes. You may incur penalties if your withholding and estimated tax payments are not sufficient. If applicable, we will also withhold your required state tax if you have elected to have federal taxes withheld. Your election will remain in effect until you revoke it by notifying us in writing. Any election or revocation will be effective no later than 30 days after such notice has been received.

Select one:

Do not withhold taxes

Withhold taxes at the rate of

%

Page 6 of 9

7. Delivery Instructions

A. Invest Proceeds

Select one:

Invest the proceeds in my existing non-retirement account:

Fund Name

Share Class

Account Number

OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund OFiankamncaiarkl SFSGIEBnqueqoltolnuTelbdiSrctasnmOytyFlaFa&uaFStSukiluenolmnIlndnClendudacaOtOortplikoamFaFknSukuemsemnnlFdaedauOrcrnktkadFEkGOuqmlnuaoakdibtrmaykla&ISnrektIneleGrccnoltoambFtiuaeolnnFFduaulnnSFddmunadll Cap Fund

Dollar Amount or Percent % % % %

Invest the proceeds in a new, non-retirement account: Complete and attach the Oakmark New Account Registration Form.

B. Send Proceeds Via Mail

Select one: Via Regular Mail. Proceeds should be received 7-10 business days after receipt of your request in good order. Via Overnight Mail. A $25.70 overnight fee will be deducted from your account. Proceeds should be received 2-3 business days after receipt of your request in good order.

Select one:

Make check payable to current name and address on file. All Oakmark account owners must obtain a medallion signature guarantee in Section 10 if the address on file has changed within the last 15 days.

Make check payable to name and address provided in Section 4. You must obtain a medallion signature guarantee in Section 10.

Make check payable to another name and address or send check to another name and address. All Oakmark account owners must obtain a medallion signature guarantee in Section 10. Please provide the payee and mail information:

Payee Name

Address

City

State Zip Code

Mailing Recipient (if different)

Mailing Address (if different)

City

State Zip Code

Page 7 of 9

7. Delivery Instructions Continued

C. Send Proceeds Electronically

Select one: Via Automated Clearing House (ACH). Proceeds should be received 2-3 business days after receipt of your request in good order. Via Federal Funds Wire. A $5 wire fee will be deducted from your account. Proceeds should be received 1-2 business days after receipt of your request in good order.

Select one:

Send the proceeds to my bank account on file.

Send the proceeds to a bank account I wish to add on file. All Oakmark account owners must obtain a medallion signature guarantee in Section 10. Please see Section 8 for additional requirements.

Send the proceeds to a bank account that I do NOT wish to add on file. All Oakmark account owners must obtain a medallion signature guarantee in Section 10. Please provide the bank information:

Bank Name Bank Routing Number

Bank Account Owner Name(s) Bank Account Number

8. Bank Information

You must attach a voided check with pre-printed routing and account numbers.

Complete this section if you would like to establish banking information and electronic transfers to and from your bank account or change your banking information. We will not accept starter checks or mutual fund money market checks.

? All Oakmark account owners must sign this form in Section 9 and obtain a Medallion Signature Guarantee (MSG) stamp in Section 10.

? If there is no name in common between the Oakmark account owners and the bank account owners, ALL Oakmark account owners and bank account owners must sign this form in Section 9 and obtain a Medallion Signature Guarantee (MSG) stamp in Section 10.

? For custodial accounts, including UGMA/UTMA and ESAs, only the custodian or responsible individual is considered the Oakmark account owner.

Please note that this banking information will be added to all accounts under the SSN/TIN.

Select one: Add this new/additional bank information to my account(s). Replace the existing bank information on my account(s).

Page 8 of 9

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