IRA Application

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Salary Reduction Election
(Name of Employer)
of my current rate of pay to be held from my pay for each pay period and contributed to my SIMPLE IRA as a salary reduction contribution.
MM slash DD slash YYYY
I understand that my salary reduction contributions will start as soon as permitted under the SIMPLE IRA plan and as soon as administratively feasible or, if later, (Fill in the date you want the salary reduction contributions to begin. The date must be after you sign the agreement.)
MM slash DD slash YYYY
Questions? Please call your financial advisor or Franklin Templeton Retirement Services at (800) 527-2020.