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Voya Select AdvantageIRA ApplicationA Mutual Fund Custodial AccountValid starting 06/11/2021To ensure you have the most recent version of the application youcan visit www.voyaselectadvantage.com or call 1-800-344-6860.RETIREMENT INVESTMENTS INSURANCE
RESETVALID STARTING 06/11/2021Application for VOYA select Advantage IRAA Mutual Fund Custodial AccountVoya Institutional Trust Company, CustodianRecordkeeping provided by Voya Retirement Insurance and Annuity Company (“VRIAC”)Members of the Voya family of companiesPO Box 990063, Hartford, CT 06199-0063Overnight Mail: One Orange Way, Windsor, CT 06095Fax: 800-643-8143If you are a customer, call: 800-584-6001If you are an advisor, call: 800-344-6860www.voyaretirementplans.com1. Account Owner informationNameSSN/TINBeneficiary ofBirth Date, Decedent (Provide if applying for a Beneficiary (Inherited) IRA.)MobileHome Phonec Male c FemaleProvide e-mail address (Please print.)Citizenship: (Select one.) c US Citizen c Resident Alien c Non-Resident AlienIf you are a Non-Resident Alien, please indicate your Country of Citizenship:OccupationIndustryc Check the box if you are retired.Street Address (PO boxes are not permitted.)CityStateZIPStateZIPMailing Address (If different than above.)CityClient Account Number (Broker-dealer use only.)2. Account HOUSEHOLDING REQUEST (Traditional and Roth IRAs Only)Use this section to identify Select Advantage IRA mutual fund custodial accounts owned by persons residing at the same addressof record. The annual Maintenance Fee will be waived if the sum of all listed accounts’ values is equal to or greater than 15,000as of the Maintenance Fee assessment date. Each account owner must elect e-delivery for account documents as of the feeassessment date to be eligible for the waiver. To sign up for e-delivery, access your account at www.voyaretirementplans.com andfollow the on-screen prompts. NOTE: This is only available to Traditional IRA and Roth IRA accounts.All accounts listed will be updated with the address provided in this section.1. Account NumberAccount Owner Name2. Account NumberAccount Owner Name3. Account NumberAccount Owner Name4. Account NumberAccount Owner NameHousehold Mailing AddressCityStatePage 1 of 8 - Incomplete without all pages.RETURN TO VOYAZIPOrder #206652 06/11/2021TM: PAYOUTSRVS/IRAAPP
3. BENEFICIARY informationTotal percentage of primary beneficiary shares must equal 100%. Total percentage of contingent beneficiary shares must alsoequal 100%. If no percentages are listed, beneficiaries' shares will be distributed equally. (Whole percentages only. If cannot besplit evenly, the first beneficiary will receive the higher amount.) If a trust is the beneficiary, please provide the entire trust name,trust date and TIN. If no beneficiary is listed, the default will be Estate. Additional beneficiaries should be listed on a separatepiece of paper that includes the owner’s signature and the date.NameBirth Date/Trust Date SSN/TINAddressPhoneNameBirth Date/Trust Date SSN/TINAddressPhoneNameBirth Date/Trust Date SSN/TINAddressPhoneNameBirth Date/Trust Date SSN/TINAddressPhoneNameBirth Date/Trust Date SSN/TINAddressPhone%BeneficiaryType:Relationship to Owner%PrimaryBeneficiaryType:Relationship to Owner%c Primaryc ContingentBeneficiaryType:Relationship to Owner%c Primaryc ContingentBeneficiaryType:Relationship to Owner%c Primaryc ContingentBeneficiaryType:Relationship to Ownerc Primaryc Contingent4. INITIAL Investment and plan typeInitial Investment Amount: ( 2,500 minimum required. Make all checks payable to Voya Institutional TrustCompany.)IRA Conversion or Recharacterization Request (206984) is required if you intend on converting or recharacterizing your IRA at thetime of application. Select the IRA Plan type you are converting from or recharacterizing from, then after your account is established,the conversion or recharacterization will be processed as indicated on the IRA Conversion or Recharacterization Request.Type of IRA Applied For: (Select ONLY one.)Beneficial (Inherited) IRA:(If selected, submit Beneficial IRA InformationSheet (213709) with this application.)Source of Initial InvestmentAmount:c Transferc Traditional IRA 408(a)c Roth IRA 408Ac SIMPLE IRA 408(p)c SEP IRA 408(k)c Traditional IRA 408(a)c Roth IRA 408(a)c SIMPLE IRA 408(p)c SEP IRA 408(k)c Rollover (See Disclosure Statement for requirements.)c New contribution for tax year (Traditional IRA and Roth IRA only.)c SEP IRA / SIMPLE IRA Contributionc PAC (Complete Section 10.)If you checked Transfer or Rollover and would like Voya to facilitate the movement of funds, submit Transfer or Rollover Request(206943) with this application.Page 2 of 8 - Incomplete without all pages.RETURN TO VOYAOrder #206652 06/11/2021TM: PAYOUTSRVS/IRAAPP
5. Additional Information for SIMPLE IRA or SEP IRANote: For a SIMPLE IRA, Voya Institutional Trust Company, Custodian, is not a designated financial institution. Youremployer’s SIMPLE plan must permit plan participants to designate the financial institution that will serve as the custodian.Employer Plan Number / / / / /- / / /SIMPLE Plan Participation Start DateCompany NameTax Identification #Mailing AddressCityStateZIPEmployer Contact NamePhoneE-mail Address6. Automatic Asset Rebalancing (Not available with DCA.)Indicate appropriate frequency below. Any subsequent fund transfer, reallocation or investment election change will cancel yourautomatic asset rebalancing election. If you have chosen to allocate 100% into one fund automatic asset rebalancing does notapply. This option may not be available within the first 35 calendar days of opening an account.I authorize automatic asset rebalancing of my account: Quarterly Semi-Annually Annually7. Dollar Cost Averaging (DCA)(Not available with Asset Rebalancing.)c I elect Dollar Cost AveragingShould you elect this option, you must complete the following: Allocate a percentage in section 9 to one of the following source funds. The amount invested into the source fund will be usedfor the DCA. Complete and send in the Dollar Cost Averaging Allocation Request (form #205982),Available Source Funds:(620) Voya Government Liquid Assets(8479) Voya Intermediate Bond(363) Voya GNMA Income Fund(1532) PIMCO Total Return FundThe transfer will occur on the 15th day of the month. If the 15th day of the month is a weekend or holiday, the transfer will occuron the next business day.Once the DCA has been completed you may wish to change your future allocations to match your current allocations. This can beaccomplished by contacting the call center (800-584-6001) or by accessing your account online. If not future contributions will beallocated to the source fund.8. DIVIDEND AND CAPITAL GAINS DISTRIBUTIONS OPTION (The reinvestment option is set up as the defaulted optionunless you chose this option.)c Select dividends to be transferred to the liquid assets fund. NOTE: This option is not available if you are participating in theDollar Cost Averaging or the Automatic Asset Rebalancing programs.If any of the funds you invest in pay dividends and/or have capital gains distributions, the distributions will be allocated to the(0680) Voya Government Liquid Assets Portfolio.Page 3 of 8 - Incomplete without all pages.RETURN TO VOYAOrder #206652 06/11/2021TM: PAYOUTSRVS/IRAAPP
9. INITIAL Investment AllocationBased on your risk tolerance, your investment will be allocated as you have indicated below. Allocations must be in wholepercentages and must total 100%. If no mutual fund allocation is selected, or if the allocation exceeds 100%, your investmentwill be deposited into the (620) Government Liquid Assets Portfolio. If your allocation is below 100% or if there are closedfunds, the remaining percentage will be allocated into the (620) Government Liquid Assets Portfolio in order to reach 100%.Future allocations will be deposited as selected in this section unless changed by contacting the call center (800-584-6001)or updating online.Percentage Fund # Fund Name (Class)/Fund CodeTicker Symbol Percentage Fund # Fund Name (Class)/Fund CodeAsset Allocation Fund-of-Funds% 6775 Calvert Growth Allocation (A) (6A)% 5172 Calvert Conservative Allocation (A) (5N)% 5199 Calvert Moderate Allocation (A) (5O)% 6857 Lord Abbett Multi-Asset IncomeFund (R3) (6D)% 1729 Voya Retirement Conservative(Adviser) (89)% 1730 Voya Retirement Moderate(Adviser) (3A)% 1731 Voya Retirement Moderate Growth(Adviser) (3B)% 1732 Voya Retirement Growth (Adviser)(3C)% 1917 Voya Solution ModeratelyAggressive (Adviser) (3N)Balanced/Asset Allocation% 2402 Franklin Income Fund (R) (4I)% 2425 Janus Henderson Balanced Fund(R) (4K)% 8069 PIMCO All Asset Fund (R) (6V)% 1742 Voya Balanced Income (Adviser)(3D)% 269 VY Invesco Equity and Income(Adviser) (33)% 320 VY T. Rowe Price CapitalAppreciation (Adviser) (37)Bond% 1598 American Funds The Bond Fund ofAmerica (F-1) (84)% 7282 BlackRock High Yield Bond (R) (6L)% 2458 BlackRock Inflation Protected BondPortfolio (A) (7Q)% 7529 Calvert Bond (A) (6Q)% 3190 Eaton Vance Government OpportunitiesFund (R) (4V)% 7561 Fidelity Advisor Strategic IncomeFund (M) (6R)% 1938 Loomis Sayles Strategic IncomeFund (Admin) (3R)% 1568 Lord Abbett Bond Debenture Fund(R3) (81)% 6823 Lord Abbett Short Duration IncomeFund (R3) (6C)% 6917 PGIM High Yield Fund (R) (6F)% 3454 PGIM Short-Term Corporate BondFund, Inc. (R) (5A)% 6916 PIMCO Income Fund (R) (6E)% 1532 PIMCO Total Return (R) (75)% 2242 Voya Floating Rate Fund (R) (3Y)% 363 Voya GNMA Income Fund (A) (49)% 8479 Voya Intermediate Bond (Adviser)(7D)SM IIBPXTicker SymbolBond (continued)% 1020 Voya High Yield (Adviser) (63)% 6813 Voya Strategic IncomeOpportunities Fund (R) (6B)Emerging Markets Bond% 5355 Fidelity Advisor New MarketsIncome Fund (M) (5Q)International% 3632 Aberdeen Emerging Markets Fund(R) (5D)% 2035 American Funds EuroPacific GrowthFund (F-1) (3T)% 3048 Calvert International Opportunities(A) (4U)% 9209 Invesco Developing Markets Fund(R) (7J)% 8269 Invesco International Equity Fund(R) (6Y)% 7989 Invesco Oppenheimer InternationalGrowth Fund (R) (6S)% 1587 Voya International High DividendLow Volatility (Adviser) (83)% 8800 Janus Henderson Global EquityIncome (S) (7I)% 1550 Voya International Index (Adviser) (76)% 366 Voya Multi-Manager InternationalSmallCap Fund (A) (51)% 1048 VY JP Morgan Emerging MarketsEquity (Adviser) (66)% 1047 VY T.Rowe Price International Stock(Adviser) (65)Large-Cap Blend% 7109 American Funds FundamentalInvestors (F-1) (6I)% 351 Invesco Main Street Fund (R) (39) SM% 3437 Voya Corporate Leaders 100 Fund(R) (4Y)% 1556 Voya Russell Large Cap IndexPortfolio (Adviser) (78)% 1357 Voya U.S. Stock Index Portfolio(Service 2) (7O)% 272 VY Columbia Contrarian Core(Adviser) (34)Large-Cap Growth% 2033 American Funds The Growth Fundof America (F-1) (3S)% 7305 Calvert Equity (A) (6M)% 2170 Fidelity Advisor New Insights Fund(M) (3W)% 5005 Franklin DynaTech Fund (A) (7S)% 1775 Voya Large Cap Growth (Adviser) (3L)% 2714 Voya Russell Large Cap GrowthIndex (Service) (4S)% 256 VY T. Rowe Price Growth Equity(Adviser) (31)Page 4 of 8 - Incomplete without all pages.RETURN TO VOYA ISBAXGFAFXCSIEXFNITXFKDNXIEOPXIRLSXIGEAXOrder #206652 06/11/2021TM: PAYOUTSRVS/IRAAPP
9. Initial investment ALLOCATION (Continued)Percentage Fund #Fund Name (Class)/Fund CodeTicker SymbolLarge-Cap Value% 2037 American Funds Washington MutualInvestors Fund (F-1) (3U)% 7272 BlackRock Equity Dividend Fund (R)(6K)% 8250 Columbia Dividend Income Fund (R)(6W)% 5326 Invesco Diversified Dividend Fund(A) (5P)% 2711 Voya Russell Large Cap ValueIndex (Service) (4R)% 316 VY T. Rowe Price Equity Income(Adviser) (36)Mid-Cap Blend% 3542 Principal MidCap Fund (R1) (5C)% 1559 Voya Russell Mid Cap Index(Adviser) (79)Mid-Cap Growth% 2385 Eaton Vance Atlanta Capital SMIDCap Fund (R) (4G)% 7478 Federated Hermes Kaufmann Fund(R) (6P)% 8474 Voya MidCap Opportunities(Adviser) (7C)% 442 VY Baron Growth (Adviser) (53)% 266 VY T. Rowe Price Diversified MidCap Growth Portfolio (Adviser) (32)Mid-Cap Value% 447 VY American Century Small-MidCap Value (Adviser) (55)% 441 VY JPMorgan Mid Cap Value(Adviser) (52)Money Market% 620 Voya Government Liquid Assets(Service 2) (57)Other% 1848 Federated Hermes Prudent BearFund (A) (3M)Sector% 6217 BlackRock Health SciencesOpportunities (R) (5S)% 6946 Columbia Seligman GlobalTechnology Fund (R) (6H)% 6218 Delaware Ivy Energy Fund (R) (5T)% 7409 Fidelity Advisor Financial ServicesFund (M) (6N)% 2393 Fidelity Advisor Materials Fund (M)(4H)% 8002 Invesco Gold & Special MineralsFund (R) (6U)% 8379 Invesco SteelPath MLP IncomeFund (A) (7A)% 8386 Invesco SteelPath MLP Select 40Fund (A) (7B)% 7220 Invesco Real Estate Fund (R) (7R)% 8667 Janus Henderson Global RealEstate Fund (S) (7F)% 5997 Mainstay CBRE Global InfrastructureFund (A) (7P)% 6540 PGIM Jennison Utility Fund (R) (5V)% 2268 PIMCO Commodity Real ReturnStrategy Fund (R) URXPCSRXPercentage Fund #Fund Name (Class)/Fund CodeTicker SymbolSmall-Cap Blend% 3787 Delaware Ivy Small Cap Core Fund(R) (5I)% 1562 Voya Russell Small Cap Index(Adviser) (80)% 9240 Voya Small Company (Adviser) (7L)TM% 315 VY JPMorgan Small Cap CoreEquity (Adviser) (35)Small-Cap Growth% 3633 Delaware Ivy Small Cap GrowthFund (R) (5E)% 9241 Voya SmallCap Opportunities(Adviser) (7M)Small-Cap Value% 1216 VY Columbia Small Cap Value II(Adviser) (71)Target Date Fund-of-Funds% 2640 Voya Index Solution 2025(Service 2) (4N)% 6767 Voya Index Solution 2030(Service 2) (5Z)% 2641 Voya Index Solution 2035(Service 2) (4O)% 2642 Voya Index Solution 2045(Service 2) (4P)% 1163 Voya Index Solution 2055(Service 2) (68)% 2643 Voya Index Solution Income(Service 2) (4Q)% 749 Voya Solution 2025 (Adviser) (58)% 760 Voya Solution 2035 (Adviser) (59)% 763 Voya Solution 2045 (Adviser) (60)% 1169 Voya Solution 2055 (Adviser) (69)% 766 Voya Solution Income (Adviser) (61)World Allocation% 1572 American Funds Capital IncomeBuilder (F-1) (82)% 1620 BlackRock Global Allocation Fund,Inc. (R) (85)% 3199 Invesco Balanced Risk AllocationFund (A) (4W)% 2442 Loomis Sayles Global AllocationFund (A) (4M)% 1922 Voya Global Diversified PaymentFund (A) (3O)% 8273 Voya Global Perspectives Fund (A) (6Z)World Bond% 1437 Invesco International Bond Fund (R)(74)% 178 Templeton Global Bond Fund (A) (30)% 1746 Voya Global Bond Fund (A) (3F)World Stock% 1752 VY Morgan Stanley GlobalFranchise (Adviser) (3I)% 445 VY Invesco Global (Adviser) (54)Page 5 of 8 - Incomplete without all pages.RETURN TO VOYA ABRZXLGMAXVYGQXIAPVXOIBNXTPINXINGBXIGFAXIGMAXOrder #206652 06/11/2021TM: PAYOUTSRVS/IRAAPP
10. PREAUTHORIZED PAYMENT PLAN AUTHORIZATION** (Bank account verification required.)Note: The bank account from which the funds will be drawn must belong to and be in the name of the owner of this SelectAdvantage account.Your contribution will apply to the tax year in which it was received. Your request must be received no later than 15 days beforethe next scheduled additional payment. If received after the requested start date your next scheduled payment will start on thefollowing month. If you would like to discontinue or change this authorization, please contact Customer Service at the phonenumber or the address on page 1 of this application.I hereby authorize the Company to initiate a debit entry(ies) to the account indicated and in the amount and frequency listedbelow. This authorization shall remain in force until I give the Company written notice of termination of this authorization. Iunderstand and agree that I will indemnify the Company for any costs it incurs should there be insufficient funds in the belowlisted account. If insufficient funds, the additional payment will not be applied. The additional contributions will be allocated tothe future investment allocations on record.Note: Additional contributions are not allowed with Beneficiary IRAs. Beneficiary IRA client’s can only Link Banking Information.In the event a recurring payment plan exceeds the IRA contribution limit for that tax year the recurring payments will be cancelled.The amount made in excess will be returned to the customer and a new recurring payment plan will need to be established inthe following year.c Checking Accountc Savings AccountBank Account Owner NameBank Routing # (9 digits)Bank Account NumberFrequency: c Monthly c Quarterly c Semi-Annually c Annuallyc Periodic Payment Amount ( 50 minimum, whole dollars) Payment Start Date (mm/dd/yyyy)c One-time initial contribution up to IRS Limits. Amount (will be performed within 5 days of account opening)Contribution Tax Yearc Link Banking Information Only (No transactions will be made at this time if this selection is made.)**If you have provided authorization for a Preauthorized Payment Plan, please request a copy of this application from yourRegistered Representative for your records.Sample CheckRouting Number (9 digits)Account Numberx Financial InstitutionMEMONot Negotiable9876543211234567890123567811. TRANSACTION and Distribution AuthorizationI authorize my financial advisor(s), and my financial advisor(s)’ staff, acting solely on my instruction, to submit transactions forcertain account maintenance and financial instructions, whether oral, written, online, or otherwise, as provided herein. BasicAuthorization permits my advisor(s) (and/or staff) to submit account maintenance and financial instructions including, but notlimited to: investment elections, fund transfers, reallocate balances, schedule fund rebalancing, and address changes. EnhancedAuthorization permits my advisor(s) (and/or staff) to submit instructions to initiate or change both one-time and systematicwithdrawals and contributions from a bank account on file plus submit any instruction permissible under the Basic Authorization.The authorization made herein applies to the current financial advisor(s) assigned to my account and any financial advisor(s)assigned to my account(s) at a future date. In the event that my financial advisor(s) transfers to a different broker-dealer, theauthorization granted will remain unchanged unless otherwise instructed. I understand that I can revoke this authorization atany time.Page 6 of 8 - Incomplete without all pages.RETURN TO VOYAOrder #206652 06/11/2021TM: PAYOUTSRVS/IRAAPP
11. TRANSACTION and Distribution Authorization (Continued)I understand that certain transactions may result in tax liability for me and that I am solely responsible for obtaining tax advice regardingany transactions undertaken on my behalf by my advisor(s). I understand that for distributions, the company will only permit cash fromthe account to be sent by check to the address of record or a transfer to a bank account preauthorized by the account owner(s).I agree that neither the Company nor any of the Company’s affiliates will be held responsible for my decisions or for theinvestment recommendations or decisions of my advisor(s), and none of them are under any duty whatsoever to questionany instructions received from the agent(s) or the suitability of any transactions requested by him/her/them. I understand thatthe Company reserves the right to reject, at any time, instructions that the Company believes to be suspicious, fraudulent orotherwise unauthorized, or illegal. Note: Not all accounts allow Advisor Online Processing, and not all broker-dealers allow their financial advisors to processtransactions online. The authorization you provide above w
Type of iRA Applied for: (Select ONLY one.) c Traditional IRA 408(a) c Roth IRA 408A c SIMPLE IRA 408(p) c SEP IRA 408(k) Source of initial investment Amount: Initial Investment Amount: ( 2,500 minimum required. Make
