New York 20885 Template

New York 20885 Template

The New York 20885 form is a document used for trusts that are not testamentary in nature, specifically for life insurance and annuity policies. It allows individuals to designate a trust as the beneficiary of these policies, ensuring that benefits are managed according to the trust's terms. Proper completion of this form is essential for maintaining compliance with insurance regulations and ensuring that the intended beneficiaries receive their benefits.

Fill Out New York 20885 Now

The New York 20885 form serves as a critical document for individuals and entities looking to establish or modify life insurance and annuity policies under a trust arrangement. This form is specifically designed for trusts that are not testamentary in nature, meaning they are created independently of a will. Key aspects of the form include the requirement to provide comprehensive details about the proposed insured, policy numbers, and trust information. Sections one through ten must be meticulously completed, ensuring that the trust agreement is in effect and includes necessary information such as the trust name, date of establishment, and the relationship of beneficiaries and trustees to the insured. Additionally, the form outlines the need for signatures from all trustees unless a provision within the trust allows for independent action. It is important to note that if the trust is the beneficiary of the policy, the insurance company retains the right to verify the trust’s validity before disbursing any proceeds. Furthermore, the form includes sections for taxpayer identification and backup withholding certifications, underscoring the importance of compliance with IRS regulations. By following the outlined instructions, individuals can navigate the complexities of trust-related insurance matters effectively.

Misconceptions

  • Misconception 1: The New York 20885 form can be used for any type of trust.
  • This form is specifically designed for trusts other than testamentary trusts. A testamentary trust is created within a will and requires a different approach. Using the 20885 form for a testamentary trust could lead to complications or delays in processing.

  • Misconception 2: All sections of the form are optional.
  • In fact, items 1-10 on the first page must be completed in full. Omitting any of this information can result in the form being rejected or delayed. It's crucial to provide accurate and complete details to ensure a smooth process.

  • Misconception 3: You do not need to provide a copy of the trust agreement.
  • If the owner is a trust and you are completing the form without an agent, a copy of the trust agreement is required. This helps verify the trust's validity and ensures compliance with New York Life's policies.

  • Misconception 4: The agent certification section is not necessary if I fill out the form myself.
  • While it is true that you can complete the form independently, if you have an agent assisting you, their certification is required. This section confirms that the agent has reviewed the trust documents and can help prevent any misunderstandings.

  • Misconception 5: New York Life cannot request additional documentation.
  • New York Life reserves the right to request a copy of the trust if deemed necessary. This is a standard procedure to ensure that all information provided is accurate and that the trust is indeed in effect at the time of the insured's death.

Dos and Don'ts

When filling out the New York 20885 form, here are nine important do's and don'ts:

  • Do use this form for Life and Annuity policies.
  • Do complete items 1-10 on page one in full.
  • Do secure required signatures on page three.
  • Do provide a copy of the trust agreement if the owner is a trust and you are completing the form without an agent.
  • Do check the mailing address based on your state of residence.
  • Don't use this form for Testamentary Trusts.
  • Don't leave any required fields blank.
  • Don't forget to complete the Agent Certification section if applicable.
  • Don't ignore requests for additional documentation if New York Life deems it necessary.

Similar forms

  • Change of Beneficiary Form (21131): This form is used to officially change the beneficiary on a life insurance policy. Similar to the New York 20885 form, it requires specific information about the policy and the new beneficiary, ensuring that the policyholder's intentions are clear.
  • Transfer of Ownership Form for Life Policies (21132): This document facilitates the transfer of ownership of a life insurance policy. Like the 20885 form, it necessitates detailed information about the current and new owners, ensuring a smooth transition of rights and responsibilities.
  • Transfer of Ownership Form for Annuity Policies (22599): This form serves a similar purpose for annuity policies, allowing for the transfer of ownership. It requires information about the existing and new owners, ensuring that all parties are properly identified and documented.
  • Trust Certification Form: This document verifies the existence and terms of a trust. Like the 20885 form, it affirms the authority of trustees and the validity of the trust agreement, ensuring that all actions taken regarding the policy align with the trust's provisions.
  • Life Insurance Application: When applying for life insurance, this form gathers essential information about the applicant and their health. Similar to the 20885 form, it requires accurate details to ensure that the policy can be issued correctly and in accordance with the applicant's wishes.
  • Beneficiary Designation Form: This document allows policyholders to designate beneficiaries for their insurance policies. Like the 20885 form, it emphasizes the importance of clear beneficiary designations to ensure that proceeds are distributed according to the policyholder's intent.

Preview - New York 20885 Form

NEW YORK LIFE INSURANCE COMPANY

NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION (A Delaware Corporation)

NYLIFE INSURANCE COMPANY OF ARIZONA (Not licensed in every state)

STATEMENT OF TRUST - (For Trusts other than Testamentary Trusts)

Instructions:

Use this form for Life and Annuity policies (new business and inforce changes).

Do not use this form for a Testamentary Trust (a trust created within a will).

Items 1-10 on page one must be completed in full.

Complete page three and secure required signatures.

For inforce policies, the Change of Beneficiary form (21131) and Transfer of Ownership form for life policies (21132) can be found in the Transfer of Ownership Life Kit (form 22600). The Transfer of Ownership form for annuity policies can be found in the Transfer of Ownership Annuity Kit (form 22599).

Agent Certification section on page three must be completed and signed by agent - if your agent is assisting you with this change. If completing this form without an agent and the owner is a trust, please provide a copy of the trust agreement.

In all instances New York Life reserves the right to request a copy of the trust if we deem it necessary.

Complete items 1-10 before proceeding

1.PROPOSED INSURED(s)/INSURED(s)/ANNUITANT(s)

2.POLICY NUMBER(s)

3. I/We affirm that the Trust Agreement created by

as Grantor/

SettLOr/Trustor is in effect and contains the following information:

4.Trust Name:

5.Trust Date:

6.State where Trust Established

7.Beneficiary(ies) of Trust:

8.Relationship of Trust Beneficiary(ies) to Proposed Insured(s)/Insured(s)/Annuitant(s):

9. Name(s) of Trustee(s):

Note: If more than one Trustee, we require all Trustees to sign applicable forms, unless we receive a copy of the Trust stating that the Trustees can act independently.

10.Relationship of Trustee(s) to

Proposed Insured(s)/Insured(s)/Annuitant(s):

 

 

RETURN FORM TO:

 

 

 

 

 

 

 

For Variable Life and Variable Annuity policies:

New York Life, Variable Products Service Center

 

 

 

Madison Square Station, PO Box 922, New York, NY 10159

 

For all other policies:

If You Live In: AL, CT, DC, DE, FL, GA, IL, IN, KY, MA, ME, MD, MI, MS, NC, NH, NJ, NY, OH, PA, RI, SC, TN, VA, VT, WI, or WV, return this form to:

New York Life, Cleveland Service Center

PO Box 6916, Cleveland, OH 44101

If You Live In: AK, AR, AZ, CA, CO, HI, IA, ID, KS, LA, MN, MO, MT, NE, ND, NM, NV, OK, OR, SD, TX, UT, WA, or WY, return this form to:

New York Life, Dallas Service Center

PO Box 130539, Dallas, TX 75313-0539

Other: (i.e. foreign address, etc) return form to either location above.

20885 (1/10) Page 1 of 3

Please read this page and secure required signatures on page three.

STATEMENT REGARDING TRUST AS POLICY BENEFICIARY

I/We affirm that the beneficiary designation for each policy listed agrees with a Trust Agreement created by the Grantor and dated as shown on page one.

For Life Insurance Policies:

If, before the proceeds are paid, the Insurer(s) receives proof that the Trust as policy beneficiary is not in effect at the Insured’s death, the proceeds shall be paid to the contingent beneficiary(ies), if any. Otherwise, the proceeds shall be paid in a single sum to the Owner, if the Owner is living at that time. If the Owner is not living at that time, the single sum shall be paid to the Owner’s Estate.

For Annuity Contracts:

Please see your Agent/Registered Representative for payment methods available upon death of the Owner/Annuitant.

For Life Insurance Policies and Annuity Contracts:

Before the Insurer(s) pays the proceeds at death, it may ask for proof that the Trust is in effect;

The Owner possesses all rights of ownership of each policy including the right to change the beneficiary designation at any time even if there is a contrary provision in the Trust Agreement. This applies to revocable and irrevocable trusts; The Insurer(s) will not have any liability after it pays the proceeds of each policy, as set forth in this Statement;

The Interest of the Trust(s) in each of these policies shall be subject to any assignment of that policy made before or after this Statement.

STATEMENT REGARDING TRUST AS OWNER

I/We affirm that the Trust Agreement created by the Grantor as shown on page one (and the trust date as shown on page one) agrees with the following:

1.The Trustee(s) have full authority to pay premiums.

2.The Trust Agreement contains no limitations on the ownership rights of the Trust(s) as owner(s) of the insurance/annuity policies.

20885 (1/10) Page 2 of 3

IMPORTANT: The Internal Revenue Service (IRS) requires that the named Owner complete the following:

(The IRS does not require your consent to any provision of this document other than the certifications required to avoid backup withholding).

Taxpayer Identification Number and Backup Withholding Certifications

Policyowner’s Taxpayer Identification Number is

Under penalties of perjury, I certify that the number shown above is my correct Taxpayer Identification Number. I further certify that I am a U.S. person (including a U.S. resident alien).

I also certify that (please check only one box):

I have been notified by the IRS that I am subject to backup withholding.

I am not subject to backup withholding because (a) I have not been notified that I am subject to backup withholding as a result of failure to report all interest or dividends, or (b) the IRS has notified me that I am no longer subject to backup withholding.

/

/

 

X

 

X

 

Date

 

 

Grantor(s) signature

 

Grantor(s) signature, if required

 

/

/

 

X

 

X

 

 

 

 

 

 

 

 

Date

 

 

Trustee(s) signature

 

Trustee(s) signature, if required

 

/

/

 

X

 

X

 

Date

 

 

Proposed Insured(s)/Insured(s)/Annuitant(s) signature

 

Additional Signature, if required

 

/

/

 

X

 

X

 

Date

 

 

Applicant(s)/Owner(s) signature, if other than above

 

Additional Signature, if required

 

\

\

If the indicated policy is corporate-owned, provide signatures and titles of two corporate officers below.

Print Name & Title of OfficerPrint Name & Title of Officer

/

/

 

X

 

X

Date

 

 

Officer’s Signature

 

Officer’s Signature

AGENT CERTIFICATION

(if Agent assists with completion of form)

By signing below I attest that I have reviewed the identifying trust document(s) described on page one and that the document(s) appeared to be genuine and original.

Print Name of Agent/Registered Representative

X

/

/

Agent/Registered Representative’s Signature

 

Date

 

20885 (1/10) Page 3 of 3

Crucial Queries on This Form

What is the purpose of the New York 20885 form?

The New York 20885 form is used to designate a trust as the beneficiary or owner of life insurance and annuity policies. This form is specifically for trusts that are not testamentary, meaning they are not created within a will. It ensures that the trust's information is accurately reflected in the insurance policy records.

Who should complete the New York 20885 form?

This form should be completed by the grantor or trustee of the trust. If you are making changes to an existing policy or establishing a new one, you will need to fill out this form. If an agent is assisting you, they must also sign the form in the designated section.

What information is required on the form?

Items 1-10 on the first page must be completed in full. This includes details about the proposed insured, policy numbers, trust name, trust date, state of establishment, beneficiaries, and trustees. If there are multiple trustees, all must sign unless the trust document states otherwise.

What should I do if I do not have an agent to assist me?

If you are completing the form without an agent and the owner is a trust, you must provide a copy of the trust agreement. This document may be requested by New York Life to verify the trust's details and authority.

Where do I send the completed form?

The return address depends on the type of policy and your state of residence:

  • For Variable Life and Variable Annuity policies: New York Life, Variable Products Service Center, Madison Square Station, PO Box 922, New York, NY 10159.
  • For all other policies, if you live in specific states (like NY, OH, PA, etc.), send it to New York Life, Cleveland Service Center, PO Box 6916, Cleveland, OH 44101.
  • If you live in other states (like CA, TX, etc.), send it to New York Life, Dallas Service Center, PO Box 130539, Dallas, TX 75313-0539.

What happens if the trust is not in effect at the time of the insured's death?

If New York Life receives proof that the trust is not in effect when the insured passes away, the proceeds will be paid to the contingent beneficiaries listed, if any. If there are no contingent beneficiaries, the proceeds will go to the owner's estate.

What are the tax implications of completing this form?

The IRS requires the named owner to complete taxpayer identification and backup withholding certifications. This ensures that the correct taxpayer identification number is on file and that the owner is aware of their backup withholding status. This information is crucial for tax reporting purposes.

Can I change the beneficiary designation after submitting the form?

How to Write New York 20885

Filling out the New York 20885 form requires careful attention to detail. It is essential to complete all necessary sections accurately to ensure that the trust is properly recognized as a beneficiary or owner of the policy. After completing the form, it must be returned to the appropriate service center based on your state of residence.

  1. Complete Items 1-10 on Page One: Provide information about the proposed insured(s), policy number(s), trust details, beneficiaries, and trustees.
  2. Affirm Trust Agreement: Confirm that the trust agreement is in effect and includes the required information.
  3. Signatures: Ensure all required parties, including trustees and grantors, sign where indicated on the form.
  4. Complete Page Three: Fill out the necessary sections regarding the trust as policy beneficiary and owner.
  5. Taxpayer Identification Number: Provide the policyowner’s Taxpayer Identification Number and complete the backup withholding certifications.
  6. Agent Certification: If an agent assists in completing the form, they must sign and provide their name and date.
  7. Return the Form: Send the completed form to the appropriate service center based on your state of residence.

Common mistakes

Filling out the New York 20885 form can be straightforward, but many make critical mistakes that can lead to delays or complications. One common error is failing to complete all required fields on page one. Items 1-10 must be filled out entirely. Leaving any of these items blank can result in the form being returned or rejected, which prolongs the process.

Another frequent mistake is not providing accurate information about the trust. The trust name, date, and state of establishment must be correct. If there are discrepancies, it could raise questions about the validity of the trust. This can complicate the beneficiary designation and potentially delay any claims made against the policy.

Many people overlook the need for signatures. If the owner of the trust is a trustee, all trustees must sign the applicable forms unless the trust document states otherwise. Missing signatures can lead to the form being deemed incomplete. Ensure that all required parties sign where indicated to avoid this issue.

Individuals often neglect to include a copy of the trust agreement when filling out the form without an agent. If you are completing the form independently and the owner is a trust, this document is necessary. Not providing it can lead to delays as New York Life may request it later.

Finally, many applicants fail to check the correct box regarding backup withholding. This section is critical for tax purposes. Misunderstanding this requirement can lead to significant tax implications. Ensure that you read the instructions carefully and select the correct option based on your tax status.

Key takeaways

Here are key takeaways for filling out and using the New York 20885 form:

  • Purpose: Use this form specifically for Life and Annuity policies, whether for new business or changes to existing policies.
  • Not for Testamentary Trusts: This form is not applicable for trusts created within a will.
  • Complete Items 1-10: Ensure that all required items on page one are filled out completely.
  • Signatures Required: Page three must be completed and signed as necessary. If an agent assists, their certification is also required.
  • Trust Agreement: If the owner is a trust, include a copy of the trust agreement if completing the form without an agent.
  • New York Life's Rights: The company may request a copy of the trust if deemed necessary.
  • Beneficiary Designation: Confirm that the beneficiary designation aligns with the trust agreement to avoid complications at the time of payment.
  • Taxpayer Identification: The owner must provide their Taxpayer Identification Number and certify their status regarding backup withholding.
  • Return Addresses: Submit the form to the appropriate service center based on your location and type of policy.

Other PDF Templates

Document Attributes

Fact Name Fact Description
Form Purpose This form is used for life and annuity policies related to trusts, excluding testamentary trusts.
Governing Law The form is governed by New York State laws regarding life insurance and trusts.
Completion Requirement Items 1-10 on page one must be fully completed for the form to be valid.
Agent Certification If an agent assists in completing the form, the agent must sign the certification section on page three.
Trust Documentation A copy of the trust agreement must be provided if the owner is a trust and no agent is involved.
Return Locations Forms must be returned to specific service centers based on the policy type and the state of residence.
Taxpayer Identification The owner must provide a Taxpayer Identification Number and certify their status regarding backup withholding.
Trustee Signatures If there are multiple trustees, all must sign the applicable forms unless the trust document allows independent action.