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Fill a Valid New York 20885 Template

The New York 20885 form serves as a critical document for individuals setting up a life insurance or annuity policy through a trust, rather than a testamentary trust. It meticulously outlines the need to fill specific sections, including detailed instructions for new business transactions and modifications to existing policies. Furthermore, it emphasizes the vital role of securing required signatures to validate the trust’s agreement with policy requirements.

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The New York 20885 form is an essential document for policyholders working with the New York Life Insurance Company, including its associated corporations, when designating a trust as a beneficiary or owner of life insurance or annuity policies. This form, specifically designed for non-testamentary trusts—that is, trusts not created as part of a will—outlines the procedure for both new policies and in-force changes, emphasizing the need for detailed completion of the initial ten items and securing necessary signatures on the third page. Notably, the form also guides policyholders through changing the beneficiary or transferring ownership if the need arises after the policy is in force. Policyholders are advised to provide a copy of the trust agreement if completing the form without an agent's assistance and when the trust owns the policy, ensuring that New York Life has the correct and complete trust information. Additionally, the document contains specific sections regarding the roles and responsibilities of the insurer, the rights of the policy owner, and the significance of the trust’s interest in the policies, underlining the possibility of the insurer requesting proof that the trust is effectively operational before paying out proceeds. This detailed approach ensures policyholders are well-informed about the implications of their choices, providing a clear pathway for incorporating trusts into their life insurance and annuity plans, while also adhering to IRS requirements regarding taxpayer identification and backup withholding certifications.

Example - 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

Document Attributes

Fact Description
Form Number 20885
Form Title Statement of Trust - For Trusts other than Testamentary Trusts
Purpose Used for Life and Annuity policies (new business and inforce changes), excluding Testamentary Trusts
Completion Requirement Items 1-10 must be completed in full on page one
Additional Forms for Inforce Policies Change of Beneficiary form (21131) and Transfer of Ownership forms (21132 for life policies, 22599 for annuity policies)
Agent Certification Required on page three if form is completed with the assistance of an agent
Return Addresses Varies based on policy type and the owner's location; specific addresses for Variable Products, and other policies based on US state or foreign address
Governing Law Subject to the laws of the State where the Trust was established

Guide to Using New York 20885

Filling out the New York 20885 form is a process that aims to streamline recording the details of a trust as it relates to life insurance policies and annuity contracts. The information provided in the form should reflect the trust agreement accurately to ensure that the insurance company can administer the policy in accordance with the trust's directives. Attention to detail is crucial as incorrect information could impact the implementation of the trust’s intentions. After completing the form, it will be processed by the relevant service center based on the policy owner's location. Here’s a step-by-step guide to help you complete the New York 20885 form effectively:

  1. Gather all necessary information, including the life insurance or annuity policy numbers, the full name of the trust, the trust's date of establishment, and details about the trustees and beneficiaries.
  2. Enter the proposed insured, insured, or annuitant's name(s) in the designated section.
  3. Fill in the policy number(s) related to this trust.
  4. Affirm the trust is in effect and provide the grantor's name as it appears in the trust agreement.
  5. Specify the full name of the trust.
  6. Indicate the date the trust was established.
  7. State the jurisdiction where the trust was established.
  8. List the beneficiary(ies) of the trust and their relationships to the proposed insured, insured, or annuitant(s).
  9. Provide the name(s) of the trustee(s) and note if all trustees must sign applicable forms or if a copy of the trust permits trustees to act independently.
  10. Detail the relationship of the trustee(s) to the proposed insured, insured, or annuitant(s).
  11. Turn to page three to complete the section for Taxpayer Identification Number and Backup Withholding Certifications, ensuring accuracy to comply with IRS requirements.
  12. Carefully review the form, ensuring all information is correct and complete.
  13. Secure the required signatures from the grantor(s), trustee(s), proposed insured(s)/insured(s)/annuitant(s), and any other applicable parties as indicated on page three.
  14. For policies owned by a corporation, obtain the signatures and titles of two corporate officers.
  15. If an agent assisted with the completion of the form, ensure the agent certification section is completed and signed by the agent.
  16. Review the form one final time for completeness and accuracy.
  17. Return the completed form to the appropriate New York Life service center based on the policy owner’s location, as indicated on the first page of the form.

Upon receipt, New York Life will process the information provided and may request a copy of the trust agreement for further verification. It's important to ensure that the process is completed thoroughly to accurately record the details of the trust, which will impact the administration of the life insurance policy or annuity contract in accordance with the trust's stipulations.

Get Answers on New York 20885

  1. What is the New York 20885 form, and when should it be used?

    The New York 20885 form is a Statement of Trust utilized for Life and Annuity policies, both new business and inforce changes, exclusive to the companies under New York Life Insurance. It serves the purpose of officially documenting the assignment of a trust as either the beneficiary or the owner of such policies. This form should not be used for Testamentary Trusts, which are formed within a will. It is employed when the policy owner wishes to affirm the trust's role concerning these insurance contracts.

  2. What information is required on the New York 20885 form?

    Items 1 through 10 on the first page of the form must be completely filled out. This entails providing details about the insured(s)/annuitants, policy number(s), confirming the existence and information of the trust such as its name, establishment date, and the state where it was established. Additionally, the relationship of the trust beneficiaries and trustees to the insured or annuitant, as well as their names, is required.

  3. Are signatures necessary on the New York 20885 form?

    Yes, completing the form requires obtaining the required signatures on the third page. This includes the signatures of the grantor(s), trustee(s), and insured(s) or annuitant(s), depending on the circumstances. If the policy is corporate-owned, the signatures of two corporate officers are also needed. Moreover, if an agent assists with the form, their certification and signature are mandatory as well.

  4. What should I do if the owner is a trust?

    If completing the New York 20885 form without the assistance of an agent and the policy owner is a trust, a copy of the trust agreement must be provided. This additional documentation helps verify the trust's validity and its terms regarding the insurance policies.

  5. Can the beneficiary designation be changed after submitting the New York 20885 form?

    Yes, the owner retains all rights, 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 both revocable and irrevocable trusts, ensuring flexible management of the policy.

  6. What documentation is required for tax purposes?

    The IRS mandates that the policy owner provide their Taxpayer Identification Number (TIN) and certify their status to avoid backup withholding. This involves confirming that the policy owner is a U.S. person (including a U.S. resident alien) and whether they are currently subject to backup withholding due to previous IRS notices.

  7. Where should the New York 20885 form be sent?

    The submission address for the New York 20885 form depends on the type of policy and the policyholder’s location. For Variable Life and Variable Annuity policies, it should be sent to the New York Life, Variable Products Service Center. For all other policies, residents of specific states have designated addresses in Cleveland or Dallas, detailed within the form's instructions. Residents in states not listed or with foreign addresses may send the form to either location.

  8. Does New York Life reserve the right to request a copy of the trust?

    Yes, New, York Life explicitly reserves the right to request a copy of the trust if deemed necessary. This could be for clarification, to resolve discrepancies, or to ensure compliance with policy conditions and legal requirements.

Common mistakes

Filling out the New York 20885 form for life insurance policies correctly is crucial to ensure that the trust is correctly designated as the policy beneficiary. Errors can lead to delays or even the policy not fulfilling the policyholder's intentions. Here are ten common mistakes made when completing this form:

  1. Not completing all required items (1-10) on the first page. Each question provides crucial information for the processing of the form.
  2. Misidentifying the trust by either providing an incorrect Trust Name or Trust Date, leading to confusion regarding the correct trust agreement.
  3. Failing to correctly specify the state where the trust was established, which can have implications for how the trust is interpreted under state laws.
  4. Incorrectly completing the Taxpayer Identification Number and Backup Withholding Certifications, which can lead to IRS complications or backup withholding issues.
  5. Omitting signature(s) where required, including those of the grantor(s), trustee(s), and the insured. The signatures verify that the parties agree with the information provided.
  6. Not providing the policy number(s), which is essential for correctly applying the changes to the appropriate policy or policies.
  7. If more than one trustee is named, failure to ensure all trustees sign the form or providing documentation that trustees can act independently, when this is not an option.
  8. Leaving out the relationship of trust beneficiary(ies) to the proposed insured(s)/insured(s)/annuitant(s), which may be necessary to clarify the trust's intent.
  9. Incorrectly affirming the trust's authority or ownership rights over the policies without verifying the trust agreement's terms.
  10. Sending the form to the wrong address based on the policy owner's state of residence, leading to delays in processing.

Avoiding these mistakes is essential for ensuring the form is processed promptly and accurately. Paying close attention to detail and thoroughly reviewing the form before submission can prevent unnecessary complications. If you are unsure about any part of the form, consulting with a professional or seeking assistance from the insurance company can provide clarity and ensure the form is filled out correctly.

Remember, the stakes are high when it involves life insurance and annuity policies, as these are critical components of your financial planning. The beneficiaries depend on these policies being executed as intended. Therefore, take the time to fill out the New York 20885 form accurately and completely.

Documents used along the form

When completing the New York 20885 form for Life Insurance and Annuity policies as part of estate planning, individuals often find it necessary to include additional forms and documents. These additional documents ensure the accurate and efficient processing of the insurance or annuity policy in accordance with the trust's specifications. Understanding each document’s purpose can aid in a smoother transaction process.

  • Change of Beneficiary Form (21131): This form is essential when policyholders wish to update or change the designated beneficiary(ies) on an existing life insurance policy. It ensures that the policy benefits are directed according to the current wishes of the policyholder.
  • Transfer of Ownership Form for Life Policies (21132): Utilized to formally transfer the ownership of a life insurance policy. This form is critical when the trust takes ownership of a policy, aligning the policy's ownership with the stipulations of the trust agreement.
  • Transfer of Ownership Form for Annuity Policies: Similar to its counterpart for life policies, this form facilitates the change of ownership for an annuity policy to the trust. It’s fundamental in ensuring that the annuity aligns with the estate planning goals and trust requirements.
  • Copy of the Trust Agreement: While not a form, a copy of the trust agreement may be requested to verify the details provided in the Statement of Trust form. This document outlines the trust's provisions, beneficiaries, and trustees, providing vital information necessary for processing the insurance or annuity policy in question.

Together, these forms and documents play a significant role in ensuring that life insurance and annuity policies are properly managed within the context of a trust. By providing a framework for designating beneficiaries, transferring ownership, and verifying trust details, they facilitate the alignment of an individual's financial assets with their estate planning goals.

Similar forms

The "Change of Beneficiary" form, like the New York 20885 form, is used to specify who will receive the proceeds of a policy upon the insured's death. Both documents necessitate clear identification of the beneficiaries and their relation to the policy owner. The key similarity lies in their purpose to ensure that the policy benefits are directed according to the policy owner's wishes, which requires thorough and accurate completion to be effective.

The "Transfer of Ownership" form shares similarities with the New York 20885 form, particularly in how both involve changes to essential policy information. The Transfer of Ownership form is used when the policy owner wants to change who owns a policy. This could be for a variety of reasons, like estate planning or tax considerations. Both forms are integral to modifying the fundamental aspects of a life insurance policy and require validation and authorization to implement changes.

A Trust Agreement document, while not an insurance form, has similarities with the New York 20885 form since both outline detailed trusts specifics. The 20885 form requires information about the trust established by the grantor, including trust name, date, and beneficiaries, which are also central elements of a Trust Agreement. Essentially, both documents focus on the structured distribution of assets, but the 20885 form pertains specifically to insurance policies.

The "Application for Life Insurance" form, although primarily for initiating coverage, shares commonalities with the New York 20885 form regarding the collection of detailed personal information and intended beneficiaries. Both require the insured’s information, policy number(s), and details about the beneficiaries to ensure proper policy execution. The meticulous attention to detail ensures that the insurance coverage reflects the policy owner's intentions accurately.

The "Power of Attorney" document, while more general in its application, is akin to the New York 20885 form in terms of its function of granting authority. In the 20885 form, trustees are granted specific powers regarding the insurance policy, similar to how a Power of Attorney grants someone the authority to make decisions on another’s behalf. Both serve to appoint individuals to act in capacities that require trust and responsibility, directly affecting assets and/or decisions.

The "IRS W-9 Form" is relevant concerning the tax identification number verification aspect of the New York 20885 form. Both documents require the certification of taxpayer identification numbers to comply with IRS regulations, specifically to prevent backup withholding. They are instrumental in ensuring that the financial transactions they cover are properly reported to tax authorities, limiting the potential for tax-related issues.

The "Beneficiary Designation for Retirement Accounts" form, similar to parts of the New York 20885 form, is utilized to designate beneficiaries for assets contained within retirement accounts. Both documents are crucial for estate planning, directing specific assets to chosen individuals or entities upon the policyholder’s or account holder’s death. Accurate completion helps to ensure that the assets bypass probate and are distributed according to the owner's wishes.

Dos and Don'ts

When dealing with the New York 20885 form, certain practices should be followed to ensure accuracy and compliance. Below is a list of things individuals should and shouldn't do when filling out the form:

Do's:

  • Ensure that all items 1-10 on the first page are completed in full. This provides a thorough overview of the trust and its stipulations.
  • Read through the entire form carefully, including the instructions and all statements regarding the trust policies, before beginning to fill it out. This prevents misunderstandings and errors.
  • Include a copy of the trust agreement if the form is being completed without an agent and the owner is a trust. This documentation is crucial for verifying the trust's validity and terms.
  • Use this form for Life and Annuity policies, both new business and in-force changes, to ensure proper processing by New York Life.
  • Secure all required signatures on page three of the form. Signatures are essential for validating the form’s information and authorizations.
  • Return the completed form to the appropriate address based on your geographic location, as specified in the instructions. This ensures it reaches the correct department for processing.

Don'ts:

  • Do not use this form for Testamentary Trusts. As noted in the instructions, this form is intended for trusts other than those created within a will.
  • Avoid leaving any of items 1-10 on the first page incomplete. Incomplete information can delay the processing of the form.
  • Do not overlook the requirement to provide a copy of the trust agreement if completing the form without an agent's assistance and the owner is a trust. Failing to provide this could result in processing delays.
  • Do not neglect to check whether additional forms are needed for in-force policies. The appropriate Change of Beneficiary and Transfer of Ownership forms should be included if applicable.
  • Refrain from forgetting to seek agent certification on page three if an agent assists with the completion of the form. This certification attests to the authenticity of the trust documents.
  • Avoid sending the form to the wrong address based on your location. Sending it to the incorrect department can cause unnecessary delays in processing.

Misconceptions

Understanding the New York 20885 form, used primarily for indicating a trust as a beneficiary or owner of a life insurance policy, can be challenging due to prevailing misconceptions. Here is a clarification of some common misunderstandings:

  • It’s only for testamentary trusts: A significant misconception is that the New York 20885 form is designed for testamentary trusts, which are created by a will upon someone's death. However, this form is specifically intended for use with trusts other than testamentary ones, such as living trusts established during the grantor's lifetime.

  • Completion requires legal expertise: While legal advice can be beneficial, especially in complex situations, the form is designed to be filled out by the policy owner or their agent. It requires basic information about the trust and its trustees, aiming to ensure that life insurance policies or annuity contracts comply with the trust's terms.

  • All trustees must sign for any action: This misunderstanding can cause unnecessary complications. The form clearly states that if more than one trustee is named, all are required to sign applicable forms, unless the trust document specifies that trustees can act independently. Always refer to the trust agreement to understand the signing requirements.

  • The form guarantees the trust's benefits under the policy: While designating a trust as a beneficiary or owner aims to align the policy with the grantor's estate planning goals, the New York 20885 form does not itself guarantee any specific benefits or outcomes. Instead, it serves to communicate the policy owner's intention to the insurance company, which will follow the trust's terms as long as they are in effect and meet legal requirements.

  • Submitting this form limits the owner's rights: Another common myth is that once this form is submitted, the policy owner's rights to change beneficiaries or alter the policy are restricted. On the contrary, the form explicitly states that the owner retains all rights of ownership, including the ability to change the beneficiary designation, unless specifically limited by the trust agreement. This applies to both revocable and irrevocable trusts.

Understanding these facets of the New York 20885 form is crucial for policy owners and trustees to navigate the process effectively and ensure that their estate planning aligns with their intentions. It is always recommended to consult with a professional when dealing with complex legal documents to mitigate any risks or misunderstandings.

Key takeaways

When handling the New York 20885 form, which is used primarily for life and annuity policies involving trusts other than testamentary trusts, it is essential to consider several critical points for its proper completion and usage. Below are six key takeaways that can guide individuals in navigating through the form seamlessly:

  • Applicability: It is important to note that the 20885 form is designated specifically for non-testamentary trusts. Testamentary trusts, which are established through a will upon the death of the will's creator, require different documentation. This form is to be used for both new business applications as well as changes to existing life and annuity policies.
  • Completion Requirements: The form requires comprehensive input across its sections, particularly items 1 through 10 on the first page, which must be fully completed. These items gather essential information about the insured or annuitant, the policy numbers, trust name and date, the state where the trust was established, beneficiaries, and trustees.
  • Signature Requirements: Securing the required signatures is pivotal. The form needs to be signed by the trustee(s), and if an agent assists in filling out the form, the agent certification section must also be signed. In cases where multiple trustees exist, all must sign unless a copy of the trust specifies that trustees can act independently.
  • Additional Documentation: If completing the form without an agent’s assistance and the owner is a trust, providing a copy of the trust agreement is mandatory. New York Life retains the right to request a copy of the trust agreement to verify its contents if deemed necessary.
  • Policy Ownership Rights: Accuracy in reporting the trust as either the policy beneficiary or owner is critical. When a trust is listed as the policy owner, it is affirmed that the trust agreement grants the trustee(s) complete authority to pay premiums and imposes no limitations on the trust’s ownership rights over the policy.
  • Submission Details: Where to return the completed and signed form depends on the policyholder’s location. There are specified return addresses for variable life and annuity policies, as well as for standard policies based on the policyholder's state of residence. This ensures that the submission is directed to the appropriate office for processing.

Taking these key aspects into account will facilitate a smoother process in using the New York 20885 form for life and annuity policies involving trusts, ensuring compliance with New York Life’s requirements.

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