FAX TO 312-283-2615 EMAIL: VALUATION@IRACLUB.ORG OVERNIGHT: 67 E. MADISON ST.
SUITE 1510
CHICAGO, IL 60603
ANNUAL FAIR MARKET VALUATION
INSTRUCTIONS FOR ACCOUNT OWNER
1. Complete, sign, and date the valuation form. One form per IRA Club account number.
If your account is a partial owner of an asset, the fair market value you enter below MUST reflect ONLY the fair
market value of that portion of the asset which is owned by your account.
2. Submit supporting documentation with this form via:
Email: valuation@iraclub.org
Fax: 312-283-2615
Mail: IRA Club Valuation Department, PO BOX A3535 Chicago, IL 60690
PLEASE NOTE
This form is completed by IRA Club account holders once per year to confirm or change the fair market value of an asset.
It is important that IRA Club receive this form by the due date to ensure proper reporting requirements of the IRS.
Remember to submit the supporting documentation so we may process the information efficiently.
Account holders 72 years and older who are required to take mandatory distributions (RMD) from their Traditional, SEP
or SIMPLE IRA account, are encouraged to seek advice from a tax preparer about how to value the assets in the account
and how the estimated values may impact the RMD calculation. Fair market valuations submitted after January 31
st
may
affect your RMD as reported to you on your yearend statement.
DUE DATE
Submit your IRA fair market valuation no later than Friday, March 19, 2021. Forms received after the due date incur a
$150.00 late processing fee. Though, we recommend that you complete this request as soon as possible.
ACCEPTABLE SUPPORTING DOCUMENTATION
Loans / Promissory Notes: Letter or current amortization schedule showing the principal and unpaid interested
owed as of 12/31/2020.
Private LLCs, Limited Partnerships and Corporations: Letter, statement, or other record of information from
the private company stating the value of your position as of 12/31/2020.
Real Estate: realtor.com© or zillow.com© screenshot of estimated value, a broker/agent opinion or county tax
assessor’s appraisal.
IRA-LLC: Letter listing all assets owned and their total value in the LLC. Also, a copy of the bank statement
showing the LLC checking account balance as of 12/31/2020.
ACCOUNT OWNER INFORMATION
FULL NAME
IRA CLUB ACCOUNT NUMBER
EMAIL ADDRESS
PHONE NUMBER
FAX TO 312-283-2615 EMAIL: VALUATION@IRACLUB.ORG OVERNIGHT: 67 E. MADISON ST.
SUITE 1510
CHICAGO, IL 60603
ANNUAL FAIR MARKET VALUATION
LOAN / PROMISSORY NOTE
*SUBMIT PAYMENT SCHEDULE SHOWING THE PRINCIPAL & UNPAID INTEREST OWED AS OF 12/31/2020
NAME OF BORROWER
MATURITY DATE
OUTSTANDING
PRINCIPAL & INTEREST
Example: Loan to ABC Construction
Due on 6/30/2025
$ 26,758.11
1.
$
2.
$
3.
$
4.
$
PRIVATE LLC, LP, CORPORATION, IRA-LLC
*SUBMIT LETTER, STATEMENT, OR OTHER RECORD OF INFORMATION FROM THE PRIVATE COMPANY STATING THE VALUE AS OF 12/31/2020
NAME OF ENTITY
VALUE PER UNIT
/ PER SHARE
ESTIMATED TOAL
MARKET VALUE
Example: East Capital Fund IV, LLC
$1,000.00 / share
$ 50,000.00
1.
$
$
2.
$
$
3.
$
$
4.
$
$
REAL ESTATE
*SUBMIT REALTOR.COM OR ZILLOW.COM SCREENSHOT OF ESTIMATED VALUE, A BROKER/AGENT OPINION OR COUNTY TAX ASSESSOR’S APPRAISAL.
ADDRESS OR LEGAL DESCRIPTION OF PROPERTY
PERCENT OWNED BY
YOUR ACCOUNT
ESTIMATED CURRENT
MARKET VALUE
Example: 1365 N. Sterling Avenue Orlando, FL 32789
100 %
$ 419,000.00
1.
%
$
2.
%
$
3.
%
$
4.
%
$
FAX TO 312-283-2615 EMAIL: VALUATION@IRACLUB.ORG OVERNIGHT: 67 E. MADISON ST.
SUITE 1510
CHICAGO, IL 60603
ANNUAL FAIR MARKET VALUATION
PRECIOUS METALS
*SUBMIT LETTER OR STATEMENT OF APPROXIMATE FAIR MARKET VALUE AS OF 12/31/2020.
METAL TYPE
NUMBER OF
OUNCES/GRAMS HELD
PRICE PER OUNCE OR GRAM
Example: Silver American Eagle 1 ounce
20 ounces
$ 24.23
1.
$
2.
$
3.
$
4.
$
TAX LIENS
*SUBMIT COUNTY STATEMENT, LETTER OR SCREENSHOT OF APPROXIMATE FAIR MARKET VALUE AS OF 12/31/2020.
PARCEL NUMBER
ASSESSED VALUE
ESTIMATED MARKET VALUE
Example: Parcel Number 12 40 65 9 852 240
$ 11,000.00
$ 84,000.00
1.
$
$
2.
$
$
3.
$
$
4.
$
$
MOBILE HOME / OTHER
*SUBMIT SUPPORTING STATEMENT OR LETTER WITH APPROXIMATE FAIR MARKET VALUE AS OF 12/31/2020.
HOLDING NAME
HODLING TYPE
ESTIMATED MARKET VALUE
1.
$
2.
$
ACCOUNT OWNER AUTHORIZATION By signing below, I certify the information provided to IRA Club on this form is true and
correct and that my valuation will be used for reporting purposes. I hereby direct IRA Club to update the value of my assets above.
PRINTED NAME
DATE SIGNED
FAX TO 312-283-2615 EMAIL: VALUATION@IRACLUB.ORG OVERNIGHT: 67 E. MADISON ST.
SUITE 1510
CHICAGO, IL 60603
ANNUAL FAIR MARKET VALUATION
F
REQUENTLY ASKED QUESTIONS
Q. What is a Fair Market Value?
A. The Fair Market Value is the price at which the asset would sell for between a willing buyer and a willing
seller.
R. Will this information be used to compute income taxes that may be due from my IRA?
A. No. The valuation is informational only.
S. When I had an IRA at a brokerage firm, they never asked me for the value of my assets?
A. Brokerage firms already have valuation information. Securities such as public stock have a close date and a
readily available market price. The IRS requires
IRAs to have updated values each year.
T. Do I need to hire an appraiser?
A. Generally, no. The update is for a non-taxable event and ensures proper reporting for the IRA on Form 5498.
Just provide the Fair Market Value of the assets based on the above definition. IRA Club will handle the rest.
U. My IRA just bought the asset within the last 90 Days. Do I need to complete this valuation?
A. In this case you may simply enter the price paid. If you do not have any other assets than the most recent
purchase, you may skip filling out the valuation form this year.
V. I get an extension on my Income Tax Filing. What is my valuation due date?
A. IRA Accounts operate on a calendar year (they are always January 1, to December
31). The Asset valuation
form is due regardless of when you file your income tax. IRA Club’s deadline is March 19, 2021.
W. Are there fees associated with this valuation?
A. If we receive your completed Asset Valuation Form on or before March 19, 2021 there is NO FEE.
Asset Valuation Forms not received (or received incomplete) by March 19, 2021 are subject to a onetime
$150.00 fee.
Forms with questionable information which require research by the IRA Club to complete are also subject to
a $150.00 fee.