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