Fillable BND Match Instructions

Fill Online, Printable, Fillable, Blank BND Match Instructions Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

BND Match Instructions

On average this form takes 5 minutes to complete

The BND Match Instructions form is 5 pages long and contains:

  • 0 signatures
  • 1 check-box
  • 18 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
CSNDD_05784B 080720 — Page 1 of 5
1
DO NOT STAPLE
College SAVE Plan
BND Match Instructions
In an effort to encourage North Dakota residents to save for post-secondary education, the College SAVE plan administrator, Bank of North
Dakota ("Bank"), allows North Dakota residents who have opened a College SAVE Account to be considered for a BND Match in an amount
up to $300.00.
College SAVE Participants are permitted to apply within 12 months after opening a College SAVE Account (See Eligibility Requirements
below). You must complete and return a separate BND Match Application for each Designated Beneciary on whose behalf you are
requesting a BND Match. There is a limit of one BND Match per DesignatedBeneciary.
The BND Match amount is a dollar-for-dollar match and is based on contributions up to $300.00 made to a College SAVE Account by a North
Dakota resident who meets eligibility requirements according to their federally adjusted gross income. Contributions considered toward the
BND Match must have been made within 12 months of opening a College SAVE Account.
BND Match funds must be sent to the Eligible Higher Educational Institution to pay for qualied higher education expenses of the Designated
Beneciary. Please see the College SAVE Plan Disclosure Statement and Participation Agreement and any supplements distributed from time
to time (together, the "Disclosure Statement") for details regarding qualied higher education expenses.
BND Matches are dependent upon funding limitations as overseen by Bank, and can be reduced, modied, or stopped at Bank's discretion at
any time.
For questions about College SAVE or to request additional BND Match Applications, call 1.866.SAVE 529/1.866.728.3529 any business
day from 8:00 a.m. - 8:00 p.m. Eastern Time or go to www.collegesave4u.com.
Eligibility Requirements
To qualify for a BND Match, the following eligibility requirements must be met:
• Application: The Participant must complete and return a BND Match Application or a College SAVE Enrollment Form and submit it
along with the required attachments detailed in the required attachment section below.
• Residency: The Participant must have recently led a North Dakota state income tax return as a North Dakota resident prior to submitting
a BND Match Application or a College SAVE Enrollment Form.
• Family Income:
– The Participant’s federally adjusted gross income on the most recently led North Dakota state income tax return must have been
$0 - $120,000, if married and ling jointly, or $0 - $80,000, if single, to qualify for a BND Match. If you are married, ling separately,
a copy of your spouse’s North Dakota state income tax return must be included to determine your adjusted gross income.
• Designated Beneficiary: The Designated Beneciary on the BND Match Application or a College SAVE Enrollment Form must be
15 years old or younger in addition to the requirements set forth in the Disclosure Statement.
CSNDD_05784B 080720 — Page 2 of 5
2
DO NOT STAPLE
Required Attachments
*
A copy of your most recently led North Dakota state income tax return must be attached to your BND Match Application or a College
SAVE Enrollment Form to verify the Participant’s federally adjusted gross income and North Dakota residency. If you are married, ling
separately, a copy of your spouse’s North Dakota state income tax return must be provided for purposes of determining your federally
adjusted gross income. If you have not recently led a North Dakota income tax return, you may be asked to provide other evidence of
eligibility. (If the Participant has not recently led a North Dakota State income tax return or the Participant does not have a copy of his/her
most recently led North Dakota State income tax return (or the Participant's spouse's North Dakota state income tax return because he/she
led separately) at this time, the Participant will provide other evidence of eligibility upon request).
Your BND Match Application will be considered incomplete if it is not appropriately signed, if the required copy of your most recently led
North Dakota state income tax return (and your spouse's if he/she led separately) is not attached and signed and/or if the BND Match
Application is not received within 12 months of opening a College SAVE account.
*
No attached documentation will be returned to you.
BND Match Amount
The amount of a BND Match is based on the amount contributed to a College SAVE Account within 12 months of opening a College SAVE
account up to $300.00. Only contributions received within 12 months of opening a College SAVE account will be eligible for matchingfunds.
- (Single $0 - $80,000/joint $0 - $120,000) are eligible for a BND Match of $300.00.
How to Apply
The Participant must complete Sections 1 – 3 and return the BND Match Application or a College SAVE Enrollment Form within
12 months of opening your new College SAVE Account.
Mail your BND Match Application, including all required attachments to:
College SAVE, P.O. Box 219781, Kansas City, MO 64121-9781.
Approval Process and Verication
1) If the Participant’s BND Match Application is approved, the Participant will be notied within 60 days of receipt of the
BND Match Application.
2) If the Participant is deemed ineligible and the BND Match Application is rejected, the Participant will be notied within 60 days of
receipt of the BND Match Application.
3) Acceptance of a BND Match is the Participant's authorization for Bank to undertake, at its discretion, an investigation to verify that the
Participant meets the BND Match Program requirements. Bank reserves the right at all times to require evidence of eligibility to receive a
BND Match and may conduct investigations to determine eligibility without obtaining additional consent from Participant. In the event a
subsequent investigation reveals that a BND Match was obtained through misrepresentation or fraud, Bank shall revoke the BND Match.
CSNDD_05784B 080720 — Page 3 of 5
3
DO NOT STAPLE
Use of BND Match Funds
If a Participant qualies for a BND Match, the award will be deposited into a Match Account and will be invested according to the allocation
instructions on le for the Participant's College SAVE Account. The Match Account will be linked to the College SAVE Account. (Bank shall
retain ownership of the assets in the Match Account until the Participant submits a request in good order for a qualied withdrawal).
You may request a qualied withdrawal online at www.collegesave4u.com or by mailing a Withdrawal Request Form to College SAVE.
If you have been awarded a BND Match, any qualied withdrawals generally will be taken from the College SAVE Account and the related
Match Account when the qualied withdrawal is requested to be sent to the Eligible Higher Educational Institution. Assets held in the Match
Account will be withdrawn before assets held in Account Owner's College SAVE Account. Payments from the Match Account may only be
made to the Eligible Higher Educational Institution.
In the event you have been awarded a BND Match and request a qualied withdrawal other than to the Eligible Higher Educational
Institution, the qualied withdrawal will only be taken from the College SAVE Account.
Under certain circumstances, the BND Match, and any earnings, may be fully or partially forfeited. These circumstances include:
• Rollover to another state’s 529 plan;
• Change of Designated Beneciary and the new Designated Beneciary has previously received a BND Match or is not a Member of the
Family as dened by Section 529 of the Internal Revenue Code and as described in the Disclosure Statement;
• The Designated Beneciary dies or becomes disabled and cannot attend school, unless the Participant changes the Designated Beneciary
to a Member of the Family;
• Non-qualied withdrawal from your Match Account;
• The Participant’s College SAVE Account is closed and the BND Match is not used within 18 months for a qualied withdrawal to an Eligible
Higher Educational Institution;
• If you provide false information on the College SAVE Enrollment Form or on a BND Match Application.
Tax Considerations
The BND Match program is designed so that a BND Match, together with any earnings used for certain qualied higher education expenses,
will not be subject to federal or North Dakota state income tax. It is possible that future changes in law may cause a BND Match to be
taxable, or that the Internal Revenue Service may take the position that a BND Match is taxable, in the year the BND Match is awarded or
distributed. You should consult your tax advisor for more information.
Use of Personal Information
*
The information provided on this BND Match Application or the College SAVE Enrollment Form is personal information.
The personal information provided, or which must be reviewed in connection with the BND Match Application or the College SAVE
Enrollment Form, includes social security number or taxpayer identication number and your most recently led North Dakota state income
tax return information.
Bank will use or review the information according to state law to determine eligibility for a BND Match. Your social security number or
taxpayer identication number is required to verify your identity as the Participant and is used as an identier for the Match Account to
ensure all necessary data are accurately recorded. Social security number(s) or taxpayer identication number(s) are also used for federal and
state tax administration purposes.
Personal information cannot be disclosed to third parties without your informed consent or the consent of the person to whom it pertains,
unless required by state or federal law or legal process.
*
(and your spouse's, as applicable)
CSNDD_05784B 080720 — Page 4 of 5
4
DO NOT STAPLE
College SAVE Plan
BND Match Application
Before completing this BND Match Application, please read the enclosed BND Match Instructions, along with the Plan Disclosure
Statement and Participation Agreement, and any supplements distributed from time to time (together, the "Disclosure Statement").
• Sections 1 – 3 must be completed by the Participant, who must sign and date this BND Match Application.
• Specic tax records are required to be attached to your BND Match Application to verify your federally adjusted gross income and North
Dakota residency. You must read the Required Attachments section of the BND Match Instructions and attach a copy of your most recently
led North Dakota state income tax return to this BND Match Application. If you are married, ling separately, a copy of your spouse's
North Dakota state income tax return must also be included.
• You must complete and submit a separate BND Match Application for each Designated Beneciary on whose behalf you are requesting a
BND Match.
• Your BND Match Application will be considered incomplete if it is not appropriately signed, if the required copy of your most recently led
North Dakota state income tax return (and your spouse's if he/she led seperately) is not attached and if the BND Match Application is
not received within the rst 12 months after opening your College SAVE Account.
• Print clearly, preferably in capital letters and black ink.
Forms can be downloaded from our website at www.collegesave4u.com, or you can call us to order any form — or request assistance in
completing this form — at 1.866.SAVE.529 (1.866.728.3529) any business day from 8 a.m. to 8 p.m. Eastern time.
1. Account information
• The Designated Beneciary’s social security number or taxpayer identication number on your College SAVE Account must match
your Designated Beneciary’s social security number or taxpayer identication number you submit on this BND Match Application.
Account Number (If you have not established an Account, please complete an Enrollment form.)
Participant Name (rst, middle initial, last)
Participant Social Security Number or Taxpayer Identication Number (Required)
Designated Beneciary Name (rst, middle initial, last)
Designated Beneciary Social Security Number or Taxpayer Identication Number (Required) Designated Beneciary Birth Date (Age 15 or below.)
Return this form and any other required documents to:
College SAVE
P.O. Box 219781
Kansas City, MO 64121-9781
For overnight delivery or registered mail, send to:
College SAVE
920 Main Street, Suite 900
Kansas City, Missouri 64105
CSNDD_05784B 080720 — Page 5 of 5
5
DO NOT STAPLE
2. Federally Adjusted Gross Income of Participant (Check one box.)
Refer to your North Dakota state income tax return you are submitting with this application to determine your federally adjusted
gross income, then check the appropriate box below.
Single Filer ($0 – $80,000)
Joint Filer ($0 – $120,000)
I have not recently led a North Dakota state income tax return or I do not have a copy of my most recently led North Dakota
state income tax return (or my spouse's because he/she led separately) and understand I may be asked to provide other
evidence ofeligibility upon request.
3. SIGNATURE — YOU MUST SIGN BELOW
By signing below I certify that:
• I have read and agree to the terms regarding the BND Match Program as described in the BND Match Instructions and the
Disclosure Statement.
• I certify that the information I have provided is true, complete, and accurate, and I consent to and authorize the use of my private
data as described in the enclosed BND Match Instructions.
• If I am submitting private data belonging to another individual, I certify that I am providing such private data with the knowledge and
permission of such individual.
SIGNATURE
Signature of Participant Date (mm/dd/yyyy)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

BND Match Instructions

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 15 December 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document