GP 55229 Page 1 of 2 (Spanish SP 1037) 08/2008
110
Mailing Address:
Des Moines, IA 50392-0002
Principal Life
Insurance Company
UTMA Beneficiary
Designation
Company Name Account/Unit Number
Employee Information
Your name (last, first, middle initial) Social security number
NOTE: This form is a supplement to Employee Enrollment and Waiver.
Minor Beneficiary UTMA: ONLY COMPLETE IF THE BENEFICIARY LISTED IS A MINOR.
If any proceeds become payable to a beneficiary who is then a “minor” as defined in the applicable Uniform Transfers
to Minors Act, as specified herein, such proceeds shall be paid to
(Name)
(Address)
as custodian for such beneficiary:
(Check One Only) See instructions on Page 2.
under the Iowa Uniform Transfers to Minor Act.
under the Uniform Transfers to Minor Act of the state where the beneficiary shall reside at the time of payment. In the event
the beneficiary resides in California or Ohio at the time of payment, the custodianship is to continue until the beneficiary
reaches the age of
for California (insert 18, 19, 20, 21, 22, 23, 24 or 25) or
for Ohio (insert 18, 19, 20 or 21).
In the event a substitute custodian is needed, the following is/are nominated, in the order named:
Name Address
Name Address
If no state is specified (by name or description) above, or if the state so specified has not enacted the Uniform Transfers to
Minors Act, or if the law of the state so specified does not provide for such payment to a custodian, the custodianship shall be
established under the Iowa Uniform Transfers to Minors Act. If the specified Uniform Transfers to Minors Act would require the
beneficiary's custodianship to terminate at or before the time of payment, the proceeds payable to that beneficiary shall be paid
to the beneficiary rather than to a custodian.
Signature
Read important instructions on Page 2 before signing.
Signature of employee Date signed
Note: make a copy of Page 1 for your records and distribute copy to employee.
Print
GP 55229 Page 2 of 2 08/2008
Minor Beneficiary UTMA Instructions Please Note the Following:
1. You may wish to consult with your attorney about the completion of this beneficiary designation. The following comments
are of a general nature and are not intended to be legal advice, or to substitute for legal advice.
2. Naming a custodian and substitutes. A custodian must be named in the blank following the words "paid to" in the
designation. It is strongly recommended that you also name at least one (and preferably two or more) substitute custodians
on the lines provided for that purpose. A substitute custodian would serve if, at the time of payment, the first-named
custodian is deceased or otherwise unable or unwilling to serve. The custodian (and each substitute) listed on the
beneficiary designation should be either: (1) an individual who is now an adult; or (2) a trust company, such as a financial
institution with a trust department.
3. Specifying the state law. You may specify that the custodianship be established under the Iowa Uniform Transfers to
Minors Act, regardless of where the minor lives. Principal Life Insurance Company is based in Iowa and therefore may
transfer funds to a custodian in any state for the benefit of a minor in any state if the beneficiary designation specifies that
the transfer shall be made under the Iowa Uniform Transfers to Minors Act. The Iowa Uniform Transfers to Minors Act
defines a "minor" as an individual who has not reached age 21.
Alternatively, you may specify that the custodianship be established under the law of whatever state the beneficiary may
live in at the time of payment. If this happens to be a state that has not enacted the Uniform Transfers to Minors Act, the
designation specifies that the custodianship will be established under the Iowa Uniform Transfers to Minors Act. (As of
early 1996, all but 5 states had enacted the Uniform Transfers to Minors Act.) If there is a possibility that the minor
beneficiary will live in California or Ohio at the time of payment, you may wish to fill in one or both of the blanks specifying
the age at which the custodianship is to terminate (see below). The ability to specify such an age in the beneficiary
designation is a unique feature of the Ohio and California Uniform Transfers to Minors Acts.
The state specified in the designation may affect the age at which the beneficiary will have control of the money. Under the
Uniform Transfers to Minors Act as enacted in many states, a custodianship created pursuant to a beneficiary designation
terminates when the beneficiary reaches the legal age of majority (usually 18), even though custodianships created
pursuant to a lifetime gift may terminate at a later age. However, under the Iowa Uniform Transfers to Minors Act, and in a
few states, a custodianship created pursuant to a beneficiary designation continues until the beneficiary reaches age 21.
As noted above, custodian nominations under the California Uniform Transfers to Minors Act may specify an age (up to the
age of 25) for the custodianship to terminate. If no age is specified, the California custodianship will terminate at age 18.
Custodianships under the Ohio Transfers to Minors Act terminate at age 21 unless the beneficiary designation specifies
that it will terminate at age 18, 19 or 20.