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The Bright Start Withdrawal Request form is an essential tool for participating in the Bright Start College Savings Program. Designed to facilitate the withdrawal process from your college savings account, this form allows you to access funds needed for qualified educational expenses while also providing important instructions on how to properly submit your request. You can choose to submit this request online or send a physical form to the designated address in Lincoln, Nebraska. It collects vital account information, including the account owner and beneficiary's details, and requires you to specify the type of withdrawal—either a qualified or non-qualified withdrawal. Knowing the difference is crucial, as it affects tax implications and eligibility for educational expenses. The form also provides clear options for payment instructions, whether you prefer a check or an electronic funds transfer to your bank account. Additionally, it outlines the necessary authorizations and certification that you'll need to complete, ensuring compliance with federal and state tax regulations. With a helpful contact number for inquiries and detailed guidelines on completing each section, the Bright Start Withdrawal Request form empowers account holders to manage their savings effectively while paying for education-related costs.

Bright Start Withdrawal Request Example

Withdrawal Request Form

You can also request a withdrawal online at BrightStart.com

Return this Form to:

Overnight Mail:

Bright Start College

Bright Start College

Savings Program

Savings Program

P.O. Box 85298

3606 South 48th Street

Lincoln, NE 68501

Lincoln, NE 68506

If you have questions, please call us at 877.432.7444, Monday–Friday, 7 a.m. to 7 p.m. (Central).

1.Current Account Information

Account Number:

Account Owner Legal Name (First, M.I., Last):

Account Owner Social Security Number or Taxpayer Identification Number:

Daytime Phone Number:

Beneficiary Legal Name (First, M.I., Last):

Beneficiary Social Security Number or Taxpayer Identification Number:

2.Type of Withdrawal (Please check only one box)

See the Program Disclosure Statement for a general explanation of Qualified and Non-Qualified Withdrawals and possible tax and penalty considerations. Consult your tax advisor, the IRS, or Illinois Department of Revenue.

Qualified Withdrawal

IRS Publication 970 defines qualified education expenses as follows: These are expenses related to enrollment or attendance at an eligible educational institution. As shown in the following list, to be qualified, some of the expenses must be required by the institution and some must be incurred by students who are enrolled at least half-time.

1.The following expenses must be required for enrollment or attendance of a Designated Beneficiary at an eligible educational institution.

a.Tuition and fees.

b.Books, supplies, and equipment.

2. Expenses for special needs services needed by a special needs beneficiary must be incurred in connection with

enrollment or attendance at an eligible educational institution.

3. Expenses for room and board must be incurred by students who are enrolled at least half-time. The expense

for room and board qualifies only to the extent that it is not

more than the greater of the following two amounts.

a. The allowance for room and board, as determined by the eligible educational institution, that was included in

the cost of attendance (for federal financial aid purposes) for

a particular academic period and living arrangement

of the student.

 

b. The actual amount charged if the student is residing in housing owned or operated by the eligible

educational institution.

 

You will need to contact the eligible educational institution for qualified room and board costs.

4.The purchase of computer or peripheral equipment, computer software, or Internet access and related services if it is to be used primarily by the beneficiary during any of the years the beneficiary is enrolled at an eligible educational institution. (This does not include expenses for computer software for sports, games, or hobbies unless the software is predominately educational in nature.)

Non-Qualified Withdrawal

 

The withdrawal will not be used for the qualified

higher education expenses of the designated Beneficiary.

NOTE: The earnings portion of a Non-Qualified

Withdrawal is subject to federal and state income tax, as well as an

additional 10% federal penalty tax, and the recapture of any previous Illinois tax deductions taken for the contribution

portion of the withdrawal.

 

Taxable Distribution due to: (Check Box A, B, C, or D)

A. Death of the Beneficiary

C. Beneficiary’s Attendance at a United States Military Academy

B. Disability of the Beneficiary

D. Scholarship Awarded to the Beneficiary

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Dollar Amount
$
$
$
$
$
$ 0.00

3.Amount of Withdrawal

Total Account Balance

 

Total Account Balance and Close Account

Partial Liquidation: (Check Box A or B)

A. Partial Liquidation in the Amount of $

(This withdrawal amount will be liquidated pro-rata based on the current balances in my Account) B. Partial Liquidation from Specific Portfolios

529 Portfolio

Total Withdrawal Amount:

4.Payment Instructions (Check Box A or B)

A. Check Payable to: (Check one)

Account Owner (check sent to the address on record)

Proceeds of this withdrawal will be used at an institution of higher education: (Check one)

Yes Name of School:City, State:

No

Beneficiary – A check payable to the Designated Beneficiary listed in Section 1 will be mailed to the following address: Street Address:

City, State, ZIP:

Institution of Higher Education (please attach copy of invoice or billing statement from institution) Name of Institution:

Department or Office:

Street Address:

City, State, ZIP:

Student ID Number:

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4.Payment Instructions (continued from previous page)

B. Electronic Funds Transfer: (Check one)

To Account Owner’s Bank Account on File

Bank Name:

Bank Account Number:

To Account Owner’s Bank Account Not on File with Bright Start (complete below bank information)

•  Please have your signature Medallion-guaranteed in Section 6.

Name(s) on Bank Account:

 

 

If this bank account is a joint account, please

 

 

Your Name

1234

list the 529 account owner.

 

 

Account Type:

 

 

Checking

 

 

Savings

 

 

 

 

 

 

 

•  This bank account will be linked to your Bright Start College Savings Program Account for telephone and website purchase and redemption/ withdrawal transactions.

the order of

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

PREPRINTED$

 

Pay to

 

YOUR

 

 

 

 

 

 

 

 

 

 

TAPE

 

 

OR

SAVINGSDollars

 

 

 

 

CHECK

 

 

 

.

Sample

 

 

 

SLIP

HERE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BankVOIDEDName and Address

DEPOSIT

 

 

 

 

 

 

 

ACCOUNT

 

 

 

 

 

 

 

 

Memo

 

 

 

 

 

 

 

 

 

 

 

 

 

:123456789:

 

34568:

 

 

 

 

 

 

 

 

NOTE: Distributions to a Beneficiary or Institution of Higher Education for the benefit of on IRS Form 1099-Q under the Social Security Number or Taxpayer Identification Number distributions will be reported under the Social Security Number or Taxpayer Identification

the Beneficiary will be reported of the Beneficiary. All other Number of the Account Owner.

5.Authorization

I understand that the tax treatment of a withdrawal needs to be coordinated with the American Opportunity and Lifetime Learning Credits, the Tuition and Fees Deduction, Coverdell Education Savings Account distributions, and all other education related benefits. For specific tax guidance, I will consult with my tax professional.

By signing this form, I certify that I am the Account Owner of the Account indicated in Section I and that the information contained on this withdrawal form is true, complete, and correct. I authorize the Program Manager to make this distribution from my Account as indicated. I assume sole responsibility for the tax consequences of the above election and understand that the earnings portion of a Non-Qualified Withdrawal is subject to federal and state income tax, as well as an additional 10% federal penalty tax, and the recapture of any previous Illinois tax deductions taken for the contribution portion of the withdrawal.

By selecting the electronic transfer service in Section 4, I acknowledge that the bank account in Section 4 will be linked to my Bright Start Account, and I hereby authorize Union Bank & Trust Company to initiate debit and/or credit entries to the bank account indicated above, and the bank indicated above to debit the same amount. I acknowledge that the referenced bank account will be linked to my Bright Start College Savings Program Account so that I may purchase or sell shares by telephone or online at BrightStartSavings.com. This authority is to remain in full force and effect until Union Bank & Trust Company has received notification from me of its modification or termination in such time as to afford Union Bank & Trust Company reasonable time to act on it. I understand that if a transaction cannot be made because of insufficient funds or because either account has been closed, this service will be cancelled by Union Bank & Trust Company. I acknowledge that the origination of Automated Clearing House (“ACH”) transactions to my account must comply with the provisions of applicable law. I further agree that if my draft is dishonored for any reason, with or without cause, Union Bank & Trust Company will not bear any liability. Union Bank & Trust Company may correct any transaction errors with a debit or credit to my financial institution account and/or my Bright Start College Savings Program Account. (Please retain a copy of this authorization for your records.)

I understand that it is my responsibility to maintain accurate records as may be required by the IRS to substantiate this distribution for tax purposes.

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6.Authorization (continued from previous page)

Signature and Date Required

X

Signature of Account Owner, Custodian (UGMA/UTMA Accounts), or Trustee

Date

Print Name Here

Title (if other than an individual is establishing the Account)

If the Account Owner is a trust and there is more than one trustee, the additional trustee must sign here.

X

Signature of Co-Trustee

Print Name Here

Date

7.Medallion Signature Guarantee

Medallion Signature Guarantee is Required if:

•  The address of record has changed within 15 days of the withdrawal request.

•  The bank account information in Section 5 is not already on file with the Bright Start College Savings Program. •  The withdrawal request is greater than $50,000

MEDALLION SIGNATURE GUARANTEE

Signature must be stamped with a Medallion

Signature Guarantee by a qualified financial

 

 

institution, such as a commercial bank,

 

savings and loan, U.S. stock broker and

 

security dealer, or credit union, that is

 

participating in an approved Medallion

 

Signature Guarantee program.

 

(A NOTARY PUBLIC CANNOT PROVIDE A

 

SIGNATURE GUARANTEE)

Note to Guarantor:

Medallion imprints must be fully legible and must not be dated or annotated.

Trustee & Administrator

Program Manager

June 2019

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File Breakdown

Fact Name Description
Form Title The document is officially referred to as the Bright Start Withdrawal Request Form, which facilitates the process of withdrawing funds from the Bright Start College Savings Program.
Submission Method Users can submit the Withdrawal Request Form either by mail to a specified address or online at BrightStart.com.
Contact Information For inquiries, individuals can call Bright Start at 877.432.7444, available Monday through Friday from 7 a.m. to 7 p.m. Central Time.
Account Information The form requires specific details such as the account number, legal names, and Taxpayer Identification Numbers for both the account owner and beneficiary.
Withdrawal Types There are two types of withdrawals listed: Qualified Withdrawals, which are for specific education-related expenses, and Non-Qualified Withdrawals, which may incur taxes and penalties.
Qualified Withdrawal Definition According to IRS Publication 970, qualified withdrawals cover expenses like tuition, books, and certain room and board costs at eligible educational institutions.
Non-Qualified Withdrawal Consequences The earnings portion of a non-qualified withdrawal is subject to federal and state income tax and an additional 10% federal penalty tax, in addition to recapture of any previous Illinois tax deductions.
Payment Instructions The form includes options for the method of payment, either by check to the account owner or beneficiary, or through an electronic funds transfer.
Signature Requirement The account owner must sign and date the form to authorize the withdrawal. Additionally, a Medallion Signature Guarantee may be required under certain circumstances, such as a change of address or large withdrawal amounts.

Guide to Using Bright Start Withdrawal Request

Once the Bright Start Withdrawal Request form has been completed, it is important to review the provided information carefully before submitting it as incorrect details may lead to delays in processing. After the form is filled out, send it to the appropriate address for processing. Follow the steps outlined below to ensure accurate completion of the form.

  1. Provide Current Account Information:
    • Enter your Account Number.
    • Write your Legal Name (First, M.I., Last).
    • Include your Social Security Number or Taxpayer Identification Number.
    • State your Daytime Phone Number.
    • Input the Beneficiary's Legal Name (First, M.I., Last).
    • Add the Beneficiary's Social Security Number or Taxpayer Identification Number.
  2. Select Withdrawal Type:
    • Check the box for either Qualified Withdrawal or Non-Qualified Withdrawal.
    • If Non-Qualified, check the appropriate box for the reason of Taxable Distribution (A, B, C, or D).
  3. Indicate Amount of Withdrawal:
    • Choose between Total Account Balance, Total Account Balance and Close Account, or Partial Liquidation.
    • If Partial Liquidation, specify the amount or select specific portfolios.
  4. Choose Payment Instructions:
    • Check Box A or B for how you want to receive the funds.
    • If selecting a check, specify whether it should go to the Account Owner or Beneficiary.
    • If opting for Electronic Funds Transfer, provide your bank details and ensure signature Medallion guarantee if necessary.
  5. Authorization:
    • Read the terms and conditions outlined in the section.
    • Sign and date the form where indicated.
    • If applicable, co-trustees should also sign.
  6. Medallion Signature Guarantee:
    • If any specific conditions apply (e.g., address changes, large withdrawal), obtain a Medallion Signature Guarantee.

Upon completing these steps and ensuring all required information is provided, you may mail the form to the designated address or choose to request a withdrawal through the provided online portal.

Get Answers on Bright Start Withdrawal Request

1. What is the Bright Start Withdrawal Request Form?

The Bright Start Withdrawal Request Form is a necessary document for individuals wishing to withdraw funds from their Bright Start College Savings Program account. This form allows account owners to specify the amount they wish to withdraw, the type of withdrawal—whether qualified or non-qualified—and provides essential account information. Submission can be done by mail or online via BrightStart.com.

2. How do I submit the Withdrawal Request Form?

You can submit your Withdrawal Request Form either by mail or electronically. If mailing, send it to:

  1. Overnight Mail: Bright Start College Savings Program, 3606 South 48th Street, Lincoln, NE 68506
  2. Regular Mail: Bright Start College Savings Program, P.O. Box 85298, Lincoln, NE 68501

To withdraw online, simply visit BrightStart.com and follow the prompts to request your withdrawal.

3. What information do I need to provide on the form?

The form requires several key pieces of information, including:

  • Your account number
  • Your legal name and Social Security Number (SSN) or Taxpayer Identification Number (TIN)
  • Daytime phone number
  • Beneficiary's name and SSN or TIN

Completing this information accurately will ensure prompt processing of your request.

4. What types of withdrawals can I request?

The Bright Start program allows for two main types of withdrawals: qualified and non-qualified. A qualified withdrawal is used for education-related expenses, such as tuition, fees, books, and certain technology. Non-qualified withdrawals are those that do not meet these stipulations and may incur taxes and penalties. Review the Program Disclosure Statement for detailed criteria regarding each type.

5. What are the tax implications of a non-qualified withdrawal?

When you make a non-qualified withdrawal, the earnings portion is subject to federal and state income tax. Additionally, it incurs a 10% federal penalty tax. Moreover, if you’ve benefited from any state tax deductions based on your contributions, you may need to repay those as well. It’s advisable to consult with a tax professional for personalized guidance.

6. Can I request a partial withdrawal, and how?

Yes, you can request a partial withdrawal. The form allows you to specify either a fixed dollar amount or a withdrawal from specific portfolios. If you choose a fixed amount, that withdrawal will be calculated based on the current balance in your account.

7. How will my withdrawal be paid out?

You can select your preferred method of payment by marking options on the form. Payments can be made to either the account owner, the beneficiary, or directly to an educational institution. You also have the option to choose an electronic funds transfer to your bank account.

8. What should I do if my address or bank account information has changed?

If your address or bank account has changed within the last 15 days, you will need to provide a Medallion Signature Guarantee on the form. This is a protective measure required when making changes to ensure that your request is secure and legitimate. A qualified financial institution can provide this guarantee, but notary services will not be accepted.

Common mistakes

Filling out the Bright Start Withdrawal Request form can seem straightforward, but many people make common mistakes that can cause delays or complications. It’s important to pay attention to detail to ensure a smooth withdrawal process.

One frequent error occurs in the Account Owner Legal Name section. Many people forget to include middle initials or mistakenly provide incorrect spellings. Even a small oversight can result in difficulties when verifying your identity, so always double-check the accuracy of names.

Another mistake involves the Beneficiary Social Security Number. It's crucial to ensure that this number matches exactly what is on the beneficiary's official documents. Mismatches can lead to issues with your withdrawal request, including delays or rejection of the form.

Sometimes, individuals overlook the Payment Instructions section. Failing to specify how the funds should be sent can hold up your request significantly. Anyone filling out the form should be sure to check either the option for a check or an electronic funds transfer and fill in the necessary details accurately.

Inaccurate selection of the Type of Withdrawal is another common error. Participants may check the wrong box, indicating a qualified instead of a non-qualified withdrawal—or vice versa. Understanding the implications of these choices is critical, especially considering tax consequences.

Including the wrong Dollar Amount is a prevalent issue, particularly when opting for partial liquidations. It’s essential to clearly indicate whether the withdrawal is a total account balance or a specific dollar amount and ensure that this is precisely calculated.

Another oversight concerns the requirement for a Medallion Signature Guarantee. If your situation meets the criteria listed on the form, such as changes in address or withdrawal amounts over $50,000, neglecting this requirement may result in an automatic rejection of the request.

Additionally, some people fail to attach necessary documentation, especially when indicating that funds will be used for education purposes. Providing proof such as an invoice or billing statement is crucial to avoid any unnecessary complications.

Finally, ensure the signatures are complete. Missing signatures or dates can lead to significant delays, so take the time to review the form carefully. Instilling a habit of thoroughness when filling out official documents can save you a lot of hassle.

Documents used along the form

The Bright Start Withdrawal Request form is an essential document for individuals looking to withdraw funds from their college savings accounts. Besides this form, several other documents and forms may be encountered during this process. Understanding these documents can help streamline your withdrawal experience and ensure all necessary steps are taken. Here’s a closer look at some commonly used forms that may accompany your withdrawal request.

  • Account Verification Form: This document confirms the identity of the account owner and the beneficiary. It may be required if there have been recent changes to account details or if the account is being accessed for the first time.
  • Qualified Withdrawal Documentation: To verify that the withdrawal is for qualified educational expenses, this documentation could include invoices, tuition bills, or receipts from the educational institution the beneficiary is attending.
  • Tax Form (IRS Form 1099-Q): This form reports distributions from qualified tuition programs. It is typically issued by the plan and is necessary for tax filing purposes, ensuring that any taxes owed on earnings can be accurately calculated.
  • Change of Address Form: If the account owner or beneficiary has moved since establishing the account, this form updates contact information. Keeping your address current helps ensure that communication and funds are sent to the correct location.
  • Medallion Signature Guarantee: This guarantee is often required if the withdrawal amount exceeds a certain threshold or if there have been changes to banking details recently. A financial institution provides this service to verify the authenticity of the account owner’s signature.
  • Withdrawal Confirmation Receipt: After the withdrawal request is processed, this receipt serves as confirmation that the transaction has been completed, providing a record for both the account holder and the financial institution.

Filling out the Bright Start Withdrawal Request form correctly—and having the appropriate accompanying documents ready—can make the process smoother. Always remember to double-check the requirements specific to your account to avoid any delays. If you have questions along the way, don't hesitate to reach out for assistance. Education savings are vital, so ensure you navigate this process with clarity and confidence!

Similar forms

  • Account Opening Form: Similar to the Bright Start Withdrawal Request form, this document collects personal information about the account owner and beneficiary. It requires identification details and verifies financial information necessary for establishing an account.
  • Change of Beneficiary Form: Like the withdrawal request, this form allows the account owner to submit crucial personal information. It serves to inform the program of a change in the designated beneficiary.
  • Distribution Request Form: This is used to request distributions from a college savings account, similar to the withdrawal request. It outlines the amount distributed and the payment instructions for the funds.
  • Account Closure Form: This form is akin to the withdrawal request in that it details the account owner’s intention to close the account. It also gathers the necessary information to process any remaining funds.
  • Transfer Request Form: This document allows an account owner to transfer funds to another college savings plan. It shares similarities with the withdrawal request in its structure and the necessity for the owner’s verification.
  • Direct Deposit Authorization Form: This provides instructions for setting up direct deposits into an account. It collects banking information similarly to how the withdrawal request gathers payment instructions.
  • Medallion Signature Guarantee Form: This form is needed when significant transactions are requested, like high-value withdrawals. It ensures the identity of the account owner, much like the verification within the withdrawal request.
  • Tax Information Form: This document collects information for tax reporting purposes, similar to the withdrawal request that outlines tax consequences of withdrawals.
  • Educational Expense Certification Form: This form verifies expenses for tax purposes, paralleling the withdrawal request’s section on qualified educational expenses.
  • Withdrawal Adjustment Form: This is used to modify a previously requested withdrawal. Like the original withdrawal request, it requires the account details and the requestor's verification.

Dos and Don'ts

When filling out the Bright Start Withdrawal Request form, it is essential to follow proper guidelines to ensure a smooth application process. Below is a list of things you should and shouldn't do.

  • Do provide accurate and complete information.
  • Do check the box for the type of withdrawal you are requesting.
  • Do include the necessary documentation for the institution of higher education.
  • Do use a blue or black ink pen for clarity.
  • Do contact the institution for any specific amount needed for room and board.
  • Don't leave any required fields blank.
  • Don't forget to include your signature and the date.
  • Don't use a notary public for the Medallion Signature Guarantee.
  • Don't send the form without including any necessary invoices or statements.
  • Don't assume that previous information on file is still accurate—update any changes.

Following these guidelines can help facilitate a successful withdrawal request, ensuring your needs are met efficiently.

Misconceptions

  • Misconception 1: Only the account owner can complete the Bright Start Withdrawal Request form.
  • This is not accurate. While the account owner must sign the form, a custodian or trustee can fill out the information on behalf of the account owner, especially in cases involving UGMA/UTMA accounts or trusts.

  • Misconception 2: All withdrawals from the Bright Start College Savings Program are subject to taxes.
  • This is a misunderstanding. Withdrawals categorized as qualified withdrawals, which adhere to IRS guidelines for education expenses, are generally exempt from taxes. However, non-qualified withdrawals may incur federal and state income taxes, along with penalties.

  • Misconception 3: The withdrawal request must be submitted via mail only.
  • This misconception overlooks the option available for online requests. Account holders can conveniently initiate withdrawals through the BrightStart.com website, providing greater flexibility.

  • Misconception 4: The total amount of withdrawal must be taken all at once.
  • This is incorrect. Account holders have the option for partial liquidations, allowing for a specific amount to be withdrawn instead of the entire account balance. This can better accommodate financial planning needs.

  • Misconception 5: A Medallion signature guarantee is always required for every withdrawal request.
  • This is not true. A Medallion signature guarantee is only necessary under certain conditions, such as a change in address, new bank account information not on file, or if the withdrawal exceeds $50,000. Many requests can be processed without this additional step.

Key takeaways

When filling out and using the Bright Start Withdrawal Request form, consider the following key points:

  • Account Information: Ensure all required account details, including names and Social Security numbers, are accurate. Incorrect information may delay processing.
  • Withdrawal Type: Choose between a Qualified or Non-Qualified Withdrawal. This classification impacts tax consequences and eligibility for funds.
  • Qualified Withdrawal Criteria: Review the criteria for qualified expenses. Only specific educational expenses qualify, such as tuition, required books, and equipment.
  • Non-Qualified Withdrawals: Be aware that these may incur taxes and penalties. The earnings may be subject to a 10% federal penalty tax.
  • Multiple Withdrawal Options: You can opt for full account closure or partial liquidation. Define the amount clearly to avoid confusion.
  • Payment Instructions: Indicate whether to receive payment via check or electronic funds transfer. Verify that bank account details are correct if choosing the latter.
  • Signature Requirement: The form must be signed by the account owner. If applicable, the Medallion Signature Guarantee needs to be provided, which has specific conditions.
  • Tax Considerations: Consult a tax professional regarding the impact of withdrawals on tax obligations. Proper coordination with existing education-related tax benefits is essential.