Forms Center

Advanta IRA serves clients across the nation.

Please select an office nearest you to open an account. If you are an existing client, be sure to download forms from the location at which your account is held.

Please use the forms below to open an account, make changes to an existing account, or instruct Advanta IRA to purchase an investment with your self-directed plan.

Please note, if you have been talking to an Advanta IRA representative about opening an account, it is important to download and mail account forms to that particular office.  Be sure to double-check the office address before mailing your forms.

DOWNLOAD FLORIDA FORMS

Open a New Account

To open a new account, complete the appropriate forms below and submit the signed originals to our office, along with a legible copy of your driver’s license. Depending on the account type, there may be an additional form needed to submit with the application.

Please contact our office if you have questions.

  • GENERAL APPLICATION (PDF)
    This application packet includes all forms necessary to open a traditional, Roth, SIMPLE or SEP IRA. (**Supplementary forms are needed to open a SEP or SIMPLE IRA. Please download the appropriate form listed below and submit with the General Application Form.)
  • SUPPLEMENTARY FORMS TO OPEN A SEP IRA (PDF)
    Include this form with your General Application to open a SEP IRA.
  • SUPPLEMENTARY FORMS TO OPEN A SIMPLE IRA (PDF)
    Include this form with your General Application to open a SIMPLE IRA.
  • INDIVIDUAL 401(k) APPLICATION (PDF)
  • ESA APPLICATION (PDF)
    Use this form to open an education savings account (ESA). A signed Fee Schedule must be included when submitting this application.
  • HSA APPLICATION (PDF)
    Use this form to open a health savings account (HSA).
  • FUTURES-FOREX APPLICATION (PDF)
  • FEE SCHEDULE (PDF)
    Please complete this form and include it with your new application.
  • TRANSFER FORM (PDF)
    Use this form to request a direct transfer of funds from your current custodian. Please remember to include a copy of a recent statement.
  • ROLLOVER/DIRECT ROLLOVER CERTIFICATION (PDF)
    This form must be included to document a direct rollover from an employer’s plan (401k and 403b) or to document a 60-day rollover from another IRA. You must contact your other custodian to initiate the rollover.
  • INTERESTED PARTY DESIGNATION (PDF)
    Use this form to name an individual who may contact us and receive information regarding your account. Please note that this form must be completed to allow a spouse or financial advisor to receive any information regarding your account. This form DOES NOT give the named party the ability to direct any activity within your account.
Make a New Investment

The forms below must be completed and signed by the IRA owner and sent to Advanta IRA via fax or email to initiate the purchase of a new investment. An Advanta IRA representative will contact you if additional documents are required to process the investment purchase.

  • REAL ESTATE (PDF)
    Raw land, rental property, commercial property, mobile homes, tax liens, tax deeds
  • NOTES (PDF)
    Mortgages, deeds of trust, unsecured notes, debentures, equity participation
  • PRIVATE PLACEMENTS (PDF)
    LLCs, LLPS, private stock, trusts, CDs
  • PRECIOUS METALS (PDF)
    Physical gold, silver or platinum
Maintain Your Account

The following forms are used to make changes to an existing Advanta IRA account. These forms must be completed by the account owner and can be faxed or emailed to our office.

  • BENEFICIARY CHANGE (PDF)
    Use to make a change to the named beneficiaries on your account. Please note that if naming a trust as a beneficiary, you must supply either an excerpt of the trust, or the first and last pages of the trust.
  • CHANGE OF ADDRESS (PDF)
    Use this form to change your address, phone number, or email address on file with Advanta IRA. When changing your physical or mailing address, please include a copy of a utility bill, cable bill, driver’s license, or a recent bank statement.
  • DEPOSIT COUPON (PDF)
    This form must be completed in order for us to accept funds into your account.
  • DISTRIBUTION FORM (PDF)
    Use this form to make a withdrawal from your traditional, Roth, SEP, SIMPLE, HSA or ESA account.
  • FAIR MARKET VALUATION FORM (PDF)
    This form is used to update Advanta IRA as to the proper Fair Market Value (FMV) of assets held within your self-directed account. Upon completion the form may be faxed back to our office. NOTE: This form cannot be used to adjust the valuation of an asset that will be either distributed to you personally or converted to a Roth IRA account. FMV Form Instructions
  • INTERESTED PARTY DESIGNATION (PDF)
    Use this form to name an individual who may contact us and receive information regarding your account. Please note that this form must be completed to allow a spouse or financial advisor to receive any information regarding your account. This form DOES NOT give the named party the ability to direct any activity within your account.
  • LIMITED POWER OF ATTORNEY (PDF)
    Use this form to nominate an individual who will have the ability to make investments and decisions regarding your account. This form must be notarized for your signature, and will not give the named individual the ability to direct distributions or transfers out of your account.
  • PARTICIPATION REQUEST FORM (PDF)
    Use this form to make a withdrawal from your individual 401(k) account.
  • PAYMENT AUTHORIZATION (PDF)
    Use this form to instruct Advanta IRA to make a payment out of your account relating to an asset already owned within your account. Please also attach a copy of the invoice or bill relating to the payment to be made. This form cannot be used to direct Advanta to purchase a new investment.
  • ROLLOVER/DIRECT ROLLOVER CERTIFICATION (PDF)
    This form must be included to document a direct rollover from an employer’s plan (401k and 403b) or to document a 60-day rollover from another IRA. You must contact your other custodian to initiate the rollover.
  • ROTH CONVERSION (PDF)
    This form can be used to transfer funds or assets from your traditional, SEP or SIMPLE IRA into a Roth IRA. If converting an asset, additional paperwork is required to transfer or re-register the asset.
  • SALE AUTHORIZATION (PDF)
    Complete this form to begin the process of selling an investment within your account. Additional documentation may be required to complete the sale of the asset.
  • TRANSFER FORM (PDF)
    Use this form to request a direct transfer of funds from your current custodian. Please remember to include a copy of a recent statement.
Fee Schedule
  • FEE SCHEDULE (PDF)
    Please complete this form and include it with your new application.

DOWNLOAD GEORGIA FORMS

Open a New Account

To open a new account, complete the appropriate forms below and submit the signed originals to our office, along with a legible copy of your driver’s license. Depending on the account type, there may be an additional form needed to submit with the application.

  • GENERAL APPLICATION (PDF)
    This application packet includes all forms necessary to open a traditional, Roth, SIMPLE or SEP IRA. (**Supplementary forms are needed to open a SEP or SIMPLE IRA. Please download the appropriate form listed below and submit with the General Application Form.)
  • SUPPLEMENTARY FORMS TO OPEN A SIMPLE IRA (PDF)
    Include this form with your General Application to open a SEP IRA.
  • SUPPLEMENTARY FORMS TO OPEN A SEP IRA (PDF)
    Include this form with your General Application to open a SIMPLE IRA.
  • INDIVIDUAL 401(k) APPLICATION (PDF)
  • ESA APPLICATION (PDF)
    Use this form to open an education savings account (ESA).  A signed Fee Schedule must be included when submitting this application.
  • HSA APPLICATION (PDF)
    Use this form to open a health savings account (HSA).
  • FUTURES-FOREX APPLICATION (PDF)
  • FEE SCHEDULE (PDF)
    Please complete this form and include it with your new application.
  • TRANSFER FORM (PDF)
    Use this form to request a direct transfer of funds from your current custodian. Please remember to include a copy of a recent statement.
  • ROLLOVER/DIRECT ROLLOVER CERTIFICATION (PDF)
    This form must be included to document a direct rollover from an employer’s plan (401k and 403b) or to document a 60-day rollover from another IRA. You must contact your other custodian to initiate the rollover.
  • INTERESTED PARTY DESIGNATION (PDF)
    Use this form to name an individual who may contact us and receive information regarding your account. Please note that this form must be completed to allow a spouse or financial advisor to receive any information regarding your account. This form DOES NOT give the named party the ability to direct any activity within your account.
Make a New Investment

The forms below must be completed and signed by the IRA owner and sent to Advanta IRA via fax or email to initiate the purchase of a new investment. An Advanta IRA representative will contact you if additional documents are required to process the investment purchase.

  • REAL ESTATE (PDF)
    Raw land, rental property, commercial property, mobile homes, tax liens, tax deeds
  • NOTES (PDF)
    Mortgages, deeds of trust, unsecured notes, debentures, equity participation
  • PRIVATE PLACEMENTS (PDF)
    LLCs, LLPs, private stock, trusts, CDs
  • PRECIOUS METALS (PDF)
    Physical gold, silver or platinum
Maintain Your Account

The following forms are used to make changes to an existing Advanta IRA account. These forms must be completed by the account owner and can be faxed or emailed to our office.

  • BENEFICIARY CHANGE (PDF)
    Use to make a change to the named beneficiaries on your account. Please note that if naming a trust as a beneficiary, you must supply either an excerpt of the trust, or the first and last pages of the trust.
  • CHANGE OF ADDRESS (PDF)
    Use this form to change your address, phone number, or email address on file with Advanta IRA. When changing your physical or mailing address, please include a copy of a utility bill, cable bill, driver’s license, or a recent bank statement.
  • DEPOSIT COUPON (PDF)
    This form must be completed in order for us to accept funds into your account.
  • DISTRIBUTION FORM (PDF)
    Use this form to make a withdrawal from your traditional, Roth, SEP, SIMPLE, HSA or ESA account.
  • FAIR MARKET VALUATION FORM (PDF)
    This form is used to update Advanta IRA as to the proper Fair Market Value (FMV) of assets held within your self-directed account. Upon completion the form may be faxed back to our office. NOTE: This form cannot be used to adjust the valuation of an asset that will be either distributed to you personally or converted to a Roth IRA account. FMV Form Instructions
  • INTERESTED PARTY DESIGNATION (PDF)
    Use this form to name an individual who may contact us and receive information regarding your account. Please note that this form must be completed to allow a spouse or financial advisor to receive any information regarding your account. This form DOES NOT give the named party the ability to direct any activity within your account.
  • LIMITED POWER OF ATTORNEY (PDF)
    Use this form to nominate an individual who will have the ability to make investments and decisions regarding your account. This form must be notarized for your signature, and will not give the named individual the ability to direct distributions or transfers out of your account.
  • PARTICIPATION REQUEST FORM (PDF)
    Use this form to make a withdrawal from your individual 401(k) account.
  • PAYMENT AUTHORIZATION (PDF)
    Use this form to instruct Advanta IRA to make a payment out of your account relating to an asset already owned within your account. Please also attach a copy of the invoice or bill relating to the payment to be made. This form cannot be used to direct Advanta to purchase a new investment.
  • ROLLOVER/DIRECT ROLLOVER CERTIFICATION (PDF)
    This form must be included to document a direct rollover from an employer’s plan (401k and 403b) or to document a 60-day rollover from another IRA. You must contact your other custodian to initiate the rollover.
  • ROTH CONVERSION (PDF)
    This form can be used to transfer funds or assets from your traditional, SEP or SIMPLE IRA into a Roth IRA. If converting an asset, additional paperwork is required to transfer or re-register the asset.
  • SALE AUTHORIZATION (PDF)
    Complete this form to begin the process of selling an investment within your account. Additional documentation may be required to complete the sale of the asset.
  • TRANSFER FORM (PDF)
    Use this form to request a direct transfer of funds from your current custodian. Please remember to include a copy of a recent statement.
Fee Schedule
  • FEE SCHEDULE (PDF)
    Please complete this form and include it with your new application.