Gp5479Us Template

Gp5479Us Template

The Gp5479Us form is a withdrawal request form for participants in John Hancock retirement plans, allowing them to take cash distributions or roll over funds. It is essential to understand the tax implications and penalties that may arise from cash distributions. For assistance in completing this form and to explore your options, click the button below.

Table of Contents

The GP5479US form is an essential tool for individuals considering a cash distribution from their retirement plan at John Hancock. This form provides a structured way to request withdrawals and outlines various options available to participants, such as rolling over funds to an IRA or a new employer-sponsored plan. When contemplating a cash distribution, it’s crucial to understand the potential tax implications and penalties that may arise. The form guides users through the necessary steps to make informed decisions about their retirement savings, whether due to job changes, retirement, or other reasons. Participants must complete specific sections of the form, and their plan representatives will review and finalize the request. Additionally, the GP5479US form includes important information about deadlines, processing times, and the need for supporting documents. By using this form, individuals can ensure that they are taking the right steps to manage their retirement funds effectively.

Gp5479Us Sample

Understand your withdrawal options

Whether you’re changing jobs or retiring, it’s important to understand your options so you can make an informed decision about what to do with your retirement plan savings at John Hancock. Read more about your choices and next steps, then complete the attached form – or give us a call. We’re here to help.

You have two ways to take action:

Call John Hancock at 1-888-695-4472

We’ll help answer questions about options available to you, such as1:

·Keeping the money in the Plan

·Moving the money to an IRA—including an IRA with John Hancock

·Moving the money to a new employer’s plan, if applicable

·Taking the money in cash2

We’ll introduce you to your plan’s financial professional, if applicable

We’ll help you complete the process, including filling out any paperwork

Work with your financial professional or do it yourself

Review your options with your financial professional1

Fill out the attached Withdrawal – Eligible for Rollover form

Return the form based on the instructions provided to you by your plan administrator

1 There are advantages and disadvantages to all rollover options; you are encouraged to review your options to determine if staying in a retirement plan, rolling over to an IRA, or another option is best for you. 2 Ordinary income taxes are due on withdrawal. Withdrawals before the age of 59½ may be subject to an early distribution penalty of 10%.

John Hancock Personal Financial Services, LLC (JHPFS) is an SEC registered investment adviser.

John Hancock Personal Financial Services, LLC, 200 Berkeley Street, Boston, MA 02116. NOT FDIC INSURED. MAY LOSE VALUE. NOT BANK GUARANTEED.

© 2023 John Hancock. All rights reserved.

Withdrawal – Eligible for Rollover

Have questions or need help?

Call 1-888-695-4472

We’re available Monday through Friday, from 8:30 a.m. to 7:00 p.m., Eastern time.

GP5479US (1/2026)

G-P 43791-GE 4/23-43791 RO0405232823002

{FResetBtn}Reset Form

Withdrawal - Eligible for Rollover

Important Information about this Form

Your plan may require you to provide supporting documents or additional information before your request can be processed.

As the participant, you complete Sections 1 - 7 of this form and return it to your Plan Representative.

As the Plan Representative, you review Sections 1 - 7, and complete Sections 8 - 10 of this form.

If the participant address provided below is new or different than what is currently on record with John Hancock, we will update our records accordingly. Ensure your next census submission includes revised employee information to avoid your file superseding the information supplied on this form.

A 1099R form will be issued for each distribution and loan default (if applicable) by January 31 of the following year and mailed to the Participant Address provided in Section 1 (or electronically delivered if previously elected by the participant).

This request is subject to the processing and procedure guidelines contained in John Hancock’s Administrative Guidelines for Financial Transactions (“AGFT”). The latest AGFT is available on the John Hancock plan sponsor website or you may contact your

John Hancock representative for a copy.

All changes must be initialed in pen (including items crossed out or changed using correction fluid).

1. General Information

The Trustee of

{Contractholder_name}

Plan (“the Plan”)

{ContractNum2}

Contractholder Name

 

 

 

 

 

Contract Number

{Participant_name}

 

 

 

{SSN}

 

Participant Name as displayed on your Social Security Card (Last Name, First Name, Initial)

 

 

Participant Social Security Number (Full SSN Required)

 

 

 

 

Date

 

{ppt_address}

 

 

 

of Birth {DCCIASec3EffectiveDate}

Participant Address – Street Address

 

 

 

 

 

 

 

Participant

{PhoneNumber}

 

{ppt_cszip}

 

Phone No.

 

City, State, Zip Code, Country

2. What is the reason for your withdrawal?

It is the responsibility of the Plan Administrator, and not of John Hancock, to ensure that the participant is permitted under the terms of the Plan to receive the distribution selected below.

Select one:

{F9}

{F11}

TE – Termination date {FTerminationDate} IR – Employee Money Transferred into Plan

(Must complete Section 3B)

{F13}

{F12}

RE – Retirement date {FRetirementDate} DI – Disability

{F15} VC – Employee Voluntary Money

{F16} PD Early/Pre-Retirement

(Must complete Section 3B)

(If permitted by the Plan)

Information about Deferred Distributions

Section 1102 of the Pension Protection Act of 2006 requires plans to notify participants that they have the right to defer distributions as well as the consequences of making that choice. The investment options available under your group annuity contract as well as the fees related to the investment options are part of this consideration.

For a description of the investment options available under your group annuity contract, including fees:

Log onto www.johnhancock.com/myplan.

Select: Your contract reports – Investments – Contract investment options and view Selected investment options only.

Alternatively, participants may obtain this information by calling 1-800-395-1113.

You should also review your plan's Summary Plan Description (SPD) which may contain special provisions that may materially affect your decision to defer a distribution. For a copy of the SPD, please contact your Plan Administrator.

GP5479US (1/2026)

Page 1 of 12

Manulife, Manulife Retirement, Stylized M Design, and Manulife Retirement & Stylized M Design are trademarks of The Manufacturers Life Insurance Company and John Hancock and the Stylized John Hancock Design are trademarks of John Hancock Life Insurance Company (U.S.A.). Each are used by it and by its affiliates under license.

© 2025 Manulife John Hancock Retirement. All rights reserved.

3. How much do you want to withdraw? Select  ONE option only

If no option is selected a TOTAL withdrawal will be processed.

The amounts or percentages below are subject to income tax withholding, as applicable.

A - {F17} Withdraw 100% of my vested account value

OR

B - {F18} Withdraw only a portion of the funds in my plan as follows - Tell us how much to withdraw from each eligible money type (Amount or Percentage). Completing the Investment Fund Code is optional. If the Investment Fund Code is left blank, John Hancock’s standard withdrawal order will be used.

Money Type

Investment Fund

Amount

 

Percentage

(Mandatory)

Code (Optional)

 

 

 

 

{PortionType1}

{PortionFund1}

${PortionAmt1}

OR

{PortionPct1}%

{PortionType2}

{PortionFund2}

${PortionAmt2}

{PortionPct2}%

 

{PortionType3}

{PortionFund3}

${PortionAmt3}

 

{PortionPct3}%

4. What do you want to do with your money?

Complete Section A to have your distribution payable to a single destination. For multiple destinations, complete Section B.

A - {F27} Send my payment to ONE destination – Elect one

{F28} Direct Rollover to an IRA or Roth IRA - Complete Section 5A or 5B

{F29}

{F30}

{F31}

{F32}

Direct Rollover to Employer Sponsored Qualified Plan - Complete Section 5C Payment Directly to Me - Complete Section 5D

Pay to the Plan Trustee for Deposit into the Plan’s Trust Account - A check will be mailed to the Trustee address on record with John Hancock unless EFT instructions are provided in Section 5C. Taxes will not be withheld and a 1099R Form will not be issued. The Plan Trustee will be responsible for implementing the participant's direction and performing the applicable withholding and reporting obligations. Continue to Section 6.

Leave my money in the Plan. You may defer your distribution to a later date. Consult your Plan Administrator. Continue to Section 6.

B - {F33} Send my payments to MULTIPLE destinations - If applicable, you may provide separate instructions for the taxable and non taxable money that make up your requested withdrawal.

IRC § 402(c)(2) will apply to any request withdrawing only a portion of the funds in your plan (Section 3B).

Unless you elect otherwise below, payments directly to you will be deemed to come first from non-taxable amounts (Non- Roth After-Tax contributions, then Roth contributions), followed by taxable amounts in this order: Non-Roth After-Tax earnings, Roth earnings, and Pre-Tax accounts.

Payments directly to you will be processed first. Any remaining funds will be directly rolled over to the appropriate rollover vehicle indicated below.

Your withdrawal will be processed in accordance with the time frame described in John Hancock’s Administrative

Guidelines.

GP5479US (1/2026)

Page 2 of 12

Manulife, Manulife Retirement, Stylized M Design, and Manulife Retirement & Stylized M Design are trademarks of The Manufacturers Life Insurance Company and John Hancock and the Stylized John Hancock Design are trademarks of John Hancock Life Insurance Company (U.S.A.). Each are used by it and by its affiliates under license.

© 2025 Manulife John Hancock Retirement. All rights reserved.

Split my payment as follows – Select all applicable options and complete the next section

{F36} Pre-Tax and Non-Roth After-Tax Accounts

{F34} Pay $ {TaxDollar}

or {TaxPercent8} % (elect one) directly to me with the remainder, if any, rolled over as

 

 

 

 

 

indicated below.

{F37} Roll over my non-taxable balance to:

{F38} Traditional IRA

{F39} Roth IRA

{F40}

(Section 5A)

(Section 5B)

 

{F41} Roll over my taxable balance to:

{F42} Traditional IRA

{F43} Roth IRA

{F44}

(Section 5A)

(Section 5B)

 

Employer-sponsored qualified plan

(Section 5C)

Employer-sponsored qualified plan

(Section 5C)

{F45} Roth Account

 

 

 

{F54}

Pay $ {TaxDollar7}

or {TaxPercent9} % (elect one) directly to me with the remainder, if any, rolled over as

 

 

 

 

 

 

 

indicated below.

 

 

 

Roll over my Roth Account to:

 

 

 

{F46}

Roth IRA

{F47} A designated Roth Account in an Employer-Sponsored Qualified Plan

 

(Section 5B)

 

(Section 5C)

5. Where do you want your money sent?

Select and complete option(s) A, B, C, and/or D (as applicable)

Federal law requires that 20% of the taxable amount of an eligible rollover distribution be withheld, unless payment is directly rolled over to an eligible retirement plan. The amount withheld may not represent your entire tax bill. The rollover will be reported to the IRS and you are responsible for the payment of the income tax(es) that apply in connection with the rollover. Please refer to the Special Tax Notice provided by your Plan Administrator regarding these tax rules. Contact your tax advisor or Plan Administrator if you have any questions.

{F48} A - Traditional IRA

{F51} Direct Rollover to the following John Hancock product. Your funds will be transferred automatically by wire. You must provide the account number. For more information contact John Hancock at 1-888-695-4472.

Elect one:

{F49}

{F53}

{F52}

John Hancock Investments Rollover IRA (RIRS)

Account Number: {AccNum1}

 

 

 

John Hancock Managed IRA (JHMI)

Account Number: {AccNum2}

 

 

 

John Hancock GIFL Rollover Variable Annuity IRA (GIFL)

Account Number: {AccNumG1}

 

 

 

OR

 

 

 

{F55} Direct Rollover to another Financial Institution

Account Number: {AccNum3}

 

 

{RO_ Inst_Name}

 

 

 

 

Financial Institution Name

 

 

 

 

{RO_ Inst_Addr}

 

 

 

 

Financial Institution Address – Street, City, State, Zip Code, Country

 

 

 

GP5479US (1/2026)

Page 3 of 12

Manulife, Manulife Retirement, Stylized M Design, and Manulife Retirement & Stylized M Design are trademarks of The Manufacturers Life Insurance Company and John Hancock and the Stylized John Hancock Design are trademarks of John Hancock Life Insurance Company (U.S.A.). Each are used by it and by its affiliates under license.

© 2025 Manulife John Hancock Retirement. All rights reserved.

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions provided by the Plan Trustee on file with John Hancock. Once you receive the check, you are then solely responsible for delivering the check to the other financial institution. John Hancock is not responsible for any losses you may incur after delivery of the check to you.

Estimated Delivery: • Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

Electronic Fund Transfer Details

{F59}Direct Deposit

OR

{F60} Wire – Verify with receiving bank if they accept wires and/or charge a fee

Provide Domestic Bank details:

 

 

{BankName}

 

 

 

Bank Name

 

 

 

{BankABA}

 

{BankAcctNo}

 

Bank ABA/Routing (9 digits)

 

Bank Account No.

{F64}For international banks, complete and attach the International Banking Instructions form.

{F65} B - Roth IRA

{F62} Direct Rollover to the following John Hancock product. Your funds will be transferred automatically by wire. You must provide the account number. For more information contact John Hancock at 1-888-695-4472.

Elect one:

{F66}

{F68}

{F69}

John Hancock Investments Rollover IRA (RIRS)

Account Number: {AccNumR1}

 

 

 

John Hancock Managed IRA (JMHI)

Account Number: {AccNumR2}

 

 

 

John Hancock GIFL Rollover Variable Annuity IRA (GIFL) Account Number: {AccNumRG1}

OR

 

 

 

{F72} Direct Rollover to another Financial Institution

Account Number: {AccNumR3}

 

 

{RO_ Inst_NameR}

 

 

 

 

Financial Institution Name

 

 

 

 

{RO_ Inst_AddrR}

 

 

 

 

Financial Institution Address – Street, City, State, Zip Code, Country

 

 

 

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions provided by the Plan Trustee on file with John Hancock. Once you receive the check, you are then solely responsible for delivering the check to the other financial institution. John Hancock is not responsible for any losses you may incur after delivery of the check to you.

Estimated Delivery: • Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

Electronic Fund Transfer Details

 

 

{F77}

Direct Deposit

OR

{F78} Wire – Verify with receiving bank if they accept wires and/or charge a fee

Provide Domestic Bank details:

 

 

{BankNameR}

 

 

 

Bank Name

 

 

 

{BankABAR}

 

{BankAcctNoR}

 

Bank ABA/Routing (9 digits)

 

Bank Account No.

{F82}

For international banks, complete and attach the International Banking Instructions form.

{F83} C - Employer Sponsored Qualified Plan

 

The Trustee of {Trustee_Name}

 

{PContractNum}

 

 

Plan Name

 

Plan Account Number

 

{RO_ Inst_NameEP}

 

 

 

Financial Institution Name

 

 

 

{RO_ Inst_AddrEP}

 

 

 

Financial Institution Address – Street, City, State, Zip Code, Country

 

 

GP5479US (1/2026)

 

Page 4 of 12

Manulife, Manulife Retirement, Stylized M Design, and Manulife Retirement & Stylized M Design are trademarks of The Manufacturers Life Insurance Company and John Hancock and the Stylized John Hancock Design are trademarks of John Hancock Life Insurance Company (U.S.A.). Each are used by it and by its affiliates under license.

© 2025 Manulife John Hancock Retirement. All rights reserved.

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued it will be mailed according to the standard mailing instructions provided by the Plan Trustee on file with John Hancock. Once you receive the check, you are then solely responsible for delivering the check to the other financial institution. John Hancock is not responsible for any losses you may incur after delivery of the check to you.

Estimated Delivery: • Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

Electronic Fund Transfer Details

{F88}Direct Deposit

OR

{F89} Wire – Verify with receiving bank if they accept wires and/or charge a fee

Provide Domestic Bank details:

 

 

{BankNameEP}

 

 

 

Bank Name

 

 

 

{BankABAEP}

 

{BankAcctNoEP}

 

Bank ABA/Routing (9 digits)

 

Bank Account No.

{F93}For international banks, complete and attach the International Banking Instructions form.

{F94} D - Payment Directly to Me – All applicable taxes will be withheld {BkmkSec5D}

Federal Tax Withholding Instructions

For an eligible rollover distribution, such as a partial or lump sum paid to you, you are subject to mandatory 20% federal income tax withholding and any applicable state tax withholding. You can choose a rate greater than 20% for federal withholding by completing the attached Form W-4R Withholding Certificate. You may not choose a rate less than 20%.

Check the box below if you are neither a U.S. person nor a U.S. resident alien. In such case, 30% federal tax withholding will apply unless (1) your country of residence shown below has a tax treaty with the U.S. that provides an exemption from U.S. tax or a lower rate of withholding and (2) you attach a completed and valid IRS Form W-8BEN.

{F96} I am neither a U.S. person nor a U.S. resident alien. Country of residence: {CountryRes}

State Tax Withholding Instructions

Your withdrawal is also subject to any applicable state tax and state tax withholding.

 

State of

Enter state of residence at time of withdrawal if state tax withholding should be taken for a state other than

 

Residence {State}

the state provided on this form.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State of Residence

 

Options for State Tax Withholding

 

 

 

 

 

 

 

 

 

 

 

 

AR, DC, KS, MA, MD, ME, NC,

You may not opt out. Since your distribution was subject to federal income tax, these states

 

NE, VA, VT

 

require mandatory state withholding based on the states’ applicable minimum requirements.

 

 

 

 

 

 

 

 

 

 

 

 

Generally, state tax withholding will be applied to your taxable distribution at the rate of 6.99%.

 

 

 

However, if you elected a partial withdrawal, a flat dollar amount may be withheld instead, but

 

 

 

the amount must be calculated based on a completed CT-W4P form provided to the Plan

 

CT

 

Administrator. If no amount is indicated, 6.99% will be withheld.

 

 

 

 

{F100}

I elected a partial distribution on this form and provided a completed CT-W4P to my

 

 

 

 

Plan Administrator. The calculated amount to be withheld is: ${TaxDollar6}

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State tax withholding will be applied to your taxable distribution unless one of the following

 

 

 

boxes is checked:

 

 

 

 

 

 

{F98}

I elect to opt out of withholding.

 

 

 

 

MI, IA

 

{F99}

I am eligible to claim exemption of $

{TaxDollar2}

; withhold tax only on the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

taxable, distributed amount that is in excess of the exempt amount.

 

 

 

If you check one of the boxes above, you are required to return a completed Form W-4P to your

 

 

 

Plan Administrator. Ensure that the election made above is consistent with the election made

 

 

 

on your completed Form W-4P.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State tax withholding of 6.25% will be applied to your taxable distribution unless one of the

 

 

 

following boxes is checked:

 

 

 

 

MN

 

{F108}

I elect to opt out of state tax withholding.

 

 

 

 

 

 

 

 

{F109}

Withhold {TaxPercentMN} % or $

{TaxDollarMN}

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GP5479US (1/2026)

 

 

 

 

 

 

 

 

Page 5 of 12

Manulife, Manulife Retirement, Stylized M Design, and Manulife Retirement & Stylized M Design are trademarks of The Manufacturers Life Insurance Company and John Hancock and the Stylized John Hancock Design are trademarks of John Hancock Life Insurance Company (U.S.A.). Each are used by it and by its affiliates under license.

© 2025 Manulife John Hancock Retirement. All rights reserved.

 

State tax withholding at the minimum rate will be applied to your taxable distribution unless one

 

of the following boxes is checked:

OK

{OKTax1} I elect to opt out of state tax withholding.

 

 

Withhold {TaxPercentOK} % (minimum 4.75%)

 

{OKTax2}

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CA, OR

I elect to opt out of mandatory state withholding.

 

{F101}

 

 

 

 

 

 

 

 

 

AL, CO, DE, GA, ID, IL, IN, KY,

You may elect voluntary state income tax withholding by providing a percentage or whole dollar

amount to be applied for state tax withholding here. Some states mandate a minimum and/or

LA, MO, MT, ND, NJ, NM, OH,

maximum percentage.

 

 

 

 

SC, UT, WV, WI

 

{TaxPercent2}

% or $ {TaxDollar3}

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Electronic Fund Transfer Information (REQUIRED)

You must provide electronic fund transfer information below, unless the financial institution requires a check be issued. Where a check is issued, it will be mailed according to the standard mailing instructions provided by the Plan Trustee on file with John Hancock. Once you receive the check, you are then solely responsible for delivering the check to the other financial institution. John Hancock is not responsible for any losses you may incur after delivery of the check to you.

Estimated Delivery: • Checks: 7-10 business days • Direct Deposit: 2-3 business days • Wires: 1-2 business days

Electronic Fund Transfer Details

{F104} Direct Deposit – My personal bank account is: {F105} Checking OR {F106} Savings

OR

{F107} Wire – Verify with receiving bank if they accept wires and/or charge a fee

Provide domestic bank details:

{BankName4}

Bank Name

{BankABA4}

{BankAcctNo4}

 

 

 

Bank ABA/Routing (9 digits)

Bank Account No.

{F111}

For international banks, complete and attach the International Banking Instructions form.

6. Waiver of Waiting Period

In general, you have a right to a period of at least 30 days to consider the decision of whether to elect a withdrawal from the day that you receive the Special Tax Notice from your Plan Administrator. However, if your plan permits, you may elect to waive this 30-day waiting period and have your benefit paid earlier. To waive the waiting period, check below:

{F112} I wish to waive the 30-day waiting period

The information provided in this section shall not be maintained or acted upon by John Hancock.

7. Participant Signature

If my withdrawal is made from Funds with the Guaranteed Income feature, I acknowledge that I have read and reviewed the Guaranteed Income feature brochure and fully understand the consequences and impact that my withdrawal will have on my Benefit Base and other benefits provided by this feature. I understand that a brief outline of the terms and conditions governing my withdrawal is also contained in the summary entitled “Important Information about the Guaranteed Income Feature” which can be found on the John Hancock participant website or obtained from my Plan Administrator.

I understand that John Hancock may charge a fee for this withdrawal and that other charges or fees may also apply. I acknowledge that I can refer to my Plan’s 404a-5 Plan & Investment Notice available on the participant website at www.johnhancock.com/myplan for further details.

GP5479US (1/2026)

Page 6 of 12

Manulife, Manulife Retirement, Stylized M Design, and Manulife Retirement & Stylized M Design are trademarks of The Manufacturers Life Insurance Company and John Hancock and the Stylized John Hancock Design are trademarks of John Hancock Life Insurance Company (U.S.A.). Each are used by it and by its affiliates under license.

© 2025 Manulife John Hancock Retirement. All rights reserved.

If I am a participant in a contract issued by John Hancock Life Insurance Company of New York, I understand that if any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, shall be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claims for each such violation. I understand that, if I am a participant under a contract issued by John Hancock Life Insurance Company (U.S.A.), civil penalties may apply.

Certification required of U.S. persons only (including U.S. citizens or U.S. resident aliens).

Under penalties of perjury, I certify that:

1.The number shown in Section 1 of this form is my correct taxpayer identification number, and

2.I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and

3.I am a U.S. citizen or other U.S. person, including a U.S. resident alien (as defined in the IRS Form W-9 instructions).

Certification Instructions

You must check the box below if you have been notified by the IRS that you are currently subject to backup withholding because you failed to report all interest and dividends on your tax return.

{FCB1} I am subject to backup withholding as a result of a failure to report all interest and dividends.

Since the Plan is an account held in the United States, you are not required to provide a code indicating that you are exempt from FATCA reporting.

Under penalties of perjury, I certify the above statements.

Note: The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

 

 

{FNamePrint}

 

{FSigDate}

Signature of Participant

 

Name - please print

 

Date

The following sections are to be completed by the Plan Representative.

8. Withdrawal Details

Has the final contribution been submitted for this participant?

If the final payroll for this participant has not been submitted to John Hancock, provide the final payroll ending date. If a date is provided, John Hancock will coordinate processing of the distribution with receipt of the final payroll to avoid additional contribution payouts that often remain uncashed. If no date is provided, the distribution will be processed as soon as administratively possible upon receipt of the form in good order.

{DCCIASec3EffectiveDate}

Is the participant withdrawing In-Plan Roth Rollover (IRR) assets?

For a total withdrawal, we will report the original rollover amount processed as the amount allocable to IRR assets. For a partial withdrawal, provide the amount allocable to IRR assets $ {TaxDollar4}

Note: All Roth assets held by the participant need to be taken into consideration when calculating the amount allocable to the IRR. If left blank, we will report the amount requested as being first allocable to the IRR assets.

IRS Distribution Code

The applicable IRS distribution code will be based on the type of distribution and/or age of the participant. If the early distribution exception code applies, check here. {F119} (Code 2 will be applied)

Loans

If a loan is active at time of distribution (Termination, Retirement or Disability), the applicable age dependent loan distribution code will apply. Loans can only be rolled over to an employer sponsored qualified plan.

If the loan rollover code applies, check here. {F120} (Code G will be applied.)

GP5479US (1/2026)

Page 7 of 12

Manulife, Manulife Retirement, Stylized M Design, and Manulife Retirement & Stylized M Design are trademarks of The Manufacturers Life Insurance Company and John Hancock and the Stylized John Hancock Design are trademarks of John Hancock Life Insurance Company (U.S.A.). Each are used by it and by its affiliates under license.

© 2025 Manulife John Hancock Retirement. All rights reserved.

Vesting percentage(s)

Vesting is mandatory for partial and total termination, retirement, disability and total early/pre-retirement withdrawals. The unvested money will be forfeited using instructions given in the Employer Unvested Money section below. For all other withdrawals vesting is not required.

{TaxPercent3}% for ALL Employer money types

OR

Vesting varies by money type as indicated below

Money Type

%

 

 

ER Match

{VestPct}

Profit Sharing

{VestPct2}

Employer Unvested Money

Other ER Money

%

 

 

{PortionTypeER1}

{VestPct3}

{PortionTypeER2}

{VestPct4}

Other ER Money

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{PortionTypeER3}

{VestPct5}

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{VestPct6}

If no box is selected below, direction for forfeitures previously provided to John Hancock will be applied to any unvested money in the participant’s account. If no direction for forfeitures has been provided and no box is selected below, any unvested money will remain in the participant’s account invested according to the current investment instructions.

If you determine the unvested portion of the account is not forfeitable, then you may wish to select leave in participant’s account as invested so that the participant continues to have the ability to direct the investment of the full balance of his/her account (including any unvested money).

{F132}

{F134}

Transfer to Cash Account Refund to Plan Trustee

{F133}

{F135}

{F136}

Pay outstanding John Hancock charges

Leave in Participant account and transfer to default fund Leave in Participant account as invested

9. Third Party Administrator (TPA) Withdrawal Fee

Complete this section to direct John Hancock to pay the fee indicated below from the participant’s account balance to the Third Party Administrator currently on record for the Contract. No fee will be applied if this section is not completed.

The fee will be deducted from the participant’s account balance at the time of the distribution using the standard withdrawal protocol and will be held in John Hancock’s general business account until paid to the TPA.

${TaxDollar5}

OR

{TaxPercent4}%

 

 

 

 

 

Flat Fee Amount

 

Percentage of

 

 

 

Invested Balance

John Hancock is not responsible for any uncollected fee amounts as a result of insufficient funds. These shortages will be reported on the transaction and summary confirmations.

10. Trustee/Authorized Signer Signature

If the participant does not sign the participant Signature section, I, the undersigned, certify, under penalties of perjury that, the participant, as applicable, certified to me that (i) the name shown on this form is the legal name of the participant; (ii) the number shown on this form is the correct taxpayer identification number (Social Security Number) of the participant; and, (iii) the participant is a U.S. person (including a U.S. resident alien) unless indicated otherwise above.

I hereby direct and authorize John Hancock to implement the instructions provided on this form. I represent that the certifications, directions, acknowledgements, authorizations, and agreements contained in this form are complete and correct and agree that John Hancock will rely on them, including to determine the tax withholding and reporting requirements applicable to the requested withdrawal. I represent that the withdrawal(s) requested herein are permitted by law and in accordance with the Plan. If the amount withdrawn is paid directly to the Plan Trustee, I also agree that I am responsible for the proper handling of the funds in accordance with the law. I represent that any Third Party Administrator fee is in accordance with the agreement with the Third Party Administrator and is reasonable and authorized under the terms of the Plan.

I certify that the required participant elections and consents to this withdrawal including, if applicable, spousal consent for married participants as required by IRC Sec. 417, have been properly obtained. I further certify that all necessary and applicable information required under IRC Sec. 417 and an explanation of the direct rollover option and related tax rules required under IRC Sec. 402 have been provided to the participant. I further certify that the funds being withdrawn are not for the purpose of prohibited transactions as defined in IRC Sec. 4975. I also certify that, if applicable, (i) the participant has waived the 30-day waiting period; and (ii) the Withholding Certificate for Pension or Annuity Payments (Form W-4P) for the states of Michigan and Iowa have been properly obtained, completed in accordance with Michigan and Iowa law, and that any amount exempt from state tax withholding described above accurately reflects such Withholding Certificate submitted by the participant.

If the participant is under the age of 18, I certify that consent to this request has been obtained from the parent or legal guardian authorized to act on the participant's behalf.

GP5479US (1/2026)

Page 8 of 12

Manulife, Manulife Retirement, Stylized M Design, and Manulife Retirement & Stylized M Design are trademarks of The Manufacturers Life Insurance Company and John Hancock and the Stylized John Hancock Design are trademarks of John Hancock Life Insurance Company (U.S.A.). Each are used by it and by its affiliates under license.

© 2025 Manulife John Hancock Retirement. All rights reserved.

On behalf of the Plan Sponsor, the Plan and its related trust, I further agree to indemnify and hold harmless John Hancock and its affiliates, and each of their employees, agents, directors, and officers from and against any and all losses, liabilities, penalties, and taxes that it or they may incur as a result of complying with the instructions provided on this form or any of the certifications provided on this form being incorrect.

 

 

{FNamePrint}

 

{FSigDate}

Signature of Trustee/Authorized Signer

 

Name - please print

 

Date

GP5479US (1/2026)

Page 9 of 12

Manulife, Manulife Retirement, Stylized M Design, and Manulife Retirement & Stylized M Design are trademarks of The Manufacturers Life Insurance Company and John Hancock and the Stylized John Hancock Design are trademarks of John Hancock Life Insurance Company (U.S.A.). Each are used by it and by its affiliates under license.

© 2025 Manulife John Hancock Retirement. All rights reserved.

Document Attributes

Fact Name Description
Form Purpose The GP5479US form is used for requesting a cash distribution from a retirement plan, specifically for withdrawals eligible for rollover.
Tax Implications Participants should be aware that cash distributions may incur taxes and penalties. Consulting a tax advisor is recommended.
Contact Information For assistance, participants can call John Hancock at 1-888-695-4472 to speak with Rollover Specialists.
Withdrawal Options Participants can choose to keep their money in the plan, roll it over to an IRA, or take a cash distribution.
Supporting Documents Before processing the request, the plan may require additional documents or information from the participant.
Processing Guidelines The request is subject to John Hancock’s Administrative Guidelines for Financial Transactions, which outline processing procedures.
IRS Reporting A 1099R form will be issued for each distribution by January 31 of the following year, reporting the taxable amount to the IRS.
State-Specific Regulations Product features and availability may differ by state, and participants should check with their plan administrator for specific regulations.

Gp5479Us: Usage Instruction

After gathering the necessary information, you will be ready to fill out the GP5479US form. This form is essential for initiating a cash distribution or rollover from your retirement plan. Follow these steps carefully to ensure that all required information is accurately provided.

  1. Begin by entering your general information in Section 1. Include your name, Social Security Number, date of birth, address, and phone number.
  2. In Section 2, select the reason for your withdrawal by checking the appropriate box. You may choose from options such as termination, retirement, or disability.
  3. Proceed to Section 3 to indicate the amount you wish to withdraw. Select either to withdraw 100% of your vested account value or specify a portion by providing the amount or percentage for each eligible money type.
  4. In Section 4, decide how you want to handle your funds. Choose whether to send your payment to a single destination or multiple destinations, and complete the relevant subsections accordingly.
  5. Complete Section 5 by providing the details of where you want your money sent. This includes selecting the type of account (Traditional IRA, Roth IRA, or Employer Sponsored Qualified Plan) and providing the necessary account information.
  6. Review all sections to ensure that all information is complete and accurate. Make sure to initial any changes made on the form.
  7. Once the form is filled out, submit it to your Plan Representative as instructed. Ensure that you have included any required supporting documents.

After submission, the plan administrator will process your request. Keep in mind that a 1099R form will be issued for any distributions, and it’s important to consult with a tax advisor regarding any potential tax implications. If you have questions during the process, do not hesitate to reach out to John Hancock for assistance.

Frequently Asked Questions

  1. What is the Gp5479Us form?

    The Gp5479Us form is a Withdrawal – Eligible for Rollover form provided by John Hancock. It is used by participants of retirement plans to request a distribution of their funds. This form outlines various options available for withdrawing retirement savings, including rollovers to other retirement accounts, cash distributions, or leaving the funds in the current plan.

  2. What options do I have for my withdrawal?

    When completing the Gp5479Us form, you have several options:

    • Keep your money in the plan
    • Roll over to a John Hancock IRA
    • Roll over to another IRA
    • Roll over to a new employer-sponsored plan
    • Take a cash distribution

    Each option has its own advantages, disadvantages, and tax implications, so it’s important to consider your choices carefully.

  3. How do I complete the form?

    To complete the Gp5479Us form, you as the participant must fill out Sections 1 through 7. After you complete these sections, submit the form to your Plan Representative. They will then review your information and complete Sections 8 through 10. Make sure to provide any necessary supporting documents as required by your plan.

  4. What happens if I choose a cash distribution?

    If you opt for a cash distribution, be aware that taxes and potential penalties may apply. It’s advisable to consult with a tax advisor to understand the financial implications of this decision. For a clearer picture of how cashing out could affect your savings, you can visit www.JHCashOutCalculator.com.

  5. What are the tax implications of my withdrawal?

  6. How can I contact John Hancock for assistance?

    If you have questions or need assistance while completing the form, you can call John Hancock at 1-888-695-4472. Their Rollover Specialists are available to help you understand your options and guide you through the process.

  7. What if my address has changed?

    If the address you provide on the form is different from what is currently on record with John Hancock, they will update their records accordingly. It is important to ensure that your plan administrator has the correct information to avoid any discrepancies.

  8. Will I receive a tax form for my withdrawal?

    Yes, a 1099R form will be issued for each distribution by January 31 of the following year. This form is important for tax reporting purposes, as it details the amounts distributed from your retirement account.

  9. Where can I find more information about my plan?

    For detailed information about your specific retirement plan, including investment options and fees, you can log onto www.johnhancock.com/myplan. Additionally, you may contact your Plan Administrator for a copy of your plan's Summary Plan Description (SPD), which contains essential details about your benefits and options.

Common mistakes

Filling out the GP5479US form can be a straightforward process, but many individuals make common mistakes that can delay their requests or lead to complications. One frequent error is not providing complete information in the required fields. Each section of the form must be filled out accurately, including personal details like your Social Security Number and address. Missing or incorrect information can cause your request to be returned or processed incorrectly.

Another mistake often made is failing to select the appropriate reason for withdrawal. The form requires you to choose one option, such as retirement or disability. If you select more than one or leave it blank, it may lead to confusion and delays. It is crucial to understand the implications of each option, as they may have different tax consequences.

Additionally, many individuals overlook the importance of supporting documents. The plan may require additional information before processing your request. Not including these documents can lead to further delays. Always check with your plan administrator to ensure you have everything needed to support your withdrawal request.

Lastly, individuals sometimes neglect to review their choices with a financial representative. While the form allows for self-completion, consulting with a professional can provide clarity on the best options for your situation. This step can prevent costly mistakes and ensure that your retirement savings are handled appropriately. Taking the time to double-check your form and consult with a representative can make a significant difference in the outcome of your request.

Documents used along the form

When dealing with retirement plan distributions, several forms and documents may accompany the GP5479US form. Each serves a specific purpose and is essential for ensuring compliance and proper processing of requests. Below is a list of commonly used documents.

  • Withdrawal – Eligible for Rollover Form: This form is used to request a withdrawal from a retirement plan that is eligible for rollover into another qualified plan or IRA.
  • 1099-R Form: Issued annually, this form reports distributions from retirement accounts to the IRS and indicates the taxable amount.
  • Special Tax Notice: This document provides important information regarding the tax implications of a rollover and distribution, helping participants understand their tax responsibilities.
  • Summary Plan Description (SPD): This document outlines the plan's features, benefits, and rules, giving participants a comprehensive understanding of their retirement plan.
  • International Banking Instructions Form: Required for international wire transfers, this form ensures that funds are sent to the correct foreign bank account.
  • Direct Rollover Request Form: Used to initiate a direct rollover of retirement funds to another eligible retirement account, ensuring that taxes are not withheld.
  • Account Transfer Form: This form is necessary when transferring funds from one financial institution to another, detailing the accounts involved.
  • Plan Administrator Instructions: Guidelines provided by the plan administrator that outline the specific procedures and requirements for processing withdrawals and rollovers.
  • Financial Institution Information Form: This document collects necessary details about the receiving financial institution for direct transfers or rollovers.

Understanding these forms and documents can help individuals navigate the complexities of retirement plan distributions. Each document plays a vital role in ensuring that requests are processed smoothly and in compliance with regulations.

Similar forms

  • Withdrawal Form for Retirement Plans: Similar to the Gp5479Us form, this document is used by participants to request distributions from their retirement accounts. It outlines the necessary information and steps needed to process the withdrawal.
  • Rollover Request Form: This form allows individuals to transfer funds from one retirement account to another. Like the Gp5479Us form, it requires detailed information about the accounts involved and follows specific procedural guidelines.
  • Tax Withholding Notice: This document informs participants about the tax implications of withdrawing funds from their retirement accounts. It parallels the Gp5479Us form in that it emphasizes the importance of understanding tax consequences before making a distribution decision.
  • Plan Summary Description (SPD): The SPD provides an overview of the retirement plan's features, including distribution options. It shares a similar purpose with the Gp5479Us form by helping participants understand their rights and options regarding their retirement savings.
  • Beneficiary Designation Form: This form allows participants to designate beneficiaries for their retirement accounts. It is akin to the Gp5479Us form in that it requires careful consideration of personal circumstances and must be completed accurately to ensure proper distribution of assets.

Dos and Don'ts

Things to Do:

  • Read the instructions carefully before starting.
  • Provide accurate personal information, including your Social Security number.
  • Ensure you complete all required sections of the form.

Things Not to Do:

  • Do not leave any required fields blank.
  • Avoid using correction fluid or making changes without initialing them.
  • Do not submit the form without reviewing it for errors.

Misconceptions

  • Misconception 1: The GP5479US form is only for retirees.
  • This form is applicable to anyone who is considering a cash distribution from their retirement plan, whether they are changing jobs, retiring, or facing another situation that necessitates a withdrawal.

  • Misconception 2: Cash distributions do not incur taxes.
  • In reality, cash distributions may be subject to taxes and penalties. It is crucial to understand these implications before proceeding with a withdrawal.

  • Misconception 3: You cannot roll over your funds to another plan.
  • Participants have multiple options, including rolling over their funds to a John Hancock IRA, another IRA, or a new employer-sponsored plan. This flexibility allows individuals to manage their retirement savings effectively.

  • Misconception 4: The form can be submitted without any supporting documents.
  • Some plans may require additional documentation or information before processing the request. Participants should check with their plan administrator to ensure they provide all necessary materials.

  • Misconception 5: All distributions are processed the same way.
  • Each distribution option has unique advantages, disadvantages, and tax consequences. Understanding these differences is essential for making informed decisions about retirement savings.

  • Misconception 6: You must complete the form alone.
  • Participants can work with a financial representative or John Hancock's Rollover Specialists to navigate the process. This support can simplify the completion of the form and ensure all requirements are met.

  • Misconception 7: There is no need to review the Summary Plan Description (SPD).
  • The SPD contains important information about the plan's provisions, which may significantly impact decisions regarding distributions. Participants should always review this document before making a withdrawal.

  • Misconception 8: The GP5479US form is the only document needed for a withdrawal.
  • While this form is essential, participants may need to adhere to additional procedures outlined in John Hancock’s Administrative Guidelines for Financial Transactions, which can vary by plan.

Key takeaways

Filling out and using the GP5479US form requires careful attention to detail. Here are key takeaways to consider:

  • Understand the Purpose: This form is primarily for requesting a cash distribution or rollover from your retirement plan with John Hancock.
  • Tax Implications: Be aware that cash distributions may incur taxes and penalties. Consider using tools like the cash-out calculator for informed decisions.
  • Sections to Complete: As a participant, you must fill out Sections 1 to 7. The Plan Representative will complete Sections 8 to 10 after reviewing your submission.
  • Withdrawal Options: You can choose to withdraw 100% of your vested account value or a portion thereof. Clearly indicate your choice on the form.
  • Multiple Destinations: If you wish to send payments to multiple destinations, complete Section B with the necessary details for each destination.
  • Supporting Documents: Your plan may require additional documentation before processing your request. Ensure you have all necessary information ready.
  • Submission Instructions: Follow the specific return instructions provided by your plan administrator to avoid delays in processing your request.
  • Consult Professionals: Each distribution option has unique advantages and tax consequences. Seek advice from independent professionals to understand your best options.