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Thank you for choosing <strong>Ariel</strong> <strong>Investments</strong>. This packet contains everything you need <strong>to</strong>transfer an IRA held with another firm <strong>to</strong> an <strong>Ariel</strong> IRA: Retirement Account ApplicationIf you do not have an IRA at <strong>Ariel</strong>, please complete this form <strong>to</strong> establish an <strong>account</strong>.If you already have an IRA at <strong>Ariel</strong>, you do not need <strong>to</strong> complete the RetirementAccount Application. Simply provide <strong>your</strong> current <strong>account</strong> number on theIRA Transfer/Rollover Form. IRA Transfer FormThis form will be sent <strong>to</strong> <strong>your</strong> current cus<strong>to</strong>dian <strong>to</strong> notify them of <strong>your</strong> intent <strong>to</strong> move<strong>your</strong> <strong>account</strong> <strong>to</strong> <strong>Ariel</strong> <strong>Investments</strong>. <strong>Note</strong>: <strong>Your</strong> cus<strong>to</strong>dian <strong>may</strong> <strong>require</strong> a signatureguarantee or other documentation <strong>to</strong> transfer the money held in <strong>your</strong> <strong>account</strong> <strong>to</strong> <strong>Ariel</strong>— please contact them <strong>to</strong> confirm the details.To expedite the transfer process, please include a copy of <strong>your</strong> most recent <strong>account</strong>statement from the current cus<strong>to</strong>dian. Once you have all applicable documents, send them<strong>to</strong>:Regular MailOvernight Mail<strong>Ariel</strong> Investment Trust<strong>Ariel</strong> Investment Trustc/o U.S. Bancorp Fund Services, LLC c/o U.S. Bancorp Fund Services, LLCP.O. Box 701 615 East Michigan Street, Floor 3Milwaukee, WI 53201-0701 Milwaukee, WI 53202-5207If you have any questions, please do not hesitate <strong>to</strong> contact us at 800.292.7435.


3DUPLICATE STATEMENTSThis section should be completed only if you would like another individual or financial advisor <strong>to</strong> receive copies of <strong>your</strong> quarterly <strong>account</strong> statements.First Name Middle Initial Last Name Company45Mailing Address City State ZipDELIVERY PREFERENCESWith eDelivery, you can receive quarterly reports, prospectuses and/or <strong>account</strong> statements online rather than by regular mail. Not only does this servicedecrease the clutter in <strong>your</strong> mailbox, it also reduces Fund expenses by lowering printing and postage costs.Yes, I would like <strong>to</strong> (please check all boxes that apply):Receive my annual prospectus and quarterly fund reports electronicallyReceive my quarterly <strong>account</strong> statements electronicallyReceive my year-end tax forms electronicallyBy selecting any of the above options, you must provide <strong>your</strong> email address:Additionally, you agree <strong>to</strong> waive the physical delivery of the prospectus, fund reports, <strong>account</strong> statements and/or tax forms. You can request a hard copyof any of these materials at anytime by calling 800.292.7435. If you have opted <strong>to</strong> receive <strong>your</strong> <strong>account</strong> statements and/or tax forms electronically, youwill need <strong>to</strong> establish online access <strong>to</strong> <strong>your</strong> <strong>account</strong>. To do so, once you receive confirmation of <strong>your</strong> initial investment—which will include <strong>your</strong> <strong>account</strong>number—simply visit arielinvestments.com and click on Create a Username. You will need <strong>your</strong> <strong>account</strong> number and Social Security number <strong>to</strong> register.If you do not opt for electronic delivery, you can easily edit <strong>your</strong> delivery preferences at any time by calling 800.292.7435 or logging in<strong>to</strong> <strong>your</strong> <strong>account</strong> on our website.fund SELECTIONThere is a $1,000 minimum investment for each Fund unless you enroll in an Au<strong>to</strong>matic Investment Program (AIP). Please make check payable <strong>to</strong> <strong>Ariel</strong>Investment Trust. We cannot accept cash, cashier’s checks, Treasury checks, money orders, starter checks, third-party checks, business checks or credit cardchecks. If you choose <strong>to</strong> enroll in an AIP and do not wish <strong>to</strong> make an initial investment, please skip this section and complete Section 6.Please indicate the amount <strong>to</strong> be invested in each Fund. If transferring or rolling over assets, indicate the percentage <strong>to</strong> be invested in each Fund.Please make sure the percentages add up <strong>to</strong> 100%.Fund Fund Number Dollar Amount Invested or % <strong>to</strong> be Invested<strong>Ariel</strong> Fund 2220 $ %<strong>Ariel</strong> Appreciation Fund 2221 $ %<strong>Ariel</strong> Focus Fund 2222 $ %NEW<strong>Ariel</strong> Discovery Fund 2224 $ %6SSgA Money Market Fund 2223 $ %TOTAL INVESTMENT $ %In order <strong>to</strong> invest in the SSgA Money Market Fund, an <strong>account</strong> in one of the <strong>Ariel</strong> mutual Funds must be established prior <strong>to</strong>, or in conjunction with,opening a SSgA <strong>account</strong>. Shares of the SSgA Money Market Fund are not insured by the FDIC or by any other governmental agency; they are not obligationsof the FDIC nor are they deposits or obligations of or guaranteed by State Street Bank and Trust Company. The SSgA Money Market Fund pays StateStreet Bank and Trust Company for its services as investment adviser, cus<strong>to</strong>dian, transfer agent and shareholder servicing.AUTOMATIC INVESTMENT PROGRAM (AIP)To make investing easier, you <strong>may</strong> choose <strong>to</strong> have a specified amount ($50 minimum per Fund) au<strong>to</strong>matically transferred from <strong>your</strong> bank <strong>account</strong> andinvested in <strong>your</strong> <strong>Ariel</strong> <strong>Investments</strong> <strong>account</strong> on a monthly basis. Please be sure <strong>to</strong> provide <strong>your</strong> banking information in Section 7. Also, indicate belowwhich month you would like <strong>to</strong> begin the program and which day of the month you would like such transfers <strong>to</strong> be made. If you do not designate a specificday, <strong>your</strong> money will be transferred on the 5 th day of every month. Please allow at least 15 business days after receipt of this application before <strong>your</strong> <strong>Ariel</strong><strong>Investments</strong> AIP will be effective.Fund Amount <strong>to</strong> be Invested Month <strong>to</strong> Begin Day of the Month<strong>Ariel</strong> Fund $<strong>Ariel</strong> Appreciation Fund $<strong>Ariel</strong> Focus Fund $NEW<strong>Ariel</strong> Discovery Fund $Alternatively, if you would like <strong>to</strong> au<strong>to</strong>matically invest from <strong>your</strong> paycheck, check this box and we will send instructions for payroll deductionsIf you cancel <strong>your</strong> monthly Au<strong>to</strong>matic Investment Program prior <strong>to</strong> reaching the <strong>account</strong> minimum, the Funds reserve the right <strong>to</strong> close <strong>your</strong> <strong>account</strong> andsend you the proceeds with 30 days prior written notice, unless a balance of $1,000 or more is res<strong>to</strong>red within that 30 day period.


7BANK ACCOUNT OF RECORDBanking information is <strong>require</strong>d for an Au<strong>to</strong>matic Investment Program and <strong>to</strong> perform transactions by telephone or online at arielinvestments.com.By completing this section, you authorize <strong>Ariel</strong> <strong>to</strong> deduct money from <strong>your</strong> bank <strong>account</strong> via ACH <strong>to</strong> purchase shares in<strong>to</strong> <strong>your</strong> <strong>Ariel</strong> <strong>account</strong> and <strong>to</strong> sendredemption proceeds via wire or ACH <strong>to</strong> <strong>your</strong> bank <strong>account</strong> of record. There is a $10 fee for next-day wire and no fee for ACH (transfer takes 2–3 days).CHECKINGSAVINGS89ATTACH VOIDED CHECK HERE<strong>Your</strong> request cannot be processed without a voided check or encodeddeposit slip for the <strong>account</strong> you wish <strong>to</strong> designate as <strong>your</strong> bank<strong>account</strong> of record. <strong>Note</strong>: Checks must be preprinted with <strong>your</strong> name andaddress. At least one common name must match exactly between <strong>your</strong><strong>Ariel</strong> <strong>Investments</strong> and Bank <strong>account</strong>s.Check this box if you wish <strong>to</strong> use <strong>your</strong> attached purchase check<strong>to</strong> establish banking instructions instead of including an additionalvoided check.CUSTODIAL FEES—PAYMENT OPTIONSFor the additional tax reporting and record-keeping services associated with IRAs, shareholders pay a $15 annual fee or a $60 one-time lifetime fee. Thisfee is assessed per Social Security number (not per <strong>account</strong>) and covers all <strong>your</strong> <strong>Ariel</strong> <strong>Investments</strong> retirement <strong>account</strong>s (Traditional, Roth, Rollover, etc.).If you do not select a fee option below, the $15 fee will be deducted from <strong>your</strong> <strong>account</strong> after November 30 th of each year.FEE OPTIONS (select one)Lifetime IRA fee $60 Annual IRA fee $15FEE PAYMENT METHODFee deducted (from my enclosed investment check payable <strong>to</strong> <strong>Ariel</strong> Investment Trust)Fee included (in a separate personal check payable <strong>to</strong> <strong>Ariel</strong> Investment Trust)I am an existing <strong>Ariel</strong> IRA shareholder and have already paid the annual or lifetime feeBROKER/DEALER INFORMATIONThis section should be completed only if shares are being purchased through a financial representative at an outside broker/dealer.Broker/Dealer Name Broker Branch # Representative #Representative’s First Name Middle Initial Last Name10Mailing Address City State ZipBENEFICIARY DESIGNATIONPlease provide <strong>your</strong> primary and secondary beneficiaries. The <strong>to</strong>tals for each must equal 100%. Secondary beneficiaries will receive distributions only if noprimary beneficiaries survive you.I designate the individual(s) named below as the beneficiary(ies) of this IRA. I revoke all prior IRA beneficiary designations, if any, made by me for these assets. I understandthat I <strong>may</strong> change or add beneficiaries at any time with written notice <strong>to</strong> the cus<strong>to</strong>dian. If I am not survived by any beneficiary, my beneficiary shall be my estate.Primary Beneficiary(ies)Secondary Beneficiary(ies)1) Name1) NameSocial Security NumberDate of BirthSocial Security NumberDate of BirthCity State ZipCity State Zip% of Account Relationship% of Account Relationship2) Name2) NameSocial Security NumberDate of BirthSocial Security NumberDate of BirthCity State ZipCity State Zip% of Account Relationship% of Account Relationship


IRA TRANSFER FORM1Please use this form if you intend <strong>to</strong> transfer assets from an existing IRA <strong>to</strong> an <strong>Ariel</strong> <strong>Investments</strong> IRA. If you do not have an existing <strong>Ariel</strong> <strong>Investments</strong><strong>account</strong> <strong>to</strong> receive the assets, please also complete a Retirement Account Application and send it along with this form. If you have any questionsor need assistance filling out this form, please call us at 800.292.7435. Please consult <strong>your</strong> tax advisor for more information about any taxconsequences. Once completed, mail this form <strong>to</strong> <strong>Ariel</strong> Investment Trust, c/o U.S. Bancorp Fund Services, LLC, P.O. Box 701, Milwaukee, WI 53201-0701.For overnight delivery, mail <strong>to</strong> <strong>Ariel</strong> Investment Trust, c/o U.S. Bancorp Fund Services, LLC, 615 East Michigan Street, Floor 3, Milwaukee, WI 53202-5207.PLEASE PRINT ALL ITEMS EXCEPT SIGNATURE(S)ACCOUNT OWNERPlease provide <strong>your</strong> contact information, Social Security number and date of birth.First Name Middle Initial Last NameMailing Address City State ZipEmail Address Daytime Phone Evening Phone2Social Security NumberDate of BirthCURRENT CUSTODIAN/FINANCIAL INSTITUTIONPlease enclose a copy of a recent <strong>account</strong> statement from <strong>your</strong> current cus<strong>to</strong>dian.Name of Cus<strong>to</strong>dian or Financial InstitutionPhoneMailing Address City State Zip34Account Number with Current Cus<strong>to</strong>dian or Financial InstitutionTYPE OF ACCOUNT TO BE TRANSFERREDPlease select one. If you are transferring more than one retirement <strong>account</strong> <strong>to</strong> <strong>Ariel</strong>, please complete a separate IRA Transfer Form for each <strong>account</strong>.Traditional IRARoth IRA*Rollover IRASEP-IRAInherited IRA: Name of decedent Date of death Date of birth* Please provide the year that <strong>your</strong> Roth IRA or SIMPLE IRA was initially funded and if applicable, the year of <strong>your</strong> most recentconversion from a Traditional IRA <strong>to</strong> a Roth IRATRANSFER INSTRUCTIONSPlease select one. <strong>Ariel</strong> <strong>Investments</strong> will forward these instructions <strong>to</strong> <strong>your</strong> current cus<strong>to</strong>dian <strong>to</strong> initiate the transfer process.An IRA has been established in my name at <strong>Ariel</strong> <strong>Investments</strong>. I direct you <strong>to</strong>:Liquidate all of the assets from my <strong>account</strong>Liquidate a portion of my <strong>account</strong> (please specify below):$ or % of assets from my <strong>account</strong> in fund at my current cus<strong>to</strong>dian(If you are transferring assets from more than one fund, please attach additional transfer instructions.)Transfer <strong>Ariel</strong> <strong>Investments</strong> shares in kindTransfer assets held in a certificate of deposit (select one):Liquidate prior <strong>to</strong> maturity date. I am aware that I <strong>may</strong> incur a penalty for early withdrawalLiquidate at maturity date of:(Maturity date must be within 60 days. If maturity date is less than 15 days from the date of thisrequest, you <strong>may</strong> want <strong>to</strong> contact <strong>your</strong> current cus<strong>to</strong>dian <strong>to</strong> prevent au<strong>to</strong>matic reinvestment of the <strong>account</strong>.)IF NO SELECTION IS MADE ABOVE, PLEASE LIQUIDATE ALL ASSETS FROM MY ACCOUNT IMMEDIATELY.Please continue <strong>to</strong> next page


56INFORMATION ABOUT YOUR ARIEL INVESTMENTS ACCOUNTPlease select one.If you have an existing <strong>Ariel</strong> <strong>Investments</strong> <strong>account</strong> where you would like these assets <strong>to</strong> be transferred, please list this <strong>account</strong> number below. If you do nothave an <strong>Ariel</strong> <strong>Investments</strong> <strong>account</strong>, please enclose a completed Retirement Account Application, a copy of a recent <strong>account</strong> statement from <strong>your</strong> existing<strong>account</strong> and any forms <strong>require</strong>d by <strong>your</strong> current cus<strong>to</strong>dian.Establish a new <strong>Ariel</strong> <strong>Investments</strong> <strong>account</strong> (please complete Retirement Account Application)Use my existing <strong>Ariel</strong> <strong>Investments</strong> <strong>account</strong> numberFUND SELECTIONThere is a $1,000 minimum investment for each Fund.Please indicate the amount <strong>to</strong> be invested in each Fund and make sure that the percentages add up <strong>to</strong> 100%.Fund Fund Number % <strong>to</strong> be Invested<strong>Ariel</strong> Fund 2220 %<strong>Ariel</strong> Appreciation Fund 2221 %<strong>Ariel</strong> Focus Fund 2222 %NEW <strong>Ariel</strong> Discovery Fund 2224 %SSgA Money Market Fund 2223 %789TOTAL INVESTMENT %In order <strong>to</strong> invest in the SSgA Money Market Fund, an <strong>account</strong> in one of the <strong>Ariel</strong> mutual Funds must be established prior <strong>to</strong>, or in conjunction with,opening a SSgA <strong>account</strong>. Shares of the SSgA Money Market Fund are not insured by the FDIC or by any other governmental agency; they are not obligationsof the FDIC nor are they deposits or obligations of or guaranteed by State Street Bank and Trust Company. The SSgA Money Market Fund pays StateStreet Bank and Trust Company for its services as investment adviser, cus<strong>to</strong>dian, transfer agent and shareholder servicing.CONVERSION OF TRADITIONAL IRA TO ROTH IRA (OPTIONAL)Please complete this section only if you are making a Roth IRA conversion.I am converting assets from a Traditional IRA <strong>to</strong> a Roth IRA. Upon receiving the assets from my current cus<strong>to</strong>dian, I instruct the Fund’s transfer agent <strong>to</strong> investthe proceeds in<strong>to</strong> a new or existing Roth IRA <strong>account</strong>, as indicated in Section 5. I understand this <strong>may</strong> be a taxable event. By signing below, I agree that I amsolely responsible for all tax consequences of this conversion. The Fund’s Transfer Agent cannot process the conversion without a signature below.xSignature of Account OwnerSIGNATUREI acknowledge receipt of a prospectus for the above-named Fund(s) and agree <strong>to</strong> be bound by the terms of the prospectus. If I am purchasing shares of theSSgA Money Market Fund, I understand that I will receive the prospectus with the confirmation of my purchase. I certify <strong>to</strong> the present IRA cus<strong>to</strong>dian that Ihave established an IRA meeting the <strong>require</strong>ments of Internal Revenue Code Section 408(a) or 408A (as the case <strong>may</strong> be) <strong>to</strong> which assets will be transferred,and certify <strong>to</strong> U.S. Bank, NA that the IRA from which assets are being transferred meets the <strong>require</strong>ments of Internal Revenue Code Section 408(a) or 408A.xSignature of Account OwnerSIGNATURE GUARANTEE (IF REQUIRED)Please contact <strong>your</strong> current cus<strong>to</strong>dian <strong>to</strong> inquire whether a signature guarantee is necessary <strong>to</strong> verify <strong>your</strong> signature and process the transfer. A signatureguarantee <strong>may</strong> be obtained from a bank, a member of a national securities exchange, savings and loan associations, credit union, broker or other acceptablefinancial institutions. Please note that a Notary Public stamp or seal will not be accepted.DateDatePlace signature guarantee stamp hereName of Institution Providing Signature GuaranteexOfficer SignatureDatePlease continue <strong>to</strong> next page


10NOTICE TO CURRENT CUSTODIANThis section is <strong>to</strong> be completed by U.S. Bank, NA.An IRA has been established with <strong>Ariel</strong> <strong>Investments</strong> in the name of the above-referenced <strong>account</strong> owner. <strong>Ariel</strong> <strong>Investments</strong>’ cus<strong>to</strong>dian, U.S. Bank,NA, accepts the transfer requested. Accordingly, please transfer cash or assets in kind as directed above, payable <strong>to</strong> the Account Owner listed inSection 1.P.O. Box 701Milwaukee, WI 53201-0701Please contact an <strong>account</strong> representative at 800.292.7435 if you have any questions.ACCEPTED: U.S. BANK, NA,Joe D. RedwineIRATRANSFER 3/11 99291

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