Free Member Information - Indiana

Request to Allocate Annuity Savings Account
State Form 19368 (R11/3-04) Approved by the State Board of Accounts 2004

Indiana State Teachers' Retirement Fund 150 West Market Street, Suite 300 Indianapolis, IN 46204-2809 Telephone: (317) 232-3860 / (888) 286-3544 Home Page: www.in.gov/trf

PRIVACY NOTICE
Your TRF number is required on this form. Without a TRF number our agency cannot process your request. Your number is above your name on your Quarterly Statement. For retirees it is located on the top portion of your voucher and on your check.

Member Information
TRF Number (required) Address New Address Name (First, MI, Last) Date Home Phone Number

Other Phone Number

City

State

ZIP Code

INSTRUCTIONS
1. 2. 3. 4. 5. 6. 7. 8.

Non-retired members may allocate annuity savings account monies among five approved Funds only by using this form. For security purposes, we must receive an original form with an original signature. We cannot accept allocations submitted by facsimile. Members may only make a selection or re-allocation once per quarter. Members may request allocations to one or all of the Funds. Allocations must be in 10% increments of the total balance. Allocations must total 100%. This form must be signed in order to take effect. This form revokes and replaces all previously selected investment directions. This form must be received by the cut-off date published on the back of this form. Please read the information posted on the back of this form. Both new contributions and the former account balance will be allocated as prescribed on this form. Any variation from the allocation method prescribed on this form cannot be processed.

TRF cannot change your asset allocations unless all of the terms and conditions contained herein are met. Accordingly, TRF is not responsible for missed investment opportunities because a properly completed "Request to Allocate Annuity Savings Account" form was not received by TRF. It is your obligation to verify that any changes you have requested are made to your account. This verification can be done by inspecting your quarterly statement following your allocation change submission to TRF. Participating in investment funds, other than the Guaranteed Fund, involves risk. If you allocate contributions to one or more of the alternative funds, you may earn or lose money depending on the performance of those funds.

Investment Option Election
Circle the percentage you want to allocate to each investment fund. THE PERCENTAGES MUST BE IN 10% INCREMENTS AND THE TOTAL OF ALL SELECTIONS MUST EQUAL 100% OR THIS FORM WILL BE RETURNED TO YOU.

Guaranteed Fund S&P 500 Index Equity Fund Bond Fund International Fund Small Cap Equity Fund

10% 10% 10% 10% 10%

20% 20% 20% 20% 20%

30% 30% 30% 30% 30%

40% 40% 40% 40% 40%

50% 50% 50% 50% 50%

60% 60% 60% 60% 60%

70% 70% 70% 70% 70%

80% 80% 80% 80% 80%

90% 90% 90% 90% 90%

100% 100% 100% 100% 100%

Signature
I revoke any previous instrument and hereby direct the above investment, effective this date.
Signature Date

FOR OFFICE USE ONLY
Date Received Processed By Date Processed Audited By Date Audited

INDIANA STATE TEACHERS' RETIREMENT FUND A correctly completed "Request to Allocate Annuity Savings Account" form must be received according to the following schedule in order for changes to be effective: TO BE EFFECTIVE BY: January 1 April 1 July 1 October 1 THIS FORM MUST BE RECEIVED ON OR BEFORE: November 30 February 28 May 31 August 31

"Investment" Models for Participants Asset Type S & P 500 Index Equity Fund Small Cap Equity Fund International Equity Fund Bond Fund Guaranteed Fund TOTAL PORTFOLIO More Aggressive <============> More Conservative 50% 60% 40% 20% 0% 20% 10% 10% 0% 0% 20% 10% 10% 10% 0% 10% 10% 20% 30% 0% 0% 10% 20% 40% 100% 100% 100% 100% 100% 100% SPECIAL NOTE This material provides you with general information about the investments available under the Plan. Your specific investment choices should be based on your risk tolerance and the time your account is likely to remain invested. After careful study of your choices, you may also wish to consult with a professional financial advisor concerning the investment choices that are right for you. The Current Investment Options 1. S & P 500 Index Fund: This fund closely tracks the return on the S & P 500 Index by employing an indexing strategy that invests in the stocks of the S & P 500 Index companies (the 500 largest public companies on major stock exchanges). 2. Small Cap Equity Fund: This fund consists of stocks with a market capitalization of less than $1.5 billion. The fund's objective is to provide total returns in excess of the Russell 2000 Index Fund (2000 selected small capitalized public companies) over the long term. 3. International Equity Fund: This fund consists of securities of developed non-U.S. countries. This fund's objective is to provide returns in excess of a broad international market index (EAFE: Companies from Europe, Australia, and the Far East) over the long term. 4. Bond Fund: This fund consists of a broad range of corporate, government, and agency instruments. It can have up to 10% in high yield bonds and up to 10% in non-U.S. fixed income instruments. The objective of the fund is to outperform the Lehman Brothers Aggregate Bond Index over the long term. 5. Guaranteed Fund: The rate for this fund is determined annually by the ISTRF Board of Trustees. The balance of each member's account at the beginning of the quarter is credited interest at the end of the quarter.