MassMutual IRA Additional Contribution Investment ...

1 MassMutual IRA Additional Contribution Investment selection FormName _____ MassMutual IRA Account Number _____To make a Contribution to your existing MassMutual IRA account, just follow these three easy steps: 1. Detach and complete a Brokerage Account Remittance Slip from any confirmation you received. 2. Make your Contribution check payable to National Financial Services, LLC. Be sure to include your MassMutual IRA account number on the check. 3. Mail the remittance slip, MassMutual IRA Additional Contribution Form and your check to: Standard Mail: Overnight Mail: FAX:MML Investors Services LLC MML Investors Services LLC 1-877-888-6157c/o National Financial Services, LLC c/o National Financial Services, LLCPO Box 145461 Mailzone KY-03 BMAC incinnati OH 45250-9906 100 Crosby PKWY Covington KY 41015-9900 Please call MassMutual at 1-866-306-6472 if you have any questions, for more information on the MassMutual Premier Funds and MassMutual Select Funds or to request a indicate how you wish to allocate your Contribution to your existing MassMutual IRA by selecting from the list of funds below.

2 If you do not indicate how to allocate your Contribution , the entire amount will be invested in the Fidelity Capital Reserves Prime Money Market Fund. You can change your Investment selections by calling a MassMutual IRA Specialist or by accessing your account online at The per fund minimum invest ment is $100. Category MassMutual Premier Funds & MassMutual Select Funds Ticker Symbol Dollar Amount Money Market & Fidelity Govt Money Market Capital Reserves Fund FZAXX Fixed Income Premier Core Bond Fund (Barings Capital) MMCBX Premier Diversified Bond Fund (Barings Capital) MDVAX Premier High Yield Fund (Barings Capital) MPHAX Premier Inflation-Protected and Income Fund (Barings Capital) MPSAX Premier Government Fund (Barings Capital) MKSXX Premier Short-Duration Bond Fund (Barings Capital) MSHAX Select Total Return Bond Fund (MetWest) MSPGX Select Strategic Bond Fund (Western Asset) MSBAX Asset Premier Balanced Fund (Barings Capital)

3 MMBDX Allocation/ RetireSMART 2020 Fund MRTAX Lifestyle RetireSMART 2025 Fund MMSDX RetireSMART 2030 Fund MRYAX RetireSMART 2035 Fund MMXAX RetireSMART 2040 Fund MRFAX RetireSMART 2045 Fund MMKAX RetireSMART 2050 Fund MMARX RetireSMART in Retirement Fund MRDAX Select BlackRock Global Allocation Fund (BlackRock) MGJAX Small Cap Equity Select Small Cap Growth Equity Fund (Wellington/OFI Global) MMGEX Select Small Cap Value Equity Fund (Wlgn/BrwHnly) MMQAX Select Small Company Value Fund (Federated Clover/TRP/Invesco) MMYAX Premier Small Cap Opportunities (OFI Global Institutional) DLBMX (Continued on next page)Page 1 of 2 Mid Cap Equity Select Mid Cap Growth II Fund (T.)

4 Rowe Price/Frontier) MEFAX Select Mid Cap Value Fund (American Century/Systematic) MLUAX Large Cap Equity Premier Disciplined Growth Fund (Barings Capital) MPGAX Premier Disciplined Value Fund (Barings Capital) MEPAX Premier Main Street Fund (OFI Global Institutional) MSSAX Select TRP/LS Blue Chip Growth Fund (T. Rowe Price/Loomis Sayles) MBCGX Select Diversified Value Fund (T. Rowe Price/Brandywine) MDDAX Select Equity Opportunities Fund (Wellington /T. Rowe Price) MFVAX Select Fundamental Growth Fund (Wellington) MOTAX Select Fundamental Value Fund (Wellington/BarrowHanley) MFUAX Select Growth Opportunities Funds (Sands/Jackson Square) MMAAX MM S&P 500 Index Fund (Northern Trust) MIEAX International/ Premier Global Fund (OFI Institutional) MGFAX Global Equity Premier International Equity Fund (OFI Global Institutional) MMIAX Select Overseas Fund (MFS/Harris) MOSAX Emerging Market Premier Strategic Emerging Markets Fund (OFI Global Institutional)

5 MPASX Equity Total $ Category MassMutual Premier Funds & MassMutual Select Funds Ticker Symbol Dollar AmountBefore investing in any of the MassMutual Premier Funds and MassMutual Select Funds, investors should carefully consider a fund s Investment objectives, risks, charges and expenses. The fund s prospectus contains this and other information about the fund. You may obtain the prospectuses by calling MassMutual at 1-866-306-6472. Read the prospectuses carefully before MassMutual IRA is administered by National Financial Services as part of their Premiere Select Program. MassMutual Premier Funds and MassMutual Select Funds are distributed by MML Distributors, LLC, 1295 State Street, Springfield, MA, 01111. Investments in the MassMutual IRA purchase Class A shares of the MassMutual Premier Funds and MassMutual Select Funds. The MassMutual IRA is offered through registered representatives of MML Investors Services, LLC, 1295 State Street, Springfield, MA 01111.

6 Your retirement plan distribution to the MassMutual IRA will be initially deposited in the Fidelity Capital Reserves Prime Money Market Fund holding account and then transferred to the mutual funds you selected. If the Investment selection form is incomplete or not returned, your distribution will remain in the Fidelity Capital Reserves Prime Money Market Fund until the form is returned completed. If your various Investment amounts do not add up to the total amount of funds received or do not total 100%, MassMutual will deem your account not in good order until we reach you to resolve the discrepancy, and your distribution will remain invested in the Fidelity Capital Reserves Prime Money Market 2 of 2 Owner s Signature _____ Date _____XRS4221-A 220 C: RS-46330-01 2020 Massachusetts Mutual Life Insurance Company ( MassMutual ), Springfield, MA rights reserved. Regular Contribution Indirect rollover Tax year of Contribution _____