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Get Full Surrender Form 2016-2024

Curity No. or Tax I.D. No. Street Address, City, State, Zip (indicate mailing address for check) Telephone Number Name of Joint Owner (if applicable) Social Security No. or Tax I.D. No. 2. Distribution Election I wish to withdraw or surrender from my annuity, the amount indicated below. (This form may not be used for TSA/403(b) contracts. Please call the service center for appropriate form.) Please Check One Maximum amount available without a surrender charge For the following two o.

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