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Get Metlife Withdrawal Form

E read Instructions and Special Tax Notice Regarding TSA Payments before completing this form. If you are under 59 1/2, your withdrawal may be subject to a 10% federal income tax penalty. Your withdrawal may also incur withdrawal charges. 1. GENERAL INFORMATION Participant or Alternate Payee Name (First, Middle & Last) Social Security Number Contract/Certificate Number Street Address Marital Status: Married Single U.S. Citizenship Sex: Male Female U.S. Citizen Dayti.

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