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Get Equitable Systematic Withdrawl Form

(05/2012) 1. POLICYHOLDER Name of Policyholder(s) Name of Insured (if different than policyholder) Policy Number SELECT ONE: Please establish the election checked below. This form supersedes any prior Systematic Withdrawal election(s). Please Cancel the Systematic Withdrawal election in effect. 2. SYSTEMATIC WITHDRAWALS This plan makes it easy for you to receive regular payments from your Variable Universal Life Policy by having a check mailed to you or a third-party suc.

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