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Ant Name : FX.PrismCust.FullName.XF INSTRUCTIONS: Please complete this form to have PBGC send your pension benefit payments directly to your bank or other financial institution through electronic direct deposit (EDD). This form may also be used for an Electronic Transfer Account (ETA). Your name must be on the account. If you have questions, call our Customer Contact Center at 1-800-400-7242. Print clearly with dark ink. 1. General information about you Plan Name (as shown on check) Last Name.

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