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Er a nine digit number found at the bottom left of your check (see sample). B Terms and Conditions 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. C By completing this form you are authorizing Massachusetts Mutual Life Insurance Company ( Company ) to debit the account provided on this form under the Company s PAC Loan Repayment Service ( Service ) for the purpose of making loan repayments on the policies or contracts listed on this form, subject to the Terms and Cond.

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