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Get valic distribution form 2017-2024

Box 15648, Amarillo, TX 79105-5648 Call 1-800-448-2542 for assistance. 1. CLIENT INFORMATION Name:_____________________________________________________________________ SSN or Tax ID: ________________________________________________ Daytime Phone: (_______)_________________________________ Date of Birth: _______________________________ 2. DISTRIBUTION REQUEST Please select either OPTION A or OPTION B below. Selecting both options will delay processing your distribution request. In acc.

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