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Get Ny Tda Withdrawal & Rollover

ASE PRINT ) Work Telephone Number Home Telephone Number WITHDRAW TDA ROLLOVER TDA I elect to make a withdrawal based on my selection below. Amounts withdrawn from the TDA Variable Annuity Savings Fund shall be based on the value of a unit for the month following the filing of this form. I elect to withdraw all accumulations in my Tax Deferred Annuity Program. I elect to withdraw $ of the accumulations in my Tax Deferred Annuity Program. I understand that such amount.

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