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FULL OR PARTIAL WITHDRAWAL REQUEST INSTRUCTIONS …

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INSTRUCTIONS - Page 1 of 2 Order #119324 07/12/2021 TM: DISTRIBMNTFULL OR PARTIAL WITHDRAWAL REQUEST INSTRUCTIONSFIXED/VARIABLE ANNUITIESReliaStar Life Insurance Company (Home Office: Minneapolis, MN)ReliaStar Life Insurance Company of New York (Home Office: Woodbury, NY)(the Company )Members of the Voya family of companiesCustomer Service: PO Box 1559, Hartford, CT 06144-1559Phone: 877-884-5050Use this form to REQUEST a WITHDRAWAL under the provisions of your annuity contract. Do not use this form to REQUEST a rollover, transfer, or exchange to another company. Please follow INSTRUCTIONS to avoid delays in processing your REQUEST .

An eligible Reason for Withdrawal must be selected in section 7. Please note financial hardship is not an eligible reason for a withdrawal to repay a loan. If you request a partial withdrawal to repay a loan(s), qualify for a withdrawal, and the amount available for distribution is enough

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