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Annuity/Settlement Option Surrender Service Request - …

10438R10-20 Page 1 of 6 Annuity/Settlement Option Surrender Service Request 1. Owner InformationThrivent ID Contract numberEmailThrivent ID and email are optional in the state of Full Surrender (this will close the contract) One-time partial Surrender amount Ongoing Automatic Payout Option (APO)Amount $Amount that is penalty freeAutomatic payout options (select one)Interest only Fixed amount $Fixed percentage % Payout frequency MonthlyQuarterlySemiannuallyAnnuallyStar t date - 2. Surrender Details New Change Cancel3. Specific Subaccount Surrender For Fixed Indexed products, the Surrender will be taken from the Fixed Account first and will only be taken from the Indexed Account when the accumulated value in the Fixed Account is not variable or Multi-Year Guarantee products, indicate account(s) from which payout should be made.

transaction-specific calculation showing the effect of the excess surrender. For an annuity with the Long-Term Care (LTC) Insurance Rider - If the reason for your surrender request is due to the need to pay for LTC costs, make a claim from your LTC benefits instead of taking a partial surrender from your annuity.

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  Services, Request, Options, Annuity, Settlement, Surrender, Annuity settlement option surrender service request

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