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Annuity surrender request - MetLife

Annuities Annuity surrender request This form is used to request a surrender from your Annuity contract. Brighthouse Life Insurance Company ("Brighthouse Financial") Things to know before you begin: For use with IRA/SEP and Non-qualified contracts only. (TSA 403(b) must use separate form.) Withdrawal or surrender requests in which the money has already been received in your bank account cannot be (06/18)Page 1 of 4 Fs-B SECTION 1: Contract informationAnnuity contract numberAnnuitant name - FirstMiddleLastContract Owner name - FirstMiddleLastOwner's Social Security number or TIND aytime phone numberSECTION 2: Payment informationPartial surrender - Amount $NetFull surrender - Account will be closed unless noted in special.

Annuity surrender request ... No 2. Did your insurance agent recommend (advise) you to surrender your annuity contract? Yes. NoNote: If you answered "No" to Question 1 above and "Yes" to Question 2 above, the state of Florida requires that we first provide you with important disclosure information. We are unable to send your

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