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Electronic Payment (EP) account agreement

DEBITAUTH-05 (08/21)Page 1 of 4 Fs/fElectronic Payment (EP) account agreement Use this form to establish or change an Electronic (Check the appropriate ONE.) The Company indicated in this section is referred to as "the Company".Metropolitan Life Insurance CompanyMetropolitan Tower Life Insurance CompanyThings to know before you begin Instructions: Use this form to establish or change an Electronic Payment account as a Payment method for policies and contracts issued by the companies listed above. Once you have established an EP account , other products can be included with this account so that payments can be withdrawn on the same date from the same bank account . If you need assistance completing this form, please call your representative, sales office, or the appropriate number listed under How to submit this form.

payment account as a payment method for policies and contracts issued by the companies listed above. Once you have established an EP account, other products can be included with this account so that payments can be withdrawn on the same date from the same bank account. • If you need assistance completing this form, please call your

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