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FULL OR PARTIAL WITHDRAWAL REQUEST INSTRUCTIONS …

INSTRUCTIONS - Page 1 of 2 Order #119324 07/12/2021 TM: DISTRIBMNTFULL OR PARTIAL WITHDRAWAL REQUEST INSTRUCTIONSFIXED/VARIABLE ANNUITIESR eliaStar 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 06144-1559 Phone: 877-884-5050 Use 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 .

requesting a Partial Withdrawal and want to repay an active or defaulted outstanding loan balance(s) with amounts deducted from your contract value. If completing this section, do not complete section 3.) An eligible Reason for Withdrawal must be selected in section 7. Please note financial hardship is not an eligible reason for a

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Transcription of FULL OR PARTIAL WITHDRAWAL REQUEST INSTRUCTIONS …

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OutgOing rOllOver/transfer/exchange request fixeD ... - Voya

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fixeD/variaBle annuities fOr eMPlOYer funDeD Plans ReliaStar 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 companies Customer Service: PO Box 1559, Hartford, CT 06144-1559 Phone: 877-884-5050

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