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Full policy surrender request

Page 1 of 5 Fs/fPOLSURRENDER (04/18) Retail Life OperationsFull policy surrender request Use this form to request a full surrender and termination of your life insurance policy (ies).Metropolitan Life Insurance Company Metropolitan Tower Life Insurance CompanyThings to know before you begin Social Security or Tax ID number is required in Section 2. All policy owners must sign and date the form in Section 5. Complete and return pages 1-4 of this form to avoid processing delaysSECTION 1: About your policy (All policies listed below must have the same policy owner(s)) policy numberInsured first nameMiddle nameLast namePolicy numberInsured first nameMiddle nameLast namePolicy numberInsured first nameMiddle nameLast namePolicy numberInsured first nameMiddle nameLast nameSECTION 2: About the Owner (Choose one and complete appropriate sub-section):Individual (or individuals, if the policy is co-owned)Owner - First nameMiddle nameLast nameSocial Security numberPhone numberE-mail addressCo-Owner - First nameMiddle nameLast nameSocial Security numberPage 2 of 5 Fs/fPOLSURRENDER (04/18)A Trust, Charity, or Business entityPrint full name of Trust/Charity/Business entityDate of Trust (mm/dd/yyyy)Tax ID number of Trust/Ch

Full policy surrender request . Use this form to request a full surrender and termination of your life insurance policy (ies). Metropolitan Life Insurance Company Metropolitan Tower Life Insurance Company. Things to know before you begin • Social Security or Tax ID number is required in Section 2.

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