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Instructions for Requesting a Hardship Withdrawal

Item Procedure Return to address above? Hardship Withdrawal Request Form Complete all relevant sections after reading all the information in the package. Indicate the reason for your Hardship request on the form. You must also provide the appropriate documentation evidencing financial need. Sign and date the form. Return this form to the above address for review, approval and processing. Yes Attachments to the Hardship Request Form and Hardship Documentation The documents you need to attach to your Request for Hardship Disbursement to substantiate the nature of your Hardship request are detailed on the Attachments to the Hardship Request.

Hardship Withdrawal Request Form ... Instructions for Requesting a Hardship Withdrawal ... Hardship disbursements are subject to 10% federal income tax withholding, unless you elect otherwise. You can elect to have no federal income taxes withheld by checking the box below.

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  Instructions, Withdrawal, Requesting, Hardship, Hardship withdrawal, Instructions for requesting a hardship withdrawal

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